Using shared clinical decision-making

Using shared clinical decision-making, which of the following recommendation is most appropriate for a 65 -year-cid living in a skilled nursing facility With multiple comorbid conditions? This potent has no record of receiving the either pneumococcal vaccine and is immune competent. PPSV23 now, 1 year later PCV13 PCVIBanly PPSV23 only Gve PCVI5 now, then give PPSV23 one year later.