A parent and her 12-month-old son, Juan, come into your clinic for a well check and routine immunizations
TO PREPARE:
• Review this week’s readings and resources.
• Review the CDC Immunization Schedule website in Learning Resources.
CASE STUDY
A parent and her 12-month-old son, Juan, come into your clinic for a well check and routine immunizations. The parent states that they do not want vaccinations due to the risk of autism. He has only had his 2-month and 4-month vaccines. Juan is exclusively breastfed, but they stopped poly-vi-sol with iron due to the bad taste at 4 months of age. His lead level is < 3 and his hemoglobin is 10.5.
WRITE AN ESSAY regarding:
1. Initial response that lists the vaccines that are needed at this age. Include information you could share with the parents to encourage them to vaccinate Juan.
2. In addition, indicate the follow-up care you would recommend on his labs and explain your rationale.
3. Finally, include nutritional recommendations or any other recommendations you would make for the family and provide reasons for your recommendations.
NOTE/S: Support all your recommendations with sources, which should be cited in APA format.
ROUTINE IMMUNIZATIONS
As a pediatric primary care provider, it is essential that you effectively guide parents in their decision-making regarding vaccinations.
LEARNING RESOURCES
Required Readings
• Hagan, J. F., Shaw, J. S., & Duncan, P. M. (Eds.). (2017). Bright futures: Guidelines for health supervision of infants, children and adolescentsLinks to an external site. (4th ed.). American Academy of Pediatrics.
• “Promoting Healthy Development” (pp. 77–114)
• “An Introduction to the Bright Futures Health Supervision Visits” (pp. 259–274)
• “Evidence and Rationale” (pp. 275–302)
• “Appendix A, B, C” (pp. 823–838)
• Maaks, D. L. G., Starr, N. B., Brady, M. A., Gaylord, N. M., Driessnack, M., & Duderstadt, K. G. (2019). Burns’ pediatric primary care (7th ed.). Elsevier.
o Chapter 14, “Introduction to Health Promotion and Health Protection for Children and Families,” Section A. “Behavioral-Mental Health Wellness” (pp. 161–163)
o Chapter 22, “Immunizations” (pp. 306–318)
• Abukhaled, M., & Cortez, S. (2021). Nonpharmacological methods for reducing parental concern for infant vaccine-associated pain.Links to an external site. Journal of Pediatric Health Care, 35(2), 180–187. https://doi.org/10.1016/j.pedhc.2020.09.006
• Harder, V. S., Barry, S. E., Ahrens, B., Davis, W. S., & Shaw, J. S. (2018). Quality improvement to immunization coverage in primary care measured in medical record and population-based registry dataLinks to an external site.. Academic Pediatrics, 18(4), 437–444.
• Henrikson, N. B., Zhu, W., Baba, L., Nguyen, M., Berthoud, H., Gundersen, G., & Hofstetter, A. M. (2018). Outreach and reminders to improve human papillomavirus vaccination in an integrated primary care system.Links to an external site. Clinical Pediatrics, 57(13), 1523–1531. https://doi.org/10.1177/0009922818787868
• Koslap-Petraco, Mary, DNP, PPCNP & CPNP, FAANP. (2019). Vaccine hesitancy: Not a new phenomenon, but a new threatLinks to an external site.. Journal of the American Association of Nurse Practitioners, 31, 624–626. https://doi.org/10.1097/JXX.0000000000000342
• Wilhelm, M. J. (2018, August). Are vaccines safe?Links to an external site. Tidewater Family Plus. https://www.tidewaterfamily.com/health/are-vaccines-safe
• Wilhelm, M. J. (2019, January). Protecting kids from cancer. Tidewater Family PlusLinks to an external site.. https://www.tidewaterfamily.com/health/protecting-kids-from-cancer
• Wilhelm, M. J. (2019, July). Measles outbreakLinks to an external site.. Tidewater Family Plus. https://www.tidewaterfamily.com/health/measles-outbreak
GROWTH CHARTS
• Center for Disease Control and Prevention. (n.d.). Birth to 36 months: Boys.Download Birth to 36 months: Boys.
https://www.cdc.gov/growthcharts/data/set1clinical/cj41l017.pdf
• Center for Disease Control and Prevention. (n.d.). Birth to 36 months: Girls.Download Birth to 36 months: Girls.
https://www.cdc.gov/growthcharts/data/set1clinical/cj41l018.pdf
• Center for Disease Control and Prevention. (n.d.). 2 to 20 years: Girls.Download 2 to 20 years: Girls.
https://www.cdc.gov/growthcharts/data/set2clinical/cj41c072.pdf
• Center for Disease Control and Prevention. (n.d.). 2 to 20 years: Boys.Download 2 to 20 years: Boys.
https://www.cdc.gov/growthcharts/data/set2clinical/cj41c071.pdf
RESOURCES
• Center for Disease Control and Prevention. (n.d.) CDC vaccine schedules app for health care providers.Links to an external site. https://www.cdc.gov/vaccines/schedules/hcp/schedule-app.html#download
• Center for Disease Control and Prevention. (n.d.). Current VISsLinks to an external site.. https://www.cdc.gov/vaccines/hcp/vis/current-vis.html
• Center for Disease Control and Prevention. (n.d.) Immunization schedulesLinks to an external site.. https://www.cdc.gov/vaccines/schedules/index.html
Required Media
• Immunizations
Dr. Melanie Wilhelm discusses pediatric immunizations. (15m)
Optional Readings
• Wilhelm, M. (2018). Raising today’s baby (2nd ed.). Raising Today’s Child, LLC.
o Chapter 2, “Finding balance as a parent”
o Chapter 6, “Medical care 411”
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