Overcoming Low Convincing Power

The provided document is a response to an assignment on overcoming low convincing power, which affects people's ability to take the speaker seriously. The author proposes implementing several practical strategies such as communicating with more people daily, and convincing individuals who visit medical institutions to take proper precautions. These suggestions are based on various sources including books and journals that discuss topics like basic immunology, gene regulation in the immune system, fever and thermal regulation of immunity, microbiota colonization, adaptive immunity control, circadian clocks in the immune system, dysbiosis, CNS immune privilege, programmed cell death, and the role of the immune system in hypertension.

QUESTIONS

Table of Contents
QUESTION 1...................................................................................................................................1
Immediate assessment and management for individual who is without tetanus vaccinations....1
Requirements for tetanus vaccinations .......................................................................................1
Relationship of vaccination requirement in body immune response .........................................1
Public health considerations .......................................................................................................1
QUESTION 2...................................................................................................................................2
Significance of having received blood transfusion and needing MMR vaccine ........................2
Recommendations.......................................................................................................................2
QUESTION 3...................................................................................................................................2
What Advice/explanation will you give to Joe?.........................................................................2
QUESTION 4...................................................................................................................................3
Epidemiological and public health consideration which influence clinical decision making.....3
Advice can be given to Ruth about pertussis and strategies to reduce risk of pertussis.............3
Vaccine recommendation............................................................................................................3
QUESTION 5...................................................................................................................................4
How will respond to the parents?................................................................................................4
QUESTION 6...................................................................................................................................4
How you will respond to Sandy?................................................................................................4
QUESTION 7...................................................................................................................................5
Will Jett be able to be vaccinated today, and if so, what vaccines will be due?.........................5
When should Jett return for the next vaccinations?....................................................................5
QUESTION 8...................................................................................................................................5
What vaccines will Sam be due for today?.................................................................................5
When should Sam return for his next vaccines?.........................................................................5
QUESTION 9...................................................................................................................................6
What vaccines is Rose due to receive today?..............................................................................6
When should Rose return for her next vaccines?........................................................................6
QUESTION 10.................................................................................................................................6
What is Cindy due for today?......................................................................................................6
Cindy to return for her next vaccines..........................................................................................6

QUESTION 11.................................................................................................................................6
What will you advise Kerry?.......................................................................................................6
What will you discuss with your work colleague who made the initial booking?......................6
QUESTION 12.................................................................................................................................6
Ava be due for today...................................................................................................................6
Ava return for the next routine vaccines.....................................................................................7
Advice regarding missing birth dose of H-B-Vax II paediatric..................................................7
The rationale for birth dose of H-B-Vax II paediatric................................................................7
QUESTION 13.................................................................................................................................7
Cory be due for today..................................................................................................................7
Cory return for the next routine vaccines....................................................................................7
Consider in regard to Cory having cystic fibrosis.......................................................................7
QUESTION 14.................................................................................................................................7
QUESTION 15.................................................................................................................................7
Advice for Mary..........................................................................................................................7
QUESTION 16.................................................................................................................................8
What will you advice be..............................................................................................................8
QUESTION 17.................................................................................................................................8
Determine if a vaccine is funded.................................................................................................8
One example of a vaccine that is recommended, but not funded................................................8
QUESTION 18.................................................................................................................................8
Vaccinated versus unvaccinated children ..................................................................................8
QUESTION 19.................................................................................................................................9
Importance of vaccination than homeopathy remedy ................................................................9
Reflective activity – Mandatory. Ungraded ....................................................................................9
Area of learning in this module that was new to you. ................................................................9
Incorporate this new learning into your nursing practice?..........................................................9
The main benefits/s of this learning for your practice?.............................................................10
Barrier do you perceive will interrupt your ability to implement this learning?......................10
Practical strategies will you implement to overcome this barrier?...........................................10
REFRENCES.................................................................................................................................11

.......................................................................................................................................................11

