iHuman_Derm_Brignoni
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Chamberlain College of Nursing *
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509
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Medicine
Date
Feb 20, 2024
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docx
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2
Uploaded by JudgeCrown12074
If this patient was not vaccinated, it would be important to consider other differential diagnoses that vaccines protect against such as measles or varicella. Differential diagnosis may include infectious mononucleosis, roseola, measles, scarlet fever, varicella, and rubella. Per CDC guidelines for vaccination in children, the patient is up to date and vaccinated against measles, rubella, and varicella (CDC, 2023). A never miss diagnosis would be measles. Since the patient in the scenario was vaccinated against measles, it is highly unlikely the patient has measles. If the patient were not vaccinated and measles was a concern, the patient would have to have lab work done. Detection of virus-specific IgM in a single specimen of blood serum or oral fluid indicates acute infection of measles (Rainwater-Lovett & Moss, 2022). If the patient had measles, the treatment is the same by general supportive measures and hydration (Rainwater-
Lovett & Moss, 2022). If the patient were to develop a bacterial infection or had scarlet fever, antibiotics would be indicated in this case (Rainwater-Lovett & Moss, 2022). Opportunities to educate the patient would be the benefits of vaccinations in children. By addressing the concerns parents may have about vaccination, perhaps that may work to have the child vaccinated. Educating the parents on the benefits of vaccines is helpful as well as explaining and educating on the downsides of not immunizing a child. Education about risks posed by failing to vaccinate can have positive effects on parents’ attitudes about vaccinating their children (Horne, Powell, Hummel, & Holyoak, 2015). Also developing a vaccination action plan with the parents may grant the parents a sense of autonomy when going about vaccinating their children.
References
Centers for Disease Control and Prevention (2023). Child and adolescent immunization schedule
by age: Recommendations for ages 18 years or younger. https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html
Horne, Z., Powell, D., Hummel, J., & Holyoak, K. (2015) Countering antivaccination attitudes. Proceedings of the National Academy of Sciences of the United States of America, 112
(33), 10321-10324. https://doi.org/10.1073/pnas.1504019112
Rainwater-Lovett, K. & Moss, W. (2022). Measles (rubeola). Harrison’s Principles of Internal Medicine, 21e.
McGraw Hill. https://accessmedicine-mhmedical-
com.chamberlainuniversity.idm.oclc.org/content.aspx?
bookid=3095§ionid=265434623
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