Assignment: Pediatric Health Promotion Plan

Assignment: Pediatric Health Promotion Plan

Assignment: Pediatric Health Promotion Plan

A family just migrated from another country to your area and you are seeing them in the clinic for the first time. They do not speak English well. There are two children, ages 2 years 6 months and 6 years. When taking the children’s history, you become aware they have not seen a provider in two years. Utilizing the Health Promotion Guide available in the course and the CDC vaccination schedule, develop a treatment plan to include vaccinations, safety, health promotion, and wellness preservation for these children. Provide a rationale for recommendations from sources such as the CDC.

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Pediatric Health Promotion Plan

The child demographic is a unique group of people that are more sensitive to disease for a variety of reasons. They are particular interest groups, along with the old geriatric patients, who require special programs. For example, the pediatric population has a rigid immunization schedule and program that must be adhered to in order for a child to get life-saving vaccines before the age of five (CDC, 2022). The mother should also receive ongoing health education on how to care for her child and keep them healthy. If the child is still a toddler, health promotion and health education messages about the value of nursing for both the child and the mother will be required (Hammer & McPhee, 2018). Safety and general wellness preservation are two more areas of concern for the pediatric population. The purpose of this paper is to discuss the management and the health promotion strategies for the two children through their immigrant parents.

The Treatment and Health Promotion Strategy

An immigrant family that barely speaks English is the subject of the case study. When the youngsters arrive to the clinic for the first time, it is discovered that they had not visited a healthcare provider in two years. This provides information about the family’s prospective lifestyle. Based on this information, it is safe to assume that the family is from a developing country or one that has seen civil conflict or has been at war. These are some of the reasons why a parent may retain a child for two years without immunizing or checking their health. The two youngsters are two and a half and six years old, respectively. The two children would have to receive vaccination by being given the shots that they have most likely missed now that they are under US healthcare control. They will also undergo a wellness check to see whether they have any chronic illnesses.

The father and mother will also receive health promotion and instruction on healthy parenting and the importance of being accountable for their children’s well-being. It will be critical for them to understand that, unlike in their home country, the United States has Kid Protection Services that will promptly remove a child from their parents and place them in foster care if they are neglected or mistreated. They will also be informed that if this occurs, they will face legal repercussions.

The Centers for Disease Control and Prevention Schedule Immunization Schedule

Since these children have not been examined by a healthcare professional in over two years, it is assumed that they have not gotten the vaccines that were needed during that time. As a result, their ages will be reduced by two years, and the necessary immunizations will be delivered according to protocol. This means that the oldest child will receive immunizations beginning at the age of four, while the youngest child will receive vaccines beginning at the age of six months following birth.

This will aid in the collection of additional subjective information from parents in the context of cultural competency and patient-centered care. This is because the parents may be part of a society that despises immunizations and vaccination. Alternatively, it’s possible that the parents are wary of vaccines because they’ve been led to believe that they’re harmful. This is a truth that was brought to light recently when the Covid-1 epidemic hit and individuals needed to be vaccinated in large numbers. Many people – particularly those from marginalized areas – were hesitant to get vaccinated because false information circulated that the vaccines were being used to chemically castrate minority communities so that they would not conceive (Chen et al., 2020; Verger & Dubé, 2020). This is untrue, and if that is the reason why these children’s parents have not taken them for vaccine, they must be disabused of that belief.

the mother and father to these children must also be reminded that they are only need to offer informed consent on behalf of their children because they are still minors and unable to make their own decisions. This decision made in their name, however, must be based on strong bioethical standards. The autonomy principle ensures that parents’ agreement to vaccination is provided or withheld (Haswell, 2019). This role, however, must be carried out with extreme prudence and concern for the children’s well-being. That is, refusing immunization to children just because they are unable to decide for themselves is unethical and immoral on the side of the parents. Similarly, medical professionals must now guarantee that the children receive the immunizations that they have been missing. The bioethical principles of beneficence and nonmaleficence mandate this.