QUESTION 1
Immediate assessment and management for individual who is without tetanus vaccinations
Tetanus can cause through infection of wound or cut and it does not transfer from one
person to another (Abbas, Lichtman and Pillai, 2015). If a person get injured with an old rusted
wire there are chances to get tetanus so during childhood tetanus vaccination has to given, so
individual can get immunity. As George who is 62 years, injured with old piece of iron wire and
as George is not sure that George got tetanus vaccination. In this case George should consult to
doctor so further infection can be stopped. Antibiotics, drugs which control muscle spams and
tetanus vaccination should be taken.
Requirements for tetanus vaccinations
If a person does not take tetanus vaccination and injured with any old wire there are
chances to get infected with Clostridium tetani bacteria. And toxin produced by this bacteria can
affect function of nerves and can cause severe muscle spasms in neck, stomach, extremities and
abdomen (Chen, Satpathy and Chang, 2017). The disease is known as lockjaw because muscle
spams in neck and face can lead to inability to open mouth. Tetanus toxoid can given in the
combination with alone diphtheria vaccine in both pediatric (DT) and adult (Td) formulation.
Tetanus vaccination is required to prevent muscle spasm which will also prevent lockjaw.
Relationship of vaccination requirement in body immune response
Under anaerobic conditions occurred in infected or dead tissue, tetanus spores get mature
to vegetative form of Clostridium tetani, it multiplies and secrete two toxins- tetanolysin and
tatanospamin. Tetanolysin destroys viable tissues which are present surrounding infection and
optimize conditions for multiplication of bacteria. Tetanospasmin is neurotoxin which leads to
clinical manifestations of tetanus. It is also second most potent toxin after botulinus toxin in the
world. Minute amount of toxin can enter into nerves terminals where injury occurred and from
there it moves to central nervous system and which can be insufficient to cause clinical
manifestation of tetanus.
Public health considerations
Awareness should be created in public about the tetanus vaccination. Everyone should
know the consequences of not getting tetanus vaccination and why it is required to get during
childhood. When a person get injured and get cut with any kind of wire or iron piece, tetanus

vaccination is required to prevent muscle spasms which may lead to lockjaw. Taking tetanus
vaccination can prevent infection of C. tetani bacteria. Programs related to vaccination can be
organised.
QUESTION 2
Significance of having received blood transfusion and needing MMR vaccine
Prue who was suggested to get MMR vaccine after birth of baby but Prue forgot to take
it, and suffered from post-partum haemorrhage (Evans, Repasky and Fisher, 2015). MMR is
measles, mumps and rubella which is a viral disease and can have serious consequences. MMR
vaccine provide protection from measles, mumps and rubella and also provide permanent
immunity. As child can get through the blood transfusion in placenta.
Recommendations
Prue can take MMR vaccine regularly for the child. There are two dose of MMR vaccine
first dose which can be provided age 12 to 15 months and second at 4to 6 years. Second dose can
be received after 28 days of first dose. Prue also should get MMR vaccine which will provide the
against measles, mumps and rubella. In case of Prue, can get the one dose of vaccine or other
acceptable indication of rubella immunity.
QUESTION 3
What Advice/explanation will you give to Joe?
Yes, Joe is correct because aluminium utilise in vaccines as an adjuvant. Thus, adjuvant
is ingredient which boosts immune response to the vaccine as well as it is given in less quantity
and also few doses. Although, adjuvant effects of aluminium discovered in 1926 and it is utilise
in vaccines like diphtheria-tetanus-containing vaccines, hepatitis A and B, pneumococcal,
Haemophilus influenzae type b and so on. But the same is not utilise in viral and live
vaccinations such as rotavirus, varicella, measles, mumps etc.. Joe should not have to worry
about it because vaccines which contain adjuvants are clinically trailed before being licensed and
then used by medical institutions.

QUESTION 4
Epidemiological and public health consideration which influence clinical decision making
Pertussis is an airborne disease which causes prolong cough and difficulty in breathing.
Understanding the causes of disease can prevent and reduce the Pertussis (Gensollen and et.al.,
2016). Different methods of diagnosis, case definitions and surveillance and reporting systems
make inter country equivalence difficult. Prolong cough is common in people which is ignored
by most of them, sometimes they consult doctor lately or sometimes do not, which make disease
spread more. Pertussis increases actively about every 2- 5 years. Protections which are taken
against are not lifelong and decreases after 7- 20 years of natural infection, approximately 4- 12
years after getting vaccination with whole cell or acellular pertussis vaccine. Acellular vaccine
can be connected with earlier lessening of immunity. It is a poorly controlled vaccine which is
preventable disease. These are the condition which lead to people for the clinical consultation.
Ruth who is having two children and they are young in age, they play around with other children
who have pertussis which can be spread to one person to another.
Advice can be given to Ruth about pertussis and strategies to reduce risk of pertussis
Vaccine can be given to prevent pertussis among babies, teens, adults and children. And
children should keep away from people who are at higher risk for pertussis. Vaccine called DTaP
is for children and babies which protects pertussis. It is a combination vaccine which helps to
protect against tetanus, pertussis and diphtheria. People who have regular contact with individual
who is at higher risk can have risk of pertussis. Hygiene is important such as pertussis spreads by
sneezing and coughing while contact with other people then breathe in bacteria. Ruth can stop
children to the contact with other children who are infected (Hand And et.al., 2016). Covering
mouth and nose with tissue while cough or sneeze. Alcohol based hand wash or soap should be
used to prevent the infection. Ruth's sister can given vaccination which will prevent mother and
also baby from pertussis. And after vaccination can also given to to baby after birth also which
will reduce the risk of getting pertussis.
Vaccine recommendation
Vaccination of pertussis is not permanent prevention for this disease. Person should have
to take vaccination as per schedule which is required by doctor. Tdap vaccine is required to get
by children or adults because duration of protection evoked by pertussis disease is not known

