Answer the questions below and Create a 15—20 slide PowerPoint presentation.  Include speaker notes and citations for each slide, and create a slide at the end for References.

1.Describe the approved topic and associated population your group has selected. Discuss how this topic adversely affects the population. How does health disparity affect this population?

2.Explain evidence-based approaches that can optimize health for this population. How do these approaches minimize health disparity among affected populations?

3.Outline a proposal for health education that can be used in a family-centered health promotion to address the issue for the target population. Ensure your proposal is based on evidence-based practice.

4.Present a general profile of at least one health-related organization for the selected focus topic. Present two resources, national or local, for the proposed education plan that can be utilized by the provider or the patient.

5.Identify interdisciplinary health professionals important to include in the health promotion. What is their role? Why is their involvement significant?

The topic is immunization and infectious diseases, the target population will be the new moms with babies. 

My Task: Outline a proposal for health education that can be used in family-centered health
promotion to address the issue for the target population. Ensure your proposal is based on
evidence-based practice.
Topic: Immunization and Infectious Diseases
Population: Group of New Moms with Newborns
It is important to have your newborn receive the recommended immunization, as per the
Centers for Disease Control and Prevention CDC, 2019). When vaccinated, your baby is
protected from 14 potentially serious diseases before their second birthday. Within the first 12
hours after birth, they receive their first dose of Hepatitis B. Contrary to some opinions, these
vaccines are safe. The CDC and Federal Drug Administration (FDA) priority is to make sure
these vaccines are safe both before and after the public begins to use them (CDC, 2019).
Equally important is to follow the CDC’s recommended schedule for vaccinations. The
recommended schedule decreases the risk of unknown negative outcomes for the newborn.
Pregnant women should receive the influenza vaccine in any trimester during the flu season.
Another important vaccine is the Tdap (tetanus, diphteria, with acelluar pertussis) to protect
against whooping cough, should be received between the 27 and 36 weeks of gestation (CDC,
2019). Tdap is also recommended for those who frequently will be around the baby, for
example, Dad, grandparents, teens and other adults.
There is a wealth of information on the importance of vaccinating your newborn to prevent
diseases on the internet. There are printable handouts, guidelines, printable vaccine records,
frequently asked questions, and answers, videos, etc. There’s even a page dedicated to this on
Pinterest with 14 pins on vaccines for pregnant women, infants, and children. Despite all the
information out there, some families are not vaccinating their infants putting them at risk of
contraction preventable diseases. If there are any questions or concerns about the vaccination
they should speak to their doctor.
Scenario
The patient 23 years old comes to the ER in labor pain accompanied by her mother and
boyfriend. The patient was taken to the maternity ward, she was made comfortable and a
physical assessment was done, she was reassured she was safe, and everything was going as
it should. She was also given some information on what to expect next. Through observation,
questioning and active listening it was noted that the patient did not have insurance and they
were concerned that she will not be treated. They were reassured that that was not the case
and she will be well taken care of. With the patient’s permission, her mother and boyfriend were
used as a resource and they were able to give some valuable information on the patient. After
labor, and some rest the patient was further assessed for SDOH and her family was
encouraged to participate in her care and the baby. The patient and her family were engaged in
the plan of care and all questions were answered and appropriate education was provided. The
nurse also advocated for the patient to receive Charity Care for her hospital stay, therefore,
alleviated some of their concerns. The patient was referred to Social Services for further
assistance that she may qualify for.
Proposal

