Discussion Peer/Participation Prompt [Due Sunday]
Instructions:
Please respond to at least 2 of your peer’s posts. To ensure that your responses are substantive, use at least two of these prompts:
Do you agree with your peers’ assessment?
Take an opposing view to a peer and present a logical argument supporting an alternate opinion.
Share your thoughts on how you support their opinion and explain why.
Present new references that support your opinions.
Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.
Please be sure to validate your opinions and ideas with citations and references in APA format.
Please review the rubric to ensure that your response meets the criteria.
please use updated references i will provide both peers post to reply below
peer#
Stacey Pautz
MondayMay 23 at 2:57pm
Unit 3 Discussion – Immunization Hesitancy
1) As a provider, you will need to be prepared to answer questions about HPV vaccine from parents/guardians and patients. Therefore, based on the provided resources and your understanding of immunization recommendations, How can you explain why HPV is recommended and at what age(s).
Human papillomavirus (HPV) infection, one of the most common sexually transmitted diseases, is associated with cervical cancer, head and neck squamous cell carcinoma, and anal cancer. The quadrivalent HPV vaccine, Gardasil, was the first commercially available HPV vaccine licensed by the United States Food and Drug Administration, in 2006. In 2014, a nine-valent vaccine, Gardasil 9, was licensed by the FDA, which offers protection against HPV6, 11, 16, 18, 31, 33, 45, 53, and 58. The ideal time for the best protection against HPV-related diseases is prior to HPV exposure. Studies demonstrated that vaccination before first sexual contact could protect more than 90% of targeted HPV-related infections, abnormalities, and precancerous lesions, while vaccination after HPV exposure only protects about 50–60% of infections. Vaccination of 12-year-old girls provides the best and most cost-effective solution against cervical cancer. The earlier the HPV vaccination is provided to the population before the sexual behavior begins, the more influential the results are likely to be (Cheng et al., 2020).
Mary’s mother does not believe that her daughter needs HPV vaccine because she is not sexually active. She is concerned about her daughter viewing this vaccine as a license to practice unsafe sex.
2) How can you answer the questions in a sensitive way but still provide recommendations for the vaccine.
I would provide all the facts mentioned above and allow plenty of time for questions. I would explain to the mother that this is primary prevention and thus helps to prevent further disease or illness. It is the best form of medicine to practice. I would also share with the mother the safety and effectiveness of the vaccine. The prelicensure trials raised no consistent concerns and all found the expected adverse effects, including fever and injection site reactions. A systematic review and meta-analysis published in 2019, including data from 65 studies in 14 high-income countries, showed large decreases in these outcomes within 5–8 years after vaccine introduction. The prevalence of HPV-16/18 decreased significantly by 83% among girls aged 13–19 years, and by 66% among women aged 20–24 years (Markowitz & Schiller, 2021).
References
Cheng, L., Wang, Y., & Du, J. (2020). Human papillomavirus vaccines: An updated review. Vaccines, 8(3), 391. https://doi.org/10.3390/vaccines8030391 (Links to an external site.)
Markowitz, L. E., & Schiller, J. T. (2021). Human papillomavirus vaccines. The Journal of Infectious Diseases, 224(4), S367–S378. https://doi.org/10.1093/infdis/jiaa621 (Links to an external site.)
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peer #2
Alexis Helwick
TuesdayMay 24 at 9:36pm
As a provider, you will need to be prepared to answer questions about HPV vaccine from parents/guardians and patients. Therefore, based on the provided resources and your understanding of immunization recommendations, How can you explain why HPV is recommended and at what age(s).
Persistent human papillomavirus infections are associated with the development of malignancies later in life such as cervical cancer (Wang & Zhang, 2021). With this increasing knowledge about HPV, it has found that it can cause six different types of cancers and the vaccine is the best approach to help prevent this (Wang & Zhang, 2021). There are around 13 million American’s, including teens, infected with HPV each year and over 85% of people will get and HPV infection within their lifetime (CDC, 2021). This is a significant number of people who have an increased risk of developing cancer due to HPV. The vaccine is recommended for the patient because she has such a great risk to develop HPV within her lifetime based on these statistics. With the use of the vaccine, HPV cancers and genital warts have dropped 88% among teen girls (CDC, 2021). It is recommended the patient get the initial vaccination at age 9-14 years old (CDC, 2021). It would be a two-dose series that is 6-12 months apart given her current age (CDC, 2021). There are very minimal possible side effects, and the vaccine has been in use for over 15 years along with being monitored and researched for that time (CDC, 2021). The patient already has a family history of Ovarian cancer so she is already at risk unfortunately of developing cancer so the use of the vaccine will help diminish part of the risk by preventing HPV cancers.
Mary’s mother does not believe that her daughter needs HPV vaccine because she is not sexually active. She is concerned about her daughter viewing this vaccine as a license to practice unsafe sex.
How can you answer the questions in a sensitive way but still provide recommendations for the vaccine.
I would explain the patients increased risk for her lifetime of getting HPV and increasing her risk for cancer in her future. It is important for the mother to understand that this is not just a vaccine for her daughter at her current age but something that could protect her for the rest of her life against developing HPV related cancers. I believe this is important for the mother to understand because the daughter is going to become sexually active at some point in her life and if she waits too long for vaccination, she will not be able to receive the vaccine. HPV related cancers generally are also not found until they are more serious leading to a larger battle (CDC, 2021). I would also explain to the mother that there have been many studies that have found that there is no association between the HPV vaccination and sexual promiscuity but has shown to be associated with more responsible and safer sexual behaviors (Krawczyk et al., 2015). This can be a very touchy subject with parents but it is important the mother is informed based on the facts for her to better understand the importance of her daughter receiving this vaccine to help benefit her in the future.
CDC. (2021, March 18). Why Get The HPV Vaccine? Centers for Disease Control and Prevention. https://www.cdc.gov/hpv/parents/vaccine/six-reasons.htmlLinks to an external site.
Krawczyk, A., Perez, S., King, L., Vivion, M., Dubé, E., & Rosberger, Z. (2015). Parents’ Decision-Making About The Human Papillomavirus Vaccine For Their Daughters: II. Qualitative Results. Human Vaccines & Immunotherapeutics, 11(2), 330–336. https://doi.org/10.4161/21645515.2014.980708
Wang, Q., & Zhang, W. (2021). The Use Of Web-Based Interactive Technology To Promote HPV Vaccine Uptake Among Young Females: A Randomized Controlled Trial. BMC Women’s Health, 21(1), 1–11. https://doi.org/10.1186/s12905-021-01417-y
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