CBRNE is an enduring public threat health, safety, national security, economic, political stability, and more.  Such an event/crisis poses challenges for homeland security.  Recall the anthrax attacks in the U.S. in 2001 (e.g., Hart Senate Building and Brentwood Post Office and remediation efforts to return the facilities to use and public concern).

Use your search engine (e.g., Google) and review summaries of the Ebola Outbreak 2014-2015 and the return of infected/disease-exposed American citizens (AMCITS) to the U.S.  A significant challenge of a pathogen-related or chemical event will be the nature and number of casualties.  Biological incidences may mean the requirement to quarantine or isolate people and even decontamination of people, materiel, and areas.  Decontamination is the removal of the hazard to reduce the potential for future contamination.

My Task
Using your critical analysis, discuss the return of AMCITS to the U.S. via commercially contracted aircraft and the domestic travel of symptomatic but not detected passengers traveling on U.S. commercial aircraft.

Complete the scenario by discussing how the U.S. would go about preventing residual risk from affecting everyday life.  Address the themes from this course in your response.

Purpose
This week’s graded topics relate to the following Course Outcome (CO).

CO 2 – Recognize the influence that developmental stages have on physical, psychosocial, cultural, and spiritual functioning. (PO #1)

The Assignment
This week you have two options for your initial discussion post. Select the option that is best for you! Please remember to use and credit the lesson or required NIH website (there was not a textbook reading this week), AND one outside scholarly source.
Option #1 – Case Study to Consider
Ann and Michael have been married for 55 years. Ann is 80 years-old, and suffers from lung cancer and advanced Alzheimer’s disease. She currently resides in a nursing home, and often does not recognize Michael when he visits. Last night she was admitted to the hospital with difficulty breathing. Today, you are the nurse caring for Ann, and her physician is suggesting surgery to remove part of her lung to potentially slow the progression of her cancer. Michael is feeling unsure about this course of treatment, and asks for your advice and guidance.
How would you respond to Michael and serve as advocate for your patient?
Option #2 – Share a Related Experience
Share with your classmates a time when you cared for a patient at the end of their life. This may be a time when you assisted the patient (or their support system) with decisions related to end of life care; or a time when you were present for the death of a patient.
What were your observations related to this experience? Do you believe it was a peaceful death? What went well? Can you think of anything that could have made the experience better for the patient and/or family?
 
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