Respiratory DiscussionThis discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned.To support your work with evidence bases references. As in all assignments, cite your sources in your work and provide references for the citations in APA format.Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to other classmates. In addition you must respond to your professor if applicable. Complete your participation for this assignment by the end of the week.For this assignment, you will complete a Aquifer case study based on the course objectives and weekly content. Aquifer cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the Aquifer case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.The Aquifer assignments are highly interactive and a dynamic way to enhance your learning. Material from the Aquifer cases may be present in the quizzes, the midterm exam, and the final exam.Learn how to access and navigate Aquifer.This week, complete the Aquifer case titled “Family Medicine 28: 58-year-old man with shortness of breath”Apply information from the Aquifer Case Study to answer the following discussion questions:Discuss the Mr. Barley’s history that would be pertinent to his respiratory problem. Include chief complaint, HPI, Social, Family and Past medical history that would be important to know.Describe the physical exam and diagnostic tools to be used for Mr. Barley. Are there any additional you would have liked to be included that were not? What plan of care will Mr. Barley be given at this visit, include drug therapy and treatments; what is the patient education and follow-up?

West Nile Virus You are the director of communicable diseases in a city health department, responsible for a large urban community. It is early spring in 2003. For the past two years, your department has been working to control the spread of the West Nile Virus and you are pleased with the progress so far. This morning you read about a suspected outbreak of a new disease called SARS which is suspected to have killed dozens of people in Hong Kong. While West Nile Virus is carried by birds, especially crows, SARS is transmitted among people. When you get to the office and check your email you learn that the World Health Organization has placed a number of East Asian cities off limits for all but essential travel. You also learn that Canada has reported deaths they believe are due to SARS. You are now confronted with addressing a new and virulent contagious disease. Discuss the approach you would adopt in such a situation. Follow a step by step process for disaster preparedness. Use the following resources, use outside resources and your textbook for this discussion: Suthar, M. S., Diamond, M. S., & Gale Jr, M. (2013). West nile virus infection and immunity. Nature Reviews.Microbiology, 11(2), 115-28. doi:http://dx.doi.org.southuniversity.libproxy.edmc.ed... Mainali, S., Afshani, M., Wood, J. B., & Levin, M. C. (2011). The natural history of west nile virus infection presenting with west nile virus meningoencephalitis in a man with a prolonged illness: A case report. Journal of Medical Case Reports, 5(1), 204-204. doi:10.1186/1752-1947-5-204 Slattery, C., Syvertson, R., & Krill, S. J. (2009). The eight step training model: Improving disaster management leadership. Journal of Homeland Security and Emergency Management, 6(1), 8. doi:10.2202/1547-7355.1403

1.     A premature infant was delivered at Woman’s Hospital by the plaintiff. The child died shortly after birth, and the plaintiff was assured by the floor nurse that the hospital would take care of the infant’s burial. When the mother went to the obstetrician for an examination six weeks later, she was given her folder to hold while waiting for the physician. She found in it a note from the pathologist about disposal of the baby’s body. When the plaintiff asked the physician about the disposal of the body, he instructed his nurse to take her to the hospital across the street to see someone who would tell her what had been done with the baby. When the woman and the nurse found the person, the plaintiff was handed a large jar with the baby’s body inside. As a result, the plaintiff suffered nightmares, could not sleep, was depressed when she was around children, had surgery for a pseudopregnancy, and required psychiatric treatment. Should a patient–physician relationship include the contract to dispose of a dead body? 2.     The plaintiff’s 18-year-old son died suddenly at home. His body was taken to the hospital, where the cause of death could not be found without an autopsy. The deputy medical examiner ordered a postmortem examination. The plaintiff was a member of the Jewish Orthodox faith and refused the postmortem examination of his son on the basis that religious conviction prohibited any molestation of the body after death. Is freedom of religion curtailed by a law that has a compelling state interest?