Discussion: Medicolegal Impacts on Health Promotion
Discussion: Medicolegal Impacts on Health Promotion
Vaccination can prevent the emergence and spread of disease. It is no surprise that it is a supported public health promotion issue. Many of the diseases targeted by vaccines are childhood diseases that impact the young; hence vaccination can prevent infants, children, and teens from potentially harmful diseases that can even be deadly.
But immunizations are not just for children. Protection from some childhood vaccines can wear off over time. Adults may also be at risk for vaccine-preventable disease due to age, job, lifestyle, travel, or other health conditions.
For this Discussion, review the immunization recommendations for patients across the lifespan. Reflect on how these recommendations might differ for patients who are immunocompromised or on immunosuppressive therapy. Consider how patient factors, such as age group and gender, might affect which immunizations are recommended by nurse practitioners for their patients.
To Prepare:
Review the Learning Resources on medicolegal and health promotion considerations.
Reflect on how medicolegal recommendations may impact health promotion strategies for the advanced practice nurse.
Post a comparison of the differences in immunizations that are recommended for patients ages 11–24, 25–64, and 65 years of age and older. Then, explain how these immunizations might impact patients who are immunocompromised or on immunosuppressive therapy. Be specific and provide examples by age group and gender.
References/Resources:
Barkley, T. W., Jr., & Myers, C. M. (2015). Practice considerations for the adult-gerontology acute care nurse practitioner (2nd ed.). Barkley & Associates.
Chapter 87, “Guidelines for Health Promotion and Screening” (pp. 881-897)
Chapter 88, “Major Causes of Mortality in the United States” (pp. 898–904)
Chapter 89, Immunization Recommendations” (pp. 905-911)
American Academy of Professional Coders. (2020). What is CPT?
https://www.aapc.com/resources/medical-coding/cpt.aspx
American Academy of Professional Coders. (2018). 2018 procedure desk reference.
American Association of Nurse Practitioners. (2020a). Multistate reimbursement alliance (MSRA): Enhancing NP support for insurance credentialing, contracting and reimbursement.
https://www.aanp.org/practice/business-practice-management/reimbursement
American Association of Nurse Practitioners. (2020b). Practice information by state: What you need to know about NP practice in your state. http://www.aanp.org/legislation-regulation/state-legislation-regulation/state-practice-environment
American Nurses Credentialing Center. (n.d.). Adult-gerontology acute care nurse practitioner certification (AGACNP-BC).
https://www.nursingworld.org/our-certifications/adult-gerontology-acute-care-nurse-practitioner/
National Center for Health Statistics. (2020). International classification of diseases, tenth revision, clinical modification (ICD-10-CM). Centers for Disease Control and Prevention. http://www.cdc.gov/nchs/icd/icd10cm.htm