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Case Study

Student’s Name

Institutional Affiliation

Course Name

Instructor Name

Assignment Due Date

Case Study
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1. Required Health Assessment Information for the Case Study

The first crucial steps in the health assessment for the 12-year-old girl include inquiring

information about the patient's history and HPV. It is important to inquire about the patient's

involvement in sexual activities and exposure to HPV. Ideally, the vaccine is best administered

before the initiation of sexual activities. Studies point to the quick exposure to the virus during

sexual activities of patients who have not received the vaccine yet (Adjei Boakye et. al 2022).

The Centers for Disease Control and Prevention recommends children between the ages 11-12

years have two doses of the vaccine to prevent cancer-causing infections. It is also necessary to

get a history of vaccinations and to talk about leading a lifestyle that supports health

maintenance. Besides, it is critical to find out from the patient when their HPV symptoms

started. It is imperative to inquire about any past experiences the patient may have had with

pelvic discomfort, bleeding, and vaginal discharge. Obtaining this crucial information would

guide further efforts on the administration of the vaccines.

Regarding the ethical considerations in the case study, the most appropriate steps to take in

helping the religious family forego the misconception that the vaccine would make the girl

involved in sexual activities, would be education about the risks of not getting vaccinated and the

effectiveness of having it. Apart from dispelling their knowledge about their daughter’s chances

of getting involved in sexual activities with the vaccine, it would be necessary to inform the

parents about the vaccine’s ability to prevent over 90% of HPV-attributable cancers (Adjei

Boakye et. al 2022). With the rising concerns about cancer, such information would be helpful.

Further ethical considerations involved in seeking the parent’s consent for the child’s

vaccine, it would be necessary to guide the parents on the available evidence-based practices and

thus inform them that the HPV vaccine may not affect the sexual behavior of the girl. The final
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part of the assessment includes asking the patient about their preference for the vaccine

administration. While some states do not allow children to make decisions about their health and

require parental consent, others provide consideration for children ‘s rights on vaccination that

may override parental decisions. The general account of obtaining the patient’s preference and

account before the administration of the vaccine is to promote patient autonomy and well-being

in the health care setting. Ethically, the approach upholds the principles of beneficence,

maleficence, and justice that every nurse would strive to achieve.

The preferred evidence-based practices in the scenario include narrative education to the

patient, reminders, and motivational behavioral interventions that would be effective in the

initiation and completion of the vaccine (Mavundza et. al 2021). Therefore the integration of

evidence-based practices would involve a well-developed care plan where I would consider the

patient’s preferences and the designed care plan for the patient to have the two doses. The plan

will begin with patient education and her family, the vaccine administration. I would further

collaborate with other professionals to ensure that the patient gets coordinated care and guidance

in the vaccine administration. This will be followed by behavioral interventions and reminders.

Later a follow-up would be effected with the completion of the second dose.

Overall, the 12-year-old girl has a right to the HPV vaccine despite her parent's belief in

indulging in sexual behavior. This vaccination is intended to protect against HPV exposure

acquired via sexual activity. Norms and beliefs can occasionally act as obstacles to receiving

high-quality medical care as seen in this case. In such circumstances, medical personnel must

treat patients morally and employ evidence-based procedures.

References
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Adjei Boakye, E., McKinney, S. L., Whittington, K. D., Boyer, V. E., Franca, M. C., Lee, M., ...

& Gerend, M. A. (2022). Association between Sexual Activity and Human

Papillomavirus (HPV) Vaccine Initiation and Completion among College Students.

Vaccines, 10(112), 2079. Retrieved from https://doi.org/10.3390/vaccines10122079

Beck, A., Bianchi, A., & Showalter, D. (2021). Evidence-based practice model to increase
human papillomavirus vaccine uptake: a stepwise approach. Nursing for Women's Health, 25(6),
430-436. Retrieved from https://doi.org/10.1016/j.nwh.2021.09.006

Mavundza, E. J., Iwu-Jaja, C. J., Wiyeh, A. B., Gausi, B., Abdullahi, L. H., Halle-Ekane, G., &

Wiysonge, C. S. (2021). A systematic review of interventions to improve HPV

vaccination coverage. Vaccines, 9(7), 687. doi:10.3390/vaccines9070687