Immunization

Today you have two patients on your schedule for the HPV vaccine. One is
a 27-year-old female. In taking her health history, you find that she
is sexually active and that she had a splenectomy when she was 17.
The second patient is an eleven-year-old female whose
mother is concerned and wants to discuss the vaccine further before
consenting. She feels that by giving the child the vaccine she is giving
her permission to be sexually active.

What type of immunizations will you recommend and why for each of these patients?
What type of counseling will you provide in each of these scenarios related to their immunization needs?

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