Write a detailed one-page narrative (not a formal paper) explaining the health assessment information required for a diagnosis of your selected patient (include the scenario number).

Scenario 2. A 12-year-old girl is brought in for routine checks and she has not received her HPV vaccination. She believes the vaccine encourages premarital sexual activities because her family is extremely religious.

It is essential to obtain the necessary information about the patient via health screenings and diagnostic tests in order to make an informed decision on the HPV vaccine. In this scenario, a comprehensive health assessment should include information on the patient’s sexual history, including any previous sexual activity or potential risk factors for HPV. This age group may be eligible for diagnostic tests, such as a Pap smear and HPV test.

As an advanced practice nurse, it is important to respect the family’s religious beliefs while also promoting the patient’s health. The administration of HPV vaccines to males and women between 9 and 26 years old is supported by evidence-based practices guidelines. This prevents the transmission of HPV, and lowers the chance of developing cervical cancer. Although the HPV vaccine does not encourage premarital activity, the patient and their family should be educated about safe sexual practices as well as the prevention of sexually transmitted diseases.

It may help to discuss religious beliefs with your family and resolve any questions they might have regarding the HPV vaccine. Advanced practice nurses can give evidence-based information on the safety and efficacy and stress the importance to prevent the transmission of HPV. The patient’s family must also give informed consent before the vaccine can be administered.

In conclusion, as an advanced practice nurse, it is important to balance the patient’s health with respect for cultural and religious beliefs. Guidelines based on evidence support administration of HPV vaccination. Patients and families should be educated and addressed about any potential concerns. The administration of HPV vaccines should always be governed by ethical principles such as informed consent, respect for autonomy and informed consent.

References:

  1. Centers for Disease Control and Prevention. (2021). HPV vaccination recommendations. Retrieved at https://www.cdc.gov/hpv/hcp/recommendations.html
  2. American Nurses Association (2015). Codification of nursing ethics with interpretation statements. Silver Spring, MD: Author.
  3. World Health Organization (WHO). (2014). Moral considerations in vaccination programs for acute humanitarian emergencies. Retrieved at https://apps.who.int/iris/handle/10665/112818
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