and diagnosis for pertussis can be challenging to confirm. Vaccination is necessary for all
children and adults, it reduces the risk to get diseases by providing immunity to person's body.
There are two types of vaccine one is for children and other for adults and teen. DTaP vaccine
protects children from tetanus, whooping cough and diphtheria. Tdap vaccine protects adults and
teen from diphtheria, whooping cough and tetanus. During pregnancy vaccination can be given
because this disease can severe in newborn babies, in this condition babies can get ling infection
disease and also lead to brain damage. Children who are young should be prevented to come
contacted with infected people. Vaccination should be get as per doctor consulted schedule.
Vaccination is required to prevent pertussis because it is airborne are can easily affect people,
and it will reduce the risk of other diseases. Vaccination provide immunity to fight with infection
as well as bacteria.
QUESTION 5
How will respond to the parents?
Measles is a contagious infection disease which caused due to measles virus. Symptoms
of this will developed after 10 days person exposure to infection and it will last for 7 to 10 days.
Basic symptoms of measles are runny nose, cough, fever and inflamed eyes. In general peoples
have superstitions related to measles that occurrence of such disease is normal children of age
below 5 years. So it is essential to public health organization to provide eduction to society about
measles and how to prevent their younger one from the same. It includes MMR (combination
with rubella vaccine and mumps vaccine) or MMRV vaccination (mixture of MMR with
chickenpox vaccine) which should be given at the early age to children that might prevent them
from measles. Parents must also take care of symptoms that indicate measles related to fever, dry
cough, runny nose, sore throat, conjunctivitis, skin rash, tiny white or red spot on body and many
more.
QUESTION 6
How you will respond to Sandy?
In general it is seems that influenza occur in a particular season either in winter or
summer to a allergic person aged 6 month or more. In the case of Sandy, she is also suffering
from allergy due to which doctor recommended to her to take vaccination before season get start

so that she can avoid influenza. Education which provided by doctor to Sandy about the
influenza are related to symptoms that are runny nose, sore throat, cough, high temperature,
aching joints and limbs, headache and feeling exhausted. Doctor also recommend her some home
remedies such as stay at home, avoid contact with others, keep warm and rest, avoid alcohol and
stop smoking . Along with this she also recommended to visit doctor when temperature is raising
continuously, symptoms worsen, felling short of breath, chest pain and more.
 Age of person to be vaccinated- Age of person or an individual who is going to be
vaccinated is of 30 year.
 Vaccination history- Currently she has received first dosage of vaccination in May so
doctor has recommended to take next dosage in same month of next year.
 Current Immunisation Schedule Queensland- According to this vaccination of
influenza is given to adult peoples whose age is between 15 to 50 or more.
QUESTION 7
Will Jett be able to be vaccinated today, and if so, what vaccines will be due?
Yes, Jett can take vaccination today because difference of time between first doze and
second doze is 4 week or 28 days and Jett is now of 6 weeks so he can take vaccination now.
When should Jett return for the next vaccinations?
If Jett is taking vaccination today in month of April then can take its third and final
vaccination after two months so now he can take it in month of June.
QUESTION 8
What vaccines will Sam be due for today?
Sam is eligible to take vaccination of influenza and pneumococcal to fight with down
syndrome disease. Their is only one dose of this and Sam is eligible for this because it is done
before 2 year.
When should Sam return for his next vaccines?
For respective disease there is only one dose of vaccination is need but if Sam needed this
he can take next doze after 18 year aged.

