Genital Human Papillomavirus Immunization Essay
Genital Human Papillomavirus Immunization Essay
Genital Human Papillomavirus (HPV) Immunization
I would administer the cervix vaccine (GlaxoSmithKline) to the sexually active woman who underwent splenectomy. The bivalent vaccine protects against Genital human papillomavirus (HPV) types 16 and 18 and the vaccine demonstrates 98% effectiveness in protecting women who engage in early sexual activities (Klosky, et al., 2010). In the United States, HPV is one of the most common infections that are sexually transmitted. According to epidemiological studies, approximately 80% of women who are sexually active contract the virus over their lifetime. In the United States, the prevalence of HPV is around 40% in women aged 14-19years and 50% in women aged 20-30 years (Klosky, et al., 2010). The Vaccine eliminates risks associated with grade 2/3 cervical intraepithelial neoplasia and other HPV-related complications. Genital Human Papillomavirus Immunization Essay
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Splenectomy leads to removal of the spleen and the lymphoid tissue, resulting in low immunities among patients. The Centers for Disease Control provides for immunization of people who have undergone splenectomy to prevent diseases such as HPV since their immune system is weak. Therefore, the HPV vaccine would be suitable for the sexually active woman who has undergone splenectomy to prevent cervix cancer, vulva cancer, and throat cancer.
I would administer the quadrivalent HPV vaccine for the 11-year-old child who is not sexually active. The American Centers for Disease Controls (CDC’s) recommended the HPV vaccine after its introduction in 2006 and licensing in 2008; to counter the HPV infection in young ladies (Kester, Zimet, Fortenberry, Khan, & Shew, 2013). The HPV vaccine prevents infections before sexual exposure and must be administered routinely, with the bivalent vaccine that boosts the immunity after exposure to sexual activities.
The vaccine prevents pre-exposure to HPV-related infections such as genital warts, cervical cancer, and anogenital cancer in young females. The quadrivalent HPV vaccine is best administered to patients before sexual activities since they do not have exposure to any HPV infections. Young preteens have a very high immune system compared to older women thus the vaccine is highly effective for them at this stage. Genital Human Papillomavirus Immunization Essay
My counseling message for the 27-year-old woman would highlight the key benefits of HPV immunization for sexually active people. The vaccine prevents cervical cancer, anal cancer, and throat cancer. I would advise her to avoid engaging in unsafe sexual activities that expose her to the risks of contracting the HPV infection. Having many sexual partners also exposes the lady to contracting the virus. The correct use of condoms while engaging in sexual activities reduces the chances of getting the HPV infection, but the protectives are not certain prevention of the infection, since it can infect areas that the condom does not cover. I would also enlighten her that the HPV vaccine is not safe during pregnancy. In case she had prior plans of having children thus she should be vaccinated before pregnancy.
I would advise the parent of the young girl that immunization against HPV does not promote sexual activity. The administered HPV vaccine facilitates the production of antibodies that fight the toxic antigens of the HPV virus. The vaccination is administered at an early age since the preteen’s immune system is very high compared to older women. According to (Ogilvie, Phan, Pedersen, Dobson, & Naus, 2018), the study revealed that there was no direct relationship between sexual behaviors and HPV vaccination in young girls before and after administration of the HPV vaccine. The study used the provincial health survey to study population-level changes in sexual behaviors over a decade, before and after the glacial HPV vaccination program was introduced in schools. I would further enlighten the mother on the importance of vaccination, and the impacts it will have in boosting the child’s immune system before they engage in sexual intercourse.
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Instructions for discussion post
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. Genital Human Papillomavirus Immunization Essay
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?
- Patient #2: Today you have two patients on your schedule for the HPV vaccine. One is a 27-year-old female. In taking her health history, you find that she is sexually active and that she had a splenectomy when she was 17. The second patient is an eleven-year-old female whose mother is concerned and wants to discuss the vaccine further before consenting. She feels that by giving the child the vaccine she is giving her permission to be sexually active.
- What type of immunizations will you recommend and why for each of these patients?
- What type of counseling will you provide in each of these scenarios related to their immunization needs?
- Patient #3: The following two patients present for their yearly physicals before going to spend the holidays with their grandchildren, who are two months, 18 months, and seven years of age. The 72-year-old male states he “doesn’t want a flu shot” because he’s afraid he will just get sick like his neighbor who got her shot last week; however, his 67-year-old wife, who you are also seeing for a follow-up related to shingles she had a month ago, states, “I want the flu vaccine, but I don’t need the shingles vaccine now since I’ve already had it.”
- How will you counsel these individuals? Are there risks related to the children from either party?
- What adult immunizations should be recommended for these patients? Genital Human Papillomavirus Immunization Essay
- Patient #4: Your final patient of the day is a three-month-old baby. The nurse states that the mom is refusing vaccinations today even though though the baby’s records show she is up to date on her immunizations. Mom explains that she feels like her baby is getting “too many” shots and since everyone else is being vaccinated then they can skip a few of the vaccines and her baby will be just fine.
- What is herd immunity and how can this help protect individuals who are not vaccinated? What are the rates for your state related to immunizations, and how could this affect herd immunity?
- What immunizations should this patient receive today, and is there any leeway in the schedule to help alleviate some of the mom’s concerns?
References
Kester, L. M., Zimet, G. D., Fortenberry, D., Khan, J. A., & Shew, M. L. (2013, July 17). A study of HPV immunization of young girls. doi:10.1007/s10995-012-1066-z
Klosky, J. l., Gamble, H. l., l.Spunt, S., Randolpgh, M., Green, D. M., & M.Hudson, M. (2010, December 14). Human Papillomavirus (HPV) vaccination. doi:10.1002/cancer.24669
Ogilvie, G., Phan, F., Pedersen, H. N., Dobson, S. R., & Naus, M. (2018, October 15). Sexual behaviors in young girls, before and after HPV immunization. doi:https://doi.org/10.1503/cmaj.180628 Genital Human Papillomavirus Immunization Essay
