Here is a chart that can hopefully help with pronunciation of the Chamorro letters. While most Chamorros are very forgiving when someone mispronounces the words, there are some cases where mispronunciation leads to confusion and miscommunication, so I'll try to give some pointers on pronunciation.
Healthcare-associated pneumonia (nosocomial pneumonia) is pneumonia that you get when you are in a hospital or nursing home. Experts generally consider it a more serious illness than pneumonia that people get in daily life (community-associated pneumonia). This is because the person with healthcare-associated pneumonia may already have a serious illness. Healthcare-associated pneumonia is also often caused by bacteria other than Streptococcus pneumoniae, which causes most cases of pneumonia.
Nursing-home acquired pneumonia. Pneumonia acquired in a nursing home or other long-term care facility is the second most common type of infection in these facilities, usually bacterial. It is sometimes difficult to diagnose as older populations are less likely to report fever, chills, and chest pain.ursing-home acquired pneumonia. Pneumonia acquired in a nursing home or other long-term care facility is the second most common type of infection in these facilities, usually bacterial. It is sometimes difficult to diagnose as older populations are less likely to report fever, chills, and chest pain.