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DISCUSSION POST # 1 Reesha
There have been reputable sources that have debunked vaccinations myths or misconceptions for over a decade. The takeaway that people should have regarding vaccinations is to understand they do more good than harm but to always take extra precautions if they have a history of severe allergic reactions or are severely immunocompromised. Otherwise vaccines should be geared as one of the most successful ways in preventing the spread of life threatening infections. As a healthcare professional it is concerning to see so many have false misconceptions about vaccinations. The World Health Organization has named vaccine hesitancy as one of the top ten threats to global health in 2019. The reasons why people choose not to vaccinate are complex, but key factors that have been identified are lack of confidence in vaccine safety or adverse events. Healthcare workers, especially those in primary care such as advanced practice nurses, physicians, and physician assistants remain key influencers on vaccine decisions. Needless to say it is important that primary care providers be supported by having easy access to trusted, evidence-based information on vaccines to relay to their patients. “Although parents and patients have a number of concerns about vaccine safety, among the most common are fears that adjuvants like aluminum, preservatives like mercury, inactivating agents like formaldehyde, manufacturing residuals like human or animal DNA fragments, and simply the sheer number of vaccines might be overwhelming, weakening or perturbing the immune system. As a consequence, some fear that vaccines are causing autism, diabetes, developmental delays, hyperactivity, and attention-deficit disorders, amongst others” (Geoghegan & O’Callaghan, 2020). There has been substantial release of scientific evidence that has been published that reject the claims that vaccines cause any of these proposed disorders or diseases. Multiple vaccines have been studied independently all which result in proving that there is no correlation between vaccines and detrimental effects. However more harm is done when patients are not getting vaccinated so when speaking to patients regarding the safety of vaccinations I would educate them on that. Regardless it is ultimately their choice but I would advise them to get vaccinated.
DISCUSSION POST # 2 Gema
There has been much controversy regarding the efficacy and effectiveness of vaccines. For century’s there has been an ethical battle between mandated vaccines and patients who are marginalized for declining them. From an ethical perspective patients have the right to refuse medical treatment or a provider’s medical recommendation. It is this autonomy that must be respected and a time for providers to approach the situation differently. Despite the mentioned, this is where a theoretical framework approach is useful. As reviewed in previous class discussions, the Health Belief Model can be used to convey health issues associated with the parent’s behaviors and unwillingness to immunize their children. In addition, it is a moment to communicate recommended treatment and actions along with the identification of perceived barriers or misconceptions the parent may have. Furthermore, it is a time to educate and enhance self-efficacy in an attempt to produce successful behavior changes that promote health and disease prevention (HRSA, 2018).
The pro’s in obtaining the recommended scheduled vaccines is that they reduce morbidity and mortality in children (Ventola, 2016). On the other hand, some vaccines pose unwanted side effects and sometime even permanent disabilities (Gust, 1995). A vaccine that caught public attention in the 1970’s was the poliomyelitis vaccine, which was said to cause brain damage in children. Then in the late 1990’s was the MMR which was linked to causing autism but was not proven to be factual. According to the Centers for Disease Control and Prevention (CDC) Advisory Committee on Immunization Practices (ACIP) recommendations and guidelines for immunizations are issued annually and are guided by a panel of expert’s whose focus is evidence-based practice (Ventola, 2016).
In conclusion, the CDC deems vaccinations a safe strategy for the prevention of communicable and vaccine-preventable diseases (CDC, 2020).