Scenario: A new immigrant, who is a healthy 5-year-old, comes for his health care maintenance

Scenario: A new immigrant, who is a healthy 5-year-old, comes for his health care maintenance visit. The family does not have any documentation of prior vaccines. As a Family Nurse Practitioner, how would you facilitate conversation with the parents about this child not having vaccines? Discuss cultural or religious barriers you might encounter with this family. As a Family Nurse Practitioner, how would you address these barriers? How does culture influence patient-centered care and how will you establish trust in the interpersonal relationship with this patient and family? Explain what vaccines the child will need and his “catch up” schedule. What vaccines can you safely administer together for this five-year-old child? Create a pediatric vaccination record listing a timeline of required immunizations for this child. What resources should be available for this patient to get no cost or reduced cost vaccines? Discuss two vaccine-preventable illnesses. Discuss physical exam findings and three prioritized (urgent & emergent) differential diagnoses for your chosen vaccine-preventable illnesses. Discuss additional diagnostic and screening tools and holistic clinical management plans, including functional and risk assessments, and considering bio-psychosocial, cultural, educational, environmental, genetic/genomic, and spiritual factors. Support your plan with evidence-based clinical guidelines and standards of care.

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