Ethical Dilemma Assignment_3

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Health Science

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Dec 6, 2023

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1 Ethical Dilemma to Vaccinate or Not? Dawn Precious Paul Baptiste Capella University NHS-FPX4000: Developing a Healthcare Perspective Dr. Jeanie Kaeberle September 22, 2023
2 Ethical Dilemma To Vaccinate or Not? Summary of the Case Study and Analysis The case study entails the Smiths, new parents to a 5-day-old infant called Ana, who are unsure about vaccinating their child because of their beliefs, including concerns about vaccines that cause autism. Ana's pediatrician, Dr. Kerr, suggests vaccination and stresses the importance, benefits, safety, and herd immunity issue. Regardless of her recommendation and advice to the parents, the Smiths remain firm on their decision not to vaccinate their baby Ana. Jenna and Chris Smith claim to raise their child as naturally as possible, including exclusive breastfeeding for six months, preparing food from organic sources, and not vaccinating Ana. The reason behind all these perceptions about vaccination is that the Smiths have researched and read online mommy-blogs that maintain that vaccines pose potential risks to infants that outweigh their benefits. For instance, the couple mentions concerns about vaccines that cause autism, citing the rise in autism rates and cases. However, Dr. Angela Kerr suggests that Ana should be fully vaccinated and highlights the life-saving benefits of the vaccine and their importance in reducing child mortality. For instance, Dr. Kerr mentions Haemophilus influenza type B and the current measles outbreak as evidence of vaccine efficacy. In this case, the ethical dilemma revolves around the parent's autonomy and right to make medical decisions for their child versus Dr. Kerr's duty to protect the child's health and the public health benefits of vaccination (Capella University, 2018). Analyzing the Ethical Dilemma in the Case Study Looking into the article by Weber (2008) on the update on autism and childhood vaccines, vaccination stands out as the cornerstone for public health. Vaccines are responsible for preventing countless diseases and saving lives. However, deciding to vaccinate a child can
3 sometimes be fraught with ethical dilemmas in cases where parents choose not to vaccinate their child based on personal perceptions, beliefs, and misinformation. Despite the dilemma in the case, Dr. Kerr underscores the importance and safety of vaccines, explaining the regular safety of intensive care conducted through the Vaccine Adverse Event Reporting Systems (VAERS). She also gives the vaccine-autism link that explains and reassures that vaccines with thimerosal do not increase the risk of autism spectrum disorder (ASD). Reflecting on Dr. Kerr's point of view on vaccination, it is evident from the background of vaccines containing thimerosal that was used in vaccines in the 1970s to prevent bacterial growth and included that the FDA concluded that the vaccines had a very low amount of mercury that was not likely to be harmful (Weber, 2008). In this case study, the controversy surrounding thimerosal and autism, as claimed by the parents, as the scientist suggested that low maternal methylmercury exposure could be dangerous to infants. However, the FDA Modernization Act of 1997 conducted an assessment and ordered the removal of thimerosal-containing vaccines, although there was no evidence of its harm to children (Weber, 2008). It is also evident that reports and studies have consistently found no association between autism and MMR vaccines or thimerosal-containing vaccines. For this reason, Dr. Kerr's recommendation is evidence-based and linked to scientific research from a broad spectrum of information. Effectiveness of Communication Approaches Present in the Case Study The viability of communication approaches for the situation study is portrayed by Dr. Kerr's reasonable and enlightening correspondence with the Smiths regarding Ana's vaccination. She employs effective communication approaches by providing evidence-based information, addressing the Smiths' concerns, and emphasizing the benefits of vaccination. Dr. Kerr effectively conveys the benefits of vaccination, emphasizes evidence-based medicine, and
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