What is the maximum number of doses of PPSV23 that can be given to high-risk older
adults 65 or older?
You have an 89-year-old patient on hospice care in a long-term care facility. The protocol is
for flu vaccine to be given to all patients each fall. Would you vaccinate? Why, or why not?
In older patients about to receive a solid organ transplant, which immunization would you
withhold and for what reason?
When would the influenza vaccine be absolutely contraindicated?
E. D. is a 78-year-old woman who does not remember if she has ever had the immunization
for herpes zoster. She does remember having chicken pox as a child. What would you
recommend for her?
Describe the recommended schedule for Hepatitis B vaccination in patients on
hemodialysis, peritoneal, and home dialysis
Which immunization would you not give your 65-year-old patient with HIV infection and a
CD4 count less than 200/mm? What is your rationale for withholding the immunization?
You see a 66-year-old patient who is otherwise healthy, and their vaccine history is
unknown. What immunizations would you consider giving this patient
Your 78-year-old patient has never had a flu vaccine, and states “I have heard that the flu
shot gives you the flu. I don’t want one.” What education would you provide for this patient?
What are the most current recommendations for vaccination of patients near the end of life,
including hospice patients?
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