According to the CDC’s vaccine schedule for 2022, the oldest child will require both catch-up and due vaccinations. This will take the form of immunizations and a timetable, as shown in the chart below for the younger child:

Table 1

Vaccination schedule for the 2½ year-old  child (CDC, 2022)

Vaccine	6 mths	9 mths	12 mths	15 mths	18 mths	2-3 years
DTaP	3rd dose			4th dose
Hep B		3rd dose
Hib			3rd or 4th dose
PCV13	3rd dose			4th dose
IPV	3rd dose
MMR			1st dose
VAR			1st dose
Hep A			2nd dose
Hep B					3rd dose
DTaP					4th dose
IPV					3rd dose

 

Apart from the two year-old, the 6 year-old child will require to be given the following vaccines which correspond to what a child 4-6 years old would be due for:

• DTaP 6^th dose
• IPV 4^th dose
• Annual influenza vaccination
• MMR 2^nd dose, and
• VAR 2^nd dose (CDC, 2022).

Assuring the Safety of the Children

Only if the parents obtain health promotion and education will the children’s safety be guaranteed. The advanced practice nurses and the registered nurses who will be caring for the two children will supply this. They will be told, for example, not to drive the kids around without wearing seat belts. In the event of a fire, the house they live in should also include smoke detectors. Furthermore, children should not be permitted near potentially hazardous things such as prescriptions or poisons. Home products like bleach can be taken by a small child and should be kept out of reach. For both of them, medications should be kept out of reach. Both youngsters and knives should be kept out of reach in the kitchen. There should be plans in place for their transportation to school so that they do not fall into the clutches of predators and other persons with ill motives.

The Health Promotion Necessary for the Parents

These parents will get a variety of health promotion communications. In essence, it will cover almost everything else that has already been discussed. The parents must understand that they are solely responsible for their two children’s health and safety while in the United States. They will be held accountable if anything happens to the youngsters. It is their responsibility to make sure the youngsters receive the vaccines they have missed as well as those that are due on time. If the children become ill, it is their responsibility to ensure that they are seen by a healthcare provider as soon as possible. Parents must enrol in the Patient Protection and Affordable Care Act of 2010, also known as ACA 2010. This will give them and their family access to inexpensive, high-quality healthcare. Failure to do so will result in the individual mandate being enforced, which will require payment of a monetary penalty (Kominski et al., 2017). For the sake of the children, it is therefore recommended that the parents purchase this health insurance policy.

All About Wellness Preservation Advice Given to the Parents

Children’s wellness preservation refers to their general health and the necessity to keep them free of disease and damage. This is entirely up to the parents. Giving the parents a good diet or proper nutrition is one of the techniques for doing this. This diet must include a lot of fresh fruits and vegetables and be low in calories and fat. The reason for this is that obesity and overweight are major public health issues in the United States, particularly among individuals with low socioeconomic level. Besides nutrition, the parents will be instructed to keep their children physically active, with the goal of preventing obesity and overweight. Last but not least, they will need to take the two youngsters to the designated healthcare practitioner for frequent checkups.

                                                                        Conclusion

The child demographic is a core constituency that requires particularly specialized and attentive care. The fact that youngsters are unable to make informed decisions and consent makes this even more dangerous and urgent. Rather, their parents are responsible for this. They must be granted all of their rights, including immunizations, medical examinations, and treatment if they become ill. They should also be kept safe by their parents’ conscious activities, such as keeping them away from hazardous chemicals.

References

Centers for Disease Control and Prevention [CDC] (February 17, 2022). Child and adolescent immunization schedule. https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html

Chen, W.-H., Strych, U., Hotez, P.J., & Bottazzi, M.E. (2020). The SARS-CoV-2 vaccine pipeline: An overview. Current Tropical Medicine Reports, 7(2), 61–64. https://doi.org/10.1007/s40475-020-00201-6 

Hammer, D.G., & McPhee, S.J. (Eds). (2018). Pathophysiology of disease: An introduction to clinical medicine, 8^th ed. McGraw-Hill Education.

Haswell, N. (2019). The four ethical principles and their application in aesthetic practice. Journal of Aesthetic Nursing, 8(4), 177-179. https://doi.org/10.12968/joan.2019.8.4.177

Kominski, G.F., Nonzee, N.J. & Sorensen, A. (2017). The Affordable Care Act’s impacts on access to insurance and health care for low-income populations. Annual Review of Public Health, 38. http://dx.doi.org/10.1146/annurev-publhealth-031816-044555

Verger, P., & Dubé, E. (2020). Restoring confidence in vaccines in the COVID-19 era. Expert Review of Vaccines, 19(11), 991–993. https://doi.org/10.1080/14760584.2020.1825945