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 has come in for a routine check-up and has not yet received the HPV vaccine. Her family is very religious and believes that the vaccine would encourage premarital sexual activity.

To make an informed decision regarding the HPV vaccine, necessary information needs to be obtained about the patient through health assessments and diagnostic tests. 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. Diagnostic tests such as a Pap smear or HPV test may also be considered in this age group.

As an advanced practice nurse, it is important to respect the family’s religious beliefs while also promoting the patient’s health. Evidence-based practice guidelines support the administration of the HPV vaccine to both males and females between the ages of 9-26 years to prevent the transmission of HPV and reduce the risk of cervical cancer. While the vaccine may not directly encourage premarital sexual activity, it is important to educate the family and patient about the importance of safe sexual practices and the prevention of sexually transmitted infections.

In this scenario, it may be helpful to have a discussion with the family about their religious beliefs and address any concerns they may have about the HPV vaccine. The advanced practice nurse can provide evidence-based information about the safety and efficacy of the vaccine and emphasize the importance of preventing the transmission of HPV and reducing the risk of cervical cancer. It is also important to obtain informed consent from the patient and family before administering the vaccine.

In conclusion, as an advanced practice nurse, it is important to balance the patient’s health with respect for cultural and religious beliefs. Evidence-based practice guidelines support the administration of the HPV vaccine, and it is important to educate the patient and family about the benefits of the vaccine while addressing any concerns they may have. Ethical considerations such as informed consent and respect for autonomy should be taken into account when making decisions about the administration of the HPV vaccine.

References:

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