These clinical signs suggest a respiratory disease: pneumonia (pulmonary infection by an agent)
Classically, pneumonia is manifested by the usual signs of infection and inflammatory reaction such as fever, and by specifically pulmonary signs (coughing, spitting). But it can take different forms depending on the germ involved and the people. Typical pneumonia is pneumonia associated with a bacterium called <em>pneumococcus</em> (<em>Streptococcus pneumoniae</em>). In this case, the onset of symptoms is often abrupt, with very high fatigue, usually fever high (above 39 °C), chills, chest pain ("stabbing"), sometimes breathing difficulties. Clinical examination is important for diagnosis. The stethoscope auscultation allows to hear crackling (crackles) localized, during breathing, and the percussion of the thorax with the fingers to perceive a dull sound, corresponding to the replacement of the air by secretions within the focus infectious.
Based on the given assessment above and the signs and symptoms, having fever and cough plus rales and increased tactile fremitus are main indicators of PNEUMONIA. It is considered as an infection which results to fever. Hope this answers your question.
You didn't really provide any following goals that a typical community would have during health promotion offers, but we can say that any goal which is in line with a healthier eating habit lifestyle change together with increased exercising would be something common.
While physiological stress activates a motoric fight-or-flight reaction, during psychosocial stress attention is shifted towards emotion regulation and goal-directed behavior, and reward processing is reduced.