What happens to new moms who have varying SDOH (social determinants of health), with no
access to the internet, insurance, primary care physician, OB-GYN? Where do they get their
education/information?
During the pregnancy, women should be educated on what vaccinations their newborn/infant
will be receiving during their first year. Any questions or concerns should be address at this
time. If the patient did not receive the vaccinations recommended during her last trimester they
should be offered to the patient prior to discharge. Patients and family members should be
assessed for any varying SDOH so any needed resources can be available to them (Falkner,
2018). Educating the patient/family by using the teach-back method allows for any
misunderstandings to be rectified and the nurse can assess where more education is needed.
Included in their discharge instructions should be educational information printouts ex:
vaccinations and schedule, what to expect after having a baby, breastfeeding, possible
postpartum depression, etc. Nurses need to advocate for the patient if a referral is needed for
Social Service. Social Services can help the patient with an insurance application, Charity Care
for the hospital stay, referral to Women, Infants, and Children (WIC) program, (Falkner, 2018)
and other appropriate programs. This enables the patient to be engaged in their own health and
compliant on their plan of care. In addition to the referrals and educational information, they
should already have a well-baby and a postpartum appointment scheduled.
References:
Falkner, A. (2018). Cultural awareness. In Grand Canyon University (Ed.). Health promotion:
Health and wellness across the continuum. Retrieved from
https://lc.gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/
v1.1/#/chapter/3
Johnson, B. H. (2016). Promoting patient-and family-centered care through personal stories.
Retrieved from
https://journals.lww.com/academicmedicine/pages/articleviewer.aspx?year=2016&issue=03000
&article=00014&type=Fulltext&sessinEnd=true
Making the vaccine decision: addressing common concern. (2019). Retrieved February 5, 2020,
from https://www.cdc.gov/vaccines/parents/why-vaccinate/vaccine-decision.html

Healthcare
Infant Immunization
Temitanyo Fakoya, Angella Gordon,
Stephanie Lopez,
Brittni Mauer, Marta Zampitella

Significance of immunization
Prevention of infectious diseases(Walls et al., 2018).
Cost-effective methods of treatment.
Reduction of infant mortality and morbidity(Munday et al., 2018).
Allows mothers to be knowledgeable.

Immunization is considered important in healthcare because it plays roles in preventing infectious diseases. The practices shield infants from illnesses such as influenza and yellow fever.
By performing the exercise, caregivers utilize an alternative and cost effective intervention of disease prevention. Better results are achieved in the end.
Vaccines are essential in reducing the number of infant deaths within a population. By offering the services, the rate of disease prevalence is reduced significantly.
Vaccines are critical in increasing the knowledge base for mothers. The processes ensure that they care for their children appropriately. Health outcomes improve continuously.
*

Challenges affecting immunization
Cost barriers to poor families.
The process requires many resources.
Socio-economic disparities(Munday et al., 2018).
Uninsured mothers and children.

The services of vaccination face difficulties in terms of the money spent. Sometimes, non-white parents from underprivileged communities lack the basic funds to access the practices for their infants.
The implementation of the process is time consuming and requires a great amount of resources to be successful. Such factors hinder progress in the lon g term.
Through socio-economic disparities, the poor end up suffering in situations where they lack adequate funds to cater for their needs. Such elements limit them from accessing quality healthcare and vaccination for their infant children.
The process of immunization in the United States is affected in situations where some mothers lack Medicaid insurance programs. The factors inhibit access to proper medical care and vaccination for their children.
*

Outcomes
Decreased rates of communicable diseases.
Longevity of life for infants(Walls et al., 2018).
Improvements in immunization rates.
Advancements in healthcare.

The immunization process has desirable results in reducing communicable diseases. Mothers benefit entirely alongside their children.
Due to immunization activities, the longevity of the lives of infants is increased. Significant progress is achieved in the ends.
The processes of vaccination are considered beneficial in terms of the overall rates of immunizing children against diseases. The American nation has experienced positive changes in curbing diseases.
Immunization activities are essential in developing advancements within the medical sector. By performing the activities, individuals innovate new and better vaccines for children.
*

This Photo by Unknown Author is licensed under CC BY
Education on Prenatal Immunization
Flu vaccine
Tdap given at 27 to 36 weeks gestation
Avoid MMR, Varicella & HPV