QUESTION 9
What vaccines is Rose due to receive today?
Rose has taken first two dose of vaccination and now she has to take her last dose of H-
B- Vax II vaccination.
When should Rose return for her next vaccines?
Vaccination of respective dose is given in three sector and Rose has already taken first
two and now she have to take last one which is given after 6 months of first injection. According
to case now Rose is eligible for her last dose.
QUESTION 10
What is Cindy due for today?
Vaccination which is Cindy is due for today is pneumococcal vaccination which can be
given at the age of after 2 years.
Cindy to return for her next vaccines
If Cindy is taking vaccination today then he will be come after 8 weeks from now.
QUESTION 11
What will you advise Kerry?
Doctor advice Kerry to always bring to child for vaccination on time. This is so because
if they didn't do same child may face major issues in future.
What will you discuss with your work colleague who made the initial booking?
Doctor discuss and advice to colleague who is making initial booking that they must
remind each and every parents about the vaccination date, so that they bring them at time. This is
so because there are many work as well as situation in which parents forget about vaccination
date by this they able to remind dates in proper manner.
QUESTION 12
Ava be due for today
Ava is due today for vaccination of Hepatitis A.

Ava return for the next routine vaccines
Ava will return after 12 months to take next routine vaccination.
Advice regarding missing birth dose of H-B-Vax II paediatric
It can be advice to parents to not miss dose of H-B-Vax II paediatric because by it
children get energy to fight with bacteria of respective disease.
The rationale for birth dose of H-B-Vax II paediatric
There are generally 3 dose of H-B-Vax II paediatric which is given to a child. First dose
at elected date then after 1 month of first injection and last will be after 6 months of first
injection.
QUESTION 13
Cory be due for today
Now Cory will be eligible for seasonal vaccination. Along with this he can also get
chronic dornase alfa and HS vaccination.
Cory return for the next routine vaccines
Next dose of chronic dornase alfa and HS vaccination will be given after 1 year to Cory.
Consider in regard to Cory having cystic fibrosis
Preventive measures taken by Cory in order to protect themselves from cystic fibrosis are
he must take antibiotics, physiotherapy and medication on regular basis. Take proper vaccination
on regular and timely basis.
QUESTION 14
Adult who are aged up to 45 can be vaccinated against human papillomavirus (HPV), for
reducing chances of cervical, oral as well as other cancers.
QUESTION 15
Advice for Mary
Mary is 15 week pregnant lady which means four months she have to take vaccination
named as Hepatitis B and Tetanus/Diphtheria/ (Tdap).

QUESTION 16
What will you advice be
Savannah can take dose now also for age group of 15 -26, 3 shots of HPV are given within the
gap of 6 months.
QUESTION 17
Determine if a vaccine is funded
Local and funded vaccines are founded only in state or local medical departments instead
of private agents.
One example of a vaccine that is recommended, but not funded
Vaccination which are not founded in funded places is Meningitis B required in the age
of 10 to 25 year old person.
QUESTION 18
Vaccinated versus unvaccinated children
Most of individuals think that they get immunization to protect their children and
themselves from vaccine preventable diseases that cause dangerous to life infections. Vaccines
also protect every individuals and herd immunity shows that most individuals are immune to
disease, it is obvious that everyone get sick both vaccinated and unvaccinated (Iwasaki and
Medzhitov,2015). There are myths and misconceptions regarding vaccination, people think that
they can get infections or other health risk so they do not get vaccine for their children by
thinking that their children are already immune. Their are some cases in which certain
unvaccinated individuals do not get any kind of health risk but most of case are negative, their
chanced to get infection for those who are unvaccinated than vaccinated children. Children who
completed their vaccination course were less affected with whooping cough, measles and other
diseases. Some child who were not vaccinated can also die from tetanus so vaccination is
required. If any of children will not allow to get vaccination it increases disease rate in particular
area and can affect the other people also. Vaccination is necessary foe each child because every
life matters and vaccination do not cause any other infection.
Rebecca who thinks that vaccination can cause infection and risk of other diseases and
does not want to get vaccination for her children. Vaccination which is required to provide

