This discussion will allow you to examine several different preventive guidelines related to vaccinations. Please read the following four scenarios and choose ONE for your initial post; be sure to address all the questions posed by the scenario and include at least three scholarly sources within your initial post.
Note: As you are choosing a topic, please try to make sure that all topics are chosen at least by one person. You can see this by noting if anyone has posted to the topic within the corresponding threads
Immunizations
- Patient #1: Two five-year-old girls are on your schedule for a kindergarten physical. The foster parent of one of the children indicates she received all her immunization from birth to one year of age, but after that the child has not had any further vaccines. The second child appears to have been vaccinated per the CDC schedule.
- Is there a difference in the immunization plan you will initiate today for these two patients? Why or why not?
- What immunizations will you be ordering for each of these two patients today?
RUBRIC
Discussion Question Rubric
Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.
Discussion Question Rubric – 100 PointsCriteriaExemplaryExceeds ExpectationsAdvancedMeets ExpectationsIntermediateNeeds ImprovementNoviceInadequateTotal PointsQuality of Initial PostProvides clear examples supported by course content and references.
Cites three or more references, using at least one new scholarly resource that was not provided in the course materials.
All instruction requirements noted.
40 pointsComponents are accurate and thoroughly represented, with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Synthesizes course content using course materials and scholarly resources to support importantpoints.
Meets all requirements within the discussion instructions.
Cites two references.
35 pointsComponents are accurate and mostly represented primarily with definitions and summarization. Ideas may be overstated, with minimal contribution to the subject matter. Minimal application to evidence-based practice, theory, or role development. Synthesis of course content is present but missing depth and/or development.
Is missing one component/requirement of the discussion instructions.
Cites one reference, or references do not clearly support content.
Most instruction requirements are noted.
31 pointsAbsent application to evidence-based practice, theory, or role development. Synthesis of course content is superficial.
Demonstrates incomplete understanding of content and/or inadequate preparation.
No references cited.
Missing several instruction requirements.
Submits post late.
27 points40Peer Response PostOffers both supportive and alternative viewpoints to the discussion, using two or more scholarly references per peer post. Post provides additional value to the conversation.
All instruction requirements noted.
40 pointsEvidence of further synthesis of course content. Provides clarification and new information or insight related to the content of the peer’s post.
Response is supported by course content and a minimum of one scholarly reference per each peer post.
All instruction requirements noted.
35 pointsLacks clarification or new information. Scholarly reference supports the content in the peer post without adding new information or insight.
Missing reference from one peer post.
Partially followed instructions regarding number of reply posts.
Most instruction requirements are noted.
31 pointsPost is primarily a summation of peer’s post without further synthesis of course content.
Demonstrates incomplete understanding of content and/or inadequate preparation.
Did not follow instructions regarding number of reply posts.
Missing reference from peer posts.
Missing several instruction requirements.
Submits post late.
27 points40Frequency of DistributionInitial post and peer post(s) made on multiple separate days.
All instruction requirements noted.
10 pointsInitial post and peer post(s) made on multiple separate days.
8 pointsMinimum of two post options (initial and/or peer) made on separate days.
7 pointsAll posts made on same day.
Submission demonstrates inadequate preparation.
No post submitted.
6 points10OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas
5 pointsOrganized content with an informative purpose statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow.
4 pointsPoor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.
Purpose statement is noted.
3 pointsIllogical flow of ideas. Prose rambles. Purpose statement is unclear or missing.
Demonstrates incomplete understanding of content and/or inadequate preparation.
No purpose statement.
Submits assignment late.
2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.
The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).
Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.
There are no spelling, punctuation, or word-usage errors.
5 pointsCorrect and consistent APA formatting of references and cites all references used. No more than two unique APA errors.
The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.
There are minimal to no grammar, punctuation, or word-usage errors.
4 pointsThree to four unique APA formatting errors.
The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.
Multiple grammar, punctuation, or word usage errors.
3 pointsFive or more unique formatting errors or no attempt to format in APA.
The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).
The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.
Grammar and punctuation are consistently incorrect. Spelling errors are numerous.
Submits assignment late.
2 points5Total Points100
Expert Solution Preview
Introduction:
In my role as a medical professor responsible for creating college assignments and evaluating student performance, I understand the importance of addressing preventive guidelines related to vaccinations. This discussion will focus on two five-year-old girls scheduled for kindergarten physicals. The foster parent of one child indicates that she received all her immunizations from birth to one year of age but has not had any further vaccines since then. The second child appears to have been vaccinated per the CDC schedule. This scenario raises questions about the differences in the immunization plan for these two patients and the specific immunizations that should be ordered for each.
Answer:
1. Is there a difference in the immunization plan you will initiate today for these two patients? Why or why not?
The immunization plan for these two patients may differ due to the difference in their vaccination history. The first child, who has not received any vaccines since one year of age, would require catch-up vaccinations. Catch-up vaccinations aim to ensure that the child receives vaccines that were missed in the past and follows the recommended schedule for their age. On the other hand, the second child, who has received vaccinations according to the CDC schedule, would require the next set of age-appropriate vaccines to maintain protection and follow the recommended vaccination timeline.
2. What immunizations will you be ordering for each of these two patients today?
Based on the given scenario, the immunizations that would be ordered for each patient are as follows:
Patient #1 (Child with no further vaccines after one year of age):
– MMR (Measles, Mumps, Rubella): The child would receive the first dose of MMR vaccine since it is routinely recommended between 12 and 15 months of age.
– DTaP (Diphtheria, Tetanus, Pertussis): If the child has not received any doses of DTaP, it would be recommended to initiate the series at this visit.
– Polio: If the child has not received any doses of the polio vaccine, it would be administered at this visit.
– Varicella (Chickenpox): The child would receive the first dose of the varicella vaccine since it is routinely recommended between 12 and 15 months of age.
Patient #2 (Child vaccinated per the CDC schedule):
– DTaP (Diphtheria, Tetanus, Pertussis): The child would receive the booster dose of DTaP vaccine at this visit, as it is recommended between 4 and 6 years of age.
– IPV (Inactivated Polio Vaccine): The child would receive the booster dose of IPV vaccine, as it is recommended between 4 and 6 years of age.
– MMR (Measles, Mumps, Rubella): The child would receive the second dose of MMR vaccine, as it is recommended between 4 and 6 years of age.
– Varicella (Chickenpox): The child would receive the second dose of varicella vaccine, as it is recommended between 4 and 6 years of age.
These recommendations are based on the CDC immunization schedule and guidelines. It is essential to assess the individual patient’s medical history, allergies, and any contraindications to specific vaccines before administering them. As always, it is crucial to consult and collaborate with the healthcare team to determine the most appropriate immunization plan for each patient.
Sources:
1. Centers for Disease Control and Prevention (CDC). (2021). Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger. Retrieved from https://www.cdc.gov/vaccines/schedules/hcp/imz/child-adolescent.html
2. American Academy of Pediatrics. (2018). Immunization in Special Clinical Circumstances. In Kimberlin, D. W., Brady, M. T., Jackson, M. A., Long, S. S. (Eds.), Red Book: 2018 Report of the Committee on Infectious Diseases (pp. 175-209). Itasca, IL: American Academy of Pediatrics.
3. Immunization Action Coalition. (n.d.). Catch-Up Immunization Scheduler for Children (4 months-18 years). Retrieved from https://www.immunize.org/catg.d/p4050.pdf
