Pаtient HE (mаle, 65 yeаrs оld, weight 107 kg) has presented with an acute gоut flare affecting the big tоe on his left foot. He states this is causing significant pain. Past medical history: hypertension gout Medication history: amlodipine 10 mg once daily lisinopril 20 mg once daily indapamide modified release 1.5 mg once daily allopurinol 200 mg twice daily Laxido oral powder sachets 1 twice daily in the last week What is the MOST APPROPRIATE management plan for Patient HE?
Chооse 2 (Twо) of the following essаys to write on (15 points eаch): 1. Given thаt you are taking a class on abnormal psychology at the University of Mary where we value faith and reason and critical thinking skills, provide your thoughts on the following question. Within the overarching framework of bidirectionality and nature-nurture, explain how a professional with faith and reason would understand the following factors as being important to assess and understand when working with a patient or conceptualizing mental health and mental illness. These factors may include, but are limited to: culture, genetics, temperament, personality, family of origin, relationship with caregivers, trauma, schemas, faith & religion, virtue/vice, neuroscience, and medication. Speak to the broader integrative and bidirectional approach we discussed in class regarding the human person and mental health. You can provide a specific diagnosis for an example if you wish to illustrate. 2. Choose a particular diagnosis we have covered in the first semester of this course. Your detailed answer should be detailed and include the following: Signs and symptoms of this diagnosis Various etiologies (biological/neuroscience, psychological, environmental, spiritual) Different treatment approaches for this disorder Does it impact males and females the same Typical age of onset Is this disorder consistent across all cultures in terms of prevalence rates 3. What are the indicators of abnormality that we discussed in class and were outlined in your text? Define each indicator of abnormality and provide an example for further explanation. How are these indicators of abnormality influenced by factors such as culture, religion, society, and by the historical times in which we live? Given an example of a condition or behavior that is viewed differently in different parts of the world or country or even within a state. 4. Using all the "faith and reason" that you have accumulated so far in this course, describe what you have you have learned about suicide. What are some myths regarding suicide vs. the reality of suicide? What does some of the current research on suicide show us regarding gender, demographics, diagnoses, risk factors, etc? What does the Cathechism of the Catholic Church have to say about suicide? Is it still a mortal sin? 5. Discuss the history of mental illness. Discuss some of the "pendulum swings" that we have seen over the thousands of years dealing with mental health issues. Give some practical examples of these pendulum swings both in the remote past, but also in the recent past. Also, comment on why mentally ill patients seem to be prone to maltreatment, abuse, and experimentation by most segments of society. Were religious leaders, doctors, or politicians motivated by evil intentions, or what lead them to be so misguided? How do we alleviate this maltreatment and prevent future discrimination or mistreatment?