immunity for certain diseases which can cause severe problems to individuals health. Rebecca
should get to the drawbacks of not getting vaccination.
QUESTION 19
Importance of vaccination than homeopathy remedy
Certain people believe in homeopathy remedy than getting vaccination, they have their
own belief. Most of people do not get vaccination because they think that homeopathy remedy is
the best and safe way to cure any disease. A person who did not get tetanus vaccine during
childhood and get injured or get cut by any iron wire that person will more likely to get tetanus
than the person who is already vaccinated with tetanus so clearly it prevents tetanus and reduce
the health risk. While any kind of injury person can not believe home remedies because as long
as person avoids infection it increases and can be deadly (Labrecque and Cermakian, 2015).
After getting any kind of injury one should concern doctor otherwise risk of other health
problems can be increase. MMR vaccine which prevent measles, mumps and rubella which gives
lifelong immunity against these diseases to the person.
Percussion is better than the cure so vaccination is preventive major for diseases which
cause major infection. Homeopathy remedy takes long time to cure and misconception in remedy
can lead to other risk of health (Levy and et.al., 2017). If people are aware from the benefit of
vaccination they will not refuse to get it. Misunderstanding should get clear about vaccines.
Certain diseases which can not be immunized with home remedies so vaccines are important to
provide immunity to fight against the diseases.
Reflective activity – Mandatory. Ungraded
Area of learning in this module that was new to you.
After doing this model it has been learned by me that, there are several people who
require proper knowledge related to vaccination as well as diseases. So that, they can take care of
child in proper manner.
Incorporate this new learning into your nursing practice?
New learning is that medical institutions have to conduct awareness program for
children's parents. Because there are several people who don't have knowledge about medical

issues and how they have to be treated. Along with this, I will tell about the precautions which
patient have to take while suffering with any particular diseases.
The main benefits/s of this learning for your practice?
One of the major benefit is I am helping people in getting aware about the health issues
as well as precautions they can take while suffering from any type of health problem.
Barrier do you perceive will interrupt your ability to implement this learning?
Barriers face by me is that people are not following the prescribed precautions which
result in major health problem. Because I don't have proper convincing power due to that people
don't take me serious.
Practical strategies will you implement to overcome this barrier?
To come out with low convincing power barrier I have to implement several practical
strategies such as :-
 Communicate with more and more people on daily basis.
 Try to convince people who are coming in medical institution for take proper precautions.

REFRENCES
Books and Journal
Abbas, A. K., Lichtman, A. H. and Pillai, S., 2015. Basic Immunology E-Book: Functions and
Disorders of the Immune System. Elsevier Health Sciences.
Chen, Y. G., Satpathy, A. T. and Chang, H. Y., 2017. Gene regulation in the immune system by
long noncoding RNAs. Nature immunology. 18(9). p.962.
Evans, S. S., Repasky, E. A. and Fisher, D. T., 2015. Fever and the thermal regulation of
immunity: the immune system feels the heat. Nature Reviews Immunology. 15(6). p.335.
Gensollen, T. and et.al., 2016. How colonization by microbiota in early life shapes the immune
system. Science. 352(6285). pp.539-544.
Hand, T.W. And et.al., 2016. Linking the microbiota, chronic disease, and the immune system.
Trends in Endocrinology & Metabolism. 27(12). pp.831-843.
Iwasaki, A. and Medzhitov, R., 2015. Control of adaptive immunity by the innate immune
system. Nature immunology. 16(4). p.343.
Labrecque, N. and Cermakian, N., 2015. Circadian clocks in the immune system. Journal of
biological rhythms. 30(4). pp.277-290.
Levy, M. and et.al., 2017. Dysbiosis and the immune system. Nature Reviews Immunology.
17(4). p.219.
Louveau, A., Harris, T. H. and Kipnis, J., 2015. Revisiting the mechanisms of CNS immune
privilege. Trends in immunology. 36(10). pp.569-577.
Nagata, S. and Tanaka, M., 2017. Programmed cell death and the immune system. Nature
Reviews Immunology. 17(5). p.333.
Rodriguez-Iturbe, B., Pons, H. and Johnson, R.J., 2017. Role of the immune system in
hypertension. Physiological reviews. 97(3). pp.1127-1164.
Simon, A. K., Hollander, G. A. and McMichael, A., 2015. Evolution of the immune system in
humans from infancy to old age. Proceedings of the Royal Society B: Biological
Sciences. 282(1821). p.20143085.
Stubbington, M. J. And et.al.,2017. Single-cell transcriptomics to explore the immune system in
health and disease. Science. 358(6359). pp.58-63.
Villarino, A. V., Kanno, Y. and O'Shea, J. J., 2017. Mechanisms and consequences of Jak–STAT
signaling in the immune system. Nature immunology. 18(4). p.374.