Phillip is an active semi-retired person, working part-time in the local specialty tea store. He is married to Klara with three adult children, all of whom live out of home:
Vanessa 35 years old-3 children under 10
Adam 33 years old-new born baby; and
Anton 30 years old with a 1 year-old child.
Each of the adult children is located interstate and has young family. Klara had previously participated in many outdoor activities with her husband and her hobbies include bushwalking, cryptic crosswords and gardening. Phillip and Klara have recently separated and are living separately.
Recently, Phillip has had a number of minor mishaps at work and has been increasingly dropping things. He has been experiencing a slight right-hand tremor and his gait has become unsteady. The tremor appears to worsen at night particularly when sitting down and when resting in bed. Phillip has been increasingly fatigued and forgetful. This was becoming more noticeable and problematic as the tremor did not subside and Phillip felt he was becoming clumsier.
Phillip has been increasingly concerned that he would fall asleep at work so has tried not to sit down unless he is at lunch. It is at work that the hand tremor is particularly troublesome. Two Phillip has also had two episodes of losing his balance and once fell over. Phillip also feels as if everything is spinning around and has numbness in his hands. He was also having difficulty speaking and slurring his words. Phillip managed to call an ambulance as he didn’t know what to do. Phillip was reviewed, admitted and seen by a medical officer, and referred to a neurologist for review.
Phillip spent two weeks in hospital and a provisional diagnosis of Parkinson’s disease was made. To rule out any other neurological conditions a series of investigations was conducted including an MRI and PET scan as part of the diagnostic screening process; no abnormalities were detected. Following these investigations and a thorough neurological exam, a firm diagnosis of Idiopathic Parkinson’s disease was made.
Phillip was discharged home, being collected by Klara. Klara indicated that she would not be able to be Phillip’s carer, Phillip was adamant that he would be fine at home on his own. You have been asked to see Phillip in the community as part of his discharge plan.
Intermittent fatigue for approximately 8 months.
Bradykinesia for approximately four months. Phillip has been increasingly dropping equipment and stock at work.
He has been unable to deal with hot water at work and was not able to make tea to serve as samples.
Increasing hand tremor for 4 months, most evident at rest.
Emotional lability for 4 months with out of proportion emotional reactions to small incidents.
Unsteady gait for approximately four months including stumbling without cause
Increasing levels of confusion;
Increasing drooling; Increasingly being told he is hard to hear;
Discharge Summary Phillip Dillon is a 67-year-old male, recently separated from his wife. Admitted via A&E with a history of:
• Increasing upper limb tremor; more pronounced right side;
• Increasing global bradykinesia – shaking and slow response to requests
• C/O increasing fatigue and ‘sleepy’ episodes during the day when working; drooling;
• increasing hypophonia (hard to hear)
• Feeling ‘blue’ and sad on and off for the past 12 months.
• High cholesterol Surgical history
• L knee arthroplasty – age 44
• Tonsillectomy and adenoidectomy as a child
• Other • semi-retired; works part time in Tea shop;
Recent admission to hospital for investigation of altered mobility;
• Neurological, musculoskeletal, cardiovascular assessment – no abnormalities detected
• Excluded neuro pathology – CT and PET scan – no abnormalities detected;
• Provisional diagnosis: Parkinson’s disease Discharged – yesterday Primary diagnosis of Parkinson’s disease
• Lipitor 25mg mane
• Dopamine releaser-Amantadine HCL – 100 mg daily
• Dopamine agonists – Carbergoline – 0.25mg BD
• Dopamine replacement – Levodopa 10mg TDS
• MAO-B inhibitors – Selegiline -25mg patch changed daily
• Maxolon for nausea 10mg prior to meals
• Paracetamol PRN
identify and discuss two PRIORITIES OF CARE and apply the clinical reasoning cycle to these as a means of justification
Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell.
In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.
God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.
Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.
To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.
Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.
Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies, 4(8), 487.
Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.