We need to assess why the patients have not had influenza, pneumonia or tetanus-diphtheria immunizations. It may be because the patient is allergic to one of the compounds in the vaccines. It may be because of the religious concerns. Whatever it is, we need to respect their decision. Some of them may not getting it because of the lack of education. In this case, we need to educate them about the importance of vaccinations and support our teaching with trustable resources. Statistics and research will be good to back up our teaching. If it was of because of patients’ bad experience with shots or vaccinations, we need to teach patients about what to expect from vaccinations and some ways to reduce discomfort. Regardless, if the patient still
