You have been working at a health clinic as an aide for severalmonths now and have seen how it operates. A patient is waiting forhis appointment in the waiting room and is holding a paper bag anda large Starbucks coffee. You recognize him as Mavik Haldol, a 65year old man who is about 15 kg overweight and suffers from a fewcommon conditions for someone his age. You have spoken to him atpast appointments so you know he was a smoker for 30 years but quit5 years ago because he developed COPD. He comes to the clinicperiodically for a number of different health problems. He does notlook well today so you go over to him to ask how he is doing. Hesays that he is “OK” and proceeds to tell you that he has justretired and has been trying to stay healthy by walking regularlyand eating lots of whole wheat products, salads, fruit, cruciferousvegetables and juices (including pomegranate and grapefruit juice)because he has been having a hard time affording all of hismedications as he does not have a good insurance plan. He alsotells you that he is supposed to take Avandia (rosiglitazone) butcan’t afford them so he does not take them. Then he says “Mydietary changes do not seem to be working because I feel worse. Ihave had aches and pains in my muscles for the last few days. Ithink these pains may be because I am coming down with the flu.This is why I am at the clinic today”. He hands you the paper baghe was holding and you look in to discover it is full of hismedications. He tells you that he is also taking an OTCdecongestant, Sudafed, for some nasal congestion but did not bringit because he has just been taking it for a few days and it is nota prescription medication. You take a quick look at his medicationsand you politely say, “I will make sure the doctor knows about yourmedications” and you walk out to the back of the clinic. Somethingdoes not feel right about Mr. Haldol’s situation. Your subconsciousis trying to tell you something about his condition but you are notsure what. Try and solve the mystery of what is causing Mr.Haldol’s symptoms. His life is in your hands. The medications Mr.Haldol’s had in his bag are: Aspirin; 81 mg/day Atorvastatin(Lipitor) 40 mg/day Omeprazole (Prilosec) 40 mg/day Metformin(Glucophage) 500 mg/day Propranolol (Inderal) 200 mg/dayClorothiazide (Diuril) 500 mg/day Symbicort Turbuhaler 2 puffs/4times a day Multivitamin, 1 a day Omega-3 oil capsule 2, 300 mgcapsules/twice a day
The doctor examines Mr. Haldol and does not think he has the fluas he does not have a fever but discovers that his bloodpressure is high today. The doctor is unsure why Mr.Haldol has muscle pains so he will send him forblood tests.
(D) What do you think poor Mr. Haldol shoulddo? He needs his medications but they seem to be causingsome issues. Should he stop eating healthy foodsor stop taking his medications andcontinue to eat healthy and exercise? What other healthrisks are there for Mr. Haldol if he continues totake all of these medications? Discuss how we can help Mr.Haldol by altering either his lifestyle or his medications (10pts).
