Health Assessment Assignment WK. 11

Health Assessment Assignment WK. 11

Scenario 1

Advanced nursing practice relies on evidence-based practice guidelines and ethical considerations to resolve dilemmatic incidences encountered in the clinical setting. This is because, often, nurses interact with patients who hold diverse opinions and beliefs that conflict with the nursing practices and experiences. For instance, this paper presents a case of a 5 year-old patient accompanied by his parents who are against vaccination for a physical assessment. Health Assessment Assignment WK. 11


Physical examinations are routine tests conducted to assess the overall health of individuals. The health assessment information necessary for diagnosis of this patient include a list of current medications taken by the client. This entails both the herbal supplements and the over-the-counter drugs.  It is also important to ask for any pain or symptoms being experienced by the client as well as acquire results from previous relevant and recent tests. Moreover, any surgical and medical history should be reported as well as the names and contact addresses for healthcare providers visited recently. Lastly, the patient will be examined for any implanted devices such as defibrillator or pacemakers (Malone & Hinman, 2003).

Vaccinations protect individuals against a wide range of contagious diseases such as flu, human papilloma virus (HPV), whooping cough, mumps, small pox and measles (Hendrix et al., 2016). Administration of vaccines to children raises ethical concerns particularly when the parents do not approve of the practice like in this scenario. As such, evidence-based practice guidelines and ethical considerations for such cases mandate the exemption of vaccination to those with conflicting beliefs (CDC, 2017). This follows evidence based philosophical reasons and upholds the autonomy and liberty of the client. However, depending on the vulnerability of the child, I will review previous research and consult with the medical experts to be able to draw an informed decision on whether to forcefully undertake the vaccination following the beneficence principle of ethics or respect the parent’s decision. Health Assessment Assignment WK. 11


Centers for Disease Control and Prevention (2017). Public Health Law Program. State school and childcare vaccination laws. Retrieved from on May 7,2019

Hendrix, K. S., Sturm, L. A., Zimet, G. D., & Meslin, E. M. (2016). Ethics and childhood vaccination policy in the United States. American journal of public health106(2), 273-278.

Malone, K. M., & Hinman, A. R. (2003). Vaccination mandates: the public health imperative and individual rights. Law in public health practice, 262-84. Retrieved from on May 7,2019

Health Assessment Assignment WK. 11

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