Mr. Jackson is a 65-year-old man recently diagnosed with osteoarthritis.
The clinician has explained to Mr. Jackson that the goals for managing osteoarthritis include controlling pain, maximizing functional independence and mobility, minimizing disability, and preserving quality of life. Mr. Jackson explains to the clinician that his first choice would be to use complementary therapies to control his condition and asks what therapies are most effective in treating osteoarthritis. What would be the most appropriate response of the clinician?
a. Complementary therapies should only be considered if surgical interventions are not successful.
b. I am unfamiliar with the available complementary therapies for osteoarthritis and prefer to discuss more mainstream treatments such as NSAIDs and physical therapy to manage your condition.
c. I would be happy to discuss all the treatment options available to you. Complementary therapies such as acupuncture, acupressure, and tai-chi are being studied for use in the treatment of osteoarthritis and have shown promise when used with standard medical therapy.
d. It would be crazy to use complementary therapies to treat such a serious condition.
Question 2
An 82-year-old woman with renal failure is seen in the clinic. The provider should question the patient about the intake of which of these substances that can cause renal toxicity?
a. Ibuprofen c. Losartan
b. Captopril d. All of the above
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Rudy Burckhardt, Jackson Pollock painting No. 32, 1950.
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