There are several steps that a pregnant mother can take to protect their baby before birth. It’s important for pregnant women to be immunized against the flu in any trimester during the flu season. The recommended time to receive the flu vaccine is by the end of October, before flu activity begins to increase (CDC, 2019). As per the CDC recommendations women should also receive their Tdap during their last trimester to protect their newborn against whooping cough. Tdap vaccine and the Flu vaccine are also recommended for those who frequently will be around the baby for example, Dad, grandparents, and other adults (CDC, 2019). Vaccines to avoid are MMR and Varicella (chickenpox). These vaccines are to be avoided during pregnancy because they contain a live weaken virus and could be harmful to the fetus. It is also recommended to avoid becoming pregnant for four weeks after receiving these vaccines.
*

Immunization After Birth
Hepatitis B vaccine: First 12 hours after birth
Vaccines can prevent 14 serious diseases
Follow the CDC’s schedule recommendations for the vaccinations

This Photo by Unknown Author is licensed under CC BY

When vaccinated, your baby is protected from 14 potentially serious diseases. When a baby is born their immune system is not fully developed, by vaccinations the risk of infections are reduced by working with their body’s natural defenses and strengthening their immune system. In the first 12 hours after birth the Hepatitis B vaccine is administered providing protections/reducing the risk of contracting the disease from members of the family who are not aware they have the disease. CDC’s recommended schedule for the vaccinations should be followed because by delaying or skipping a doses they may not receive any known benefits. By waiting you could expose your child to a serious illness because it can take weeks for the vaccine to work and some require multiple doses to provide protection, not giving the vaccine enough time to work (CDC, 2019)
*

Proposal

Education during pregnancy
SDOH evaluation
Educate New mom’s where to find creditable information
Social Service consult for SDOH
Utilize teach-back method

Education should start during pregnancy. Women should be educated on the vaccinations that are recommended for them and for their newborns. This starts the conversation of any safety concerns or questions they may have. As nurses SDOH evaluation should be part of their assessment, by doing so alerts the nurse if any needed education and or resources to assist the patient (Falkner, 2018). Educating the new mom where to find creditable information. It’s also very important to use the teach-back method when education the patient/family to assess where more education is needed. The core concept of patient-and family-centered care are: Dignity and respect, Information sharing, Participation and Collaboration (Johnson,2016). Patients and families should be given the opportunity to engage and participate in health care decisions and education and community-based interventions to promote health (Johnson, 2016). Social Services consults should be initiated while still in the hospital especially for patients who have SDOH, this facilitates referrals to government programs that can benefit/assist them and assistance with applying for example health insurance, Charity Care.
*

References
Centers for Disease Control and Preventions [CDC]. (2019, August 5). Making the vaccine decision: Addressing common concern. Retrieved from https://www.cdc.gov/vaccines/parents/why-vaccinate/vaccine-decision.html
Falkner, A. (2018). Cultural awareness. In Grand Canyon University (Ed.). Health promotion: Health and wellness across the continuum. Retrieved from https://lc/gcumedia.com/nrs429vn/health-promotion-health-and-wellness-across-the-continuum/v1.1/#/chapter/3
Johnson, B. H. (2016). Promoting patient and family centered care through personal stories. Retrieved from http://journals.lww.com/academicmedicine/pages/articleviewer.aspx?year=2016&issue=03000&article=00014&type=Fulltext&sessinEnd=true
Centers for Disease Control and Preventions [CDC]. (2019, December 16). Pregnancy and vaccination. Retrieved from https://www.cdc.gov/vaccines/pregnancy/index.html
Munday, J. D., van Hoek, A. J., Edmunds, W. J., & Atkins, K. E. (2018). Quantifying the impact of social groups and vaccination on inequalities in infectious diseases using a mathematical model. BMC medicine, 16(1), 162.
Walls, T., Cho, V., Martin, N., Williman, J., & Brunton, C. (2018). Vaccine Impact on Long-term Trends in Invasive Bacterial Disease in New Zealand Children. The Pediatric infectious disease journal, 37(10), 1041-1047.