BYatesAnalysis Rough Draft Assignment

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Maryville University *

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101

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English

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Feb 20, 2024

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4

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Yates 1 Bridget Yates Prof. Christi Branson English 101 2/13/2024 Rough Draft Assignment Introduction In the presented Nursing Case Study, analyzation shows parents have brought one of their three children to the office for medical treatment. The child is a one-year old and the parents have concerns about the MMR vaccine. One of their other children is five years old and has autism. The mother believes that the autism symptoms developed after the child received the MMR vaccine. She is very involved in their child’s education and their healthcare as she researches all of the vaccines that her children are given. Even though the office has policies that follow the immunization regulations, the parents do not want the child given the MMR vaccine. Possible Actions and Consequences One possible action would be to educate the parents with evidence-based information about vaccines, especially the MMR vaccine. Parents may read or come across articles with misleading information that resulted from poorly designed studies or incorrectly understood findings (Talking with Parents about Vaccines for Infants 2). It is important for you as the medical professional to rebut those studies and explain that to the parents. Unfortunately, the parents may not find your evidence creditable and decide to completely disregard your evidence and your advice.
Yates 2 Another possible action would be to offer an alternate vaccine schedule that you and the parents could agree on for the child. This would allow for the child to still receive the vaccination but it would respect the parents’ wishes. It is possible that if you could space some of the vaccines, the parents would allow the child to receive the MMR vaccine in a timely manner. A consequence of an altered vaccine schedule could be that the child would fall behind in the order of vaccines or if the family did not follow the new agreed upon schedule then the child would not be protected. You should direct the parents to The Childhood Immunization Schedule fact sheet that explains “the childhood vaccine schedule is designed to provide protection at the earliest possible time against serious diseases that may affect infants early in life” (Talking with Parents about Vaccines for Infants 2). There is also the option to have an educated conversation with the family about the public health concerns and some of the risks associated with not vaccinating their child. Not only could there be dangers to their other children but also to the community. There would have to be precautions take with others that may have weakened immune systems or too your to be fully vaccinated. Parents need to be informed about the protocol if their child is ill and how to handle office, clinic and emergency department visits to protect others (Talking with Parents about Vaccines for Infants 2). The parents may express that their immediate worry is for the welfare of their child and that they are not responsible for the community’s welfare. Recommended Course of Action/Conclusion After considering a couple of possible actions and consequences, I know that open and clear communication will bring the best outcome for the child. Even though I may have different values than the parents of the patient, I will continue to discuss an educate them for a positive
Yates 3 outcome. I will keep respect in all of our communications while I continue to offer evidence- based information about vaccines. As the family uses our office for their children’s medical treatment, I will keep up to date and informed in any new practices or information about so that I can work with the family to keep not only their children healthy but also the community.
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Yates 4 Works Cited College of Registered Nurses of British Columbia. “Multisource Feedback Self-Assessment Questionnaire Non-Clinical Version.” CRNBC, crnbc.ca/PracticeSupport/QA/Documents/selfassess_non_clinical_questionnaire.pdf. Center of Disease Control and Prevention. Talking with Parents about Vaccines for Infants. Strategies for Health Care Professionals. 2012, talkingwithparentsaboutvaccinesforinfants.pdf