You are a registered nurse in a pediatric primary care office. You are completing an assessment of Clarice, a three-day-old infant during a well-child office visit. As you are reviewing Clarice’s EHR from her recent hospitalization after birth, you notice that Clarice’s parents refused the first HBV immunization which is usually given before discharge after the infant is born. In your facility, a review of immunization history is required for all pediatric patients.
When you question the parents about their refusal of the vaccination, they state that they don’t believe in vaccines, because vaccines are not necessary and that their child doesn’t have any high-risk behaviors which would necessitate her receiving the vaccine.
How would you as the health professional balance respecting the parent’s control over the decision-making regarding their child with the benefits of having their child immunized against a potentially harmful viral disease?
You will be assigned to a group by your section instructor:
Group #1: Clarice should have the vaccination series for HBV (Hepatitis B) to protect her and others from infectious diseases that are preventable.
Discussion Guidelines
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Textbook Readings
Burchum, J. R., & Rosenthal, L.D. (2019). Lehne’s pharmacology for nursing care (10th ed.). St. Louis, MO: Elsevier.
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- Chapter 80: Other Gastrointestinal Drugs (sections on “Pancreatic Enzymes” and Drugs used to Dissolve Gallstones (pp. 994)
Hinkle, J., & Cheever, K. (2018). Brunner and Suddarth’s textbook of medical-surgical nursing (14th ed.). Philadelphia, PA: Wolters Kluwer.
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- Chapter 49: Assessment and Management of Patients With Hepatic Disorders (pp. 1377-1426)
- Chapter 50: Assessment and Management of Patients With Biliary Disorders (pp. 1428-1454)
Outline
- Goals of health care of persons with GI/metabolic disorders:
- Legal ethical issues
- Applying the nursing process
- Evidence-based practice and the use of technology to manage patient care
- Interdisciplinary collaboration and delegation
- Cultural competence in healthcare
- Care of patients across the life cycle who have GI/metabolic disorders
- Clinical manifestations of GI/metabolic disorders including:
- Cirrhosis and liver failure
- Pancreatitis
- Cholecystitis and disorders of the gallbladder
- Cancer of GI and metabolic organs
- Discuss treatment modalities used in the management of GI/metabolic disorders:
- Diagnostic testing and nursing interventions needed
- Pharmacological and non-pharmacological treatments
- Discuss treatment modalities as they pertain to Evidence-based practice
- Drug calculations related to medications for GI/metabolic disorders
- Apply the nursing process while caring for patients with GI/metabolic disorders:
- Gather assessment data that validates a client’s development of problems related to GI/metabolic disorders.
- Use assessment data to determine nursing diagnoses appropriate for the client with GI/metabolic disorders.
- Identify an outcome for each nursing diagnosis that is realistic, measurable, and time-defined.
- Identify nursing interventions, including teaching, that will help the client achieve the outcome.
- Provide a rationale for each nursing intervention.
- Evaluate the plan of care and revise if necessary.
