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Essay Assignments
Topic: (How Should I be Governed during Ancient Greek Era)
ERA/Civilization:
The Classical Greek Period (Greek Political Thought: Plato and
Aristotle)
"Great Question" to be answered and analyzed in the essay:
How should I be governed?
- The paper will argue how the people of the era/civilization
(Ancient Greek)
answered the particular great question (How should I be
governed?).
- All papers must carry a working thesis. This is not simply a
report of different
historical perspectives, but a careful analysis and synthesis of
the research you
conduct.
- Your final essay will include a title page and bibliography.
The essay itself should
be no less than 2400 words and no more than 10 pages.
Note: introduction and Bibliography is already written, please
see
attached file. Please continue writing the paper using this file.
ALL WRITTEN WORK TURNED IN FOR CORE HISTORY
MUST FOLLOW THESE
BASIC RUBRICS:
• Typed work (word processor), neat and legible, 81/2” x 11”
paper 1” margins
all sides
• Times New Roman font, 12 pt.
• Use Footnotes as opposed to endnotes
• All citations must conform to the Chicago Manual of Style
• Use only permitted sources.
- Papers must cite no fewer than FIVE scholarly sources,
including at least THREE
primary sources approved by the instructor.
- Permitted secondary sources: Printed works that are scholarly
(that is, peer-
reviewed) are the only permitted secondary sources. Peer-
reviewed print journals
that are available electronically through library databases are
included among
permitted sources. NO OTHER ELECTRONIC SOURCES are
permitted Your
instructor may, at his/her discretion, reject or fail any paper that
has used one or
more non-permitted sources.
Evidence of academic dishonesty or plagiarism on any part of
the assignments will
result in failure of the course and referral to the dean for
expulsion.
Essay Grading Rubric
1. Strong Thesis Statement - Is argued coherently and forcefully
throughout
the paper. Includes appropriate introductory and concluding
paragraphs. The
entire body of the paper is argument driven.
2. Use of Appropriate Scholarly Secondary Sources and Primary
Sources -
There is depth and breadth to the research. No false citations.
N0 fluff added
to bibliography.
3. Correct use of historical facts and examples to further the
argument -
Paper does not give incorrect information, all facts serve the
argument and
are not used as mere filler, historical context is maintained.
4. Mechanics and Grammar - No grammatical or spelling errors,
proper
formatting, formality of language.
5. Adheres to assignment instructions - Chicago Manual of
Style, Word
Count, etc.
Complex Regional Pain Disorder
White Male With Hip Pain
BACKGROUND
This week, a 43-year-old white male presents at the office with
a chief complaint of pain. He is assisted in his ambulation with
a set of crutches. At the beginning of the clinical interview, the
client reports that his family doctor sent him for psychiatric
assessment because the doctor felt that the pain was “all in his
head.” He further reports that his physician believes he is just
making stuff up to get “narcotics to get high.”
SUBJECTIVE
The client reports that his pain began about 7 years ago when he
sustained a fall at work. He states that he landed on his right
hip. Over the years, he has had numerous diagnostic tests done
(x-rays, CT scans, and MRIs). He reports that about 4 years ago,
it was discovered that the cartilage surrounding his right hip
joint was 75% torn (from the 3 o’clock to 12 o’clock position).
He reports that none of the surgeons he saw would operate
because they felt him too young for a total hip replacement and
believed that the tissue would repair with the passage of time.
Since then, he reported development of a strange constellation
of symptoms including cooling of the extremity (measured by
electromyogram). He also reports that he experiences severe
cramping of the extremity. He reports that one of the
neurologists diagnosed him with complex regional pain
syndrome (CRPS), also known as reflex sympathetic dystrophy
(RSD). However, the neurologist referred him back to his
family doctor for treatment of this condition. He reports that his
family doctor said “there is no such thing as RSD, it comes
from depression” and this was what prompted the referral to
psychiatry. He reports that one specialist he saw a few years
ago suggested that he use a wheelchair, to which the client
states “I said ‘no,’ there is no need for a wheelchair, I can beat
this!”
The client reports that he used to be a machinist where he made
“pretty good money.” He was engaged to be married, but his
fiancé got “sick and tired of putting up with me and my pain,
she thought I was just turning into a junkie.”
He reports that he does get “down in the dumps” from time to
time when he sees how his life has turned out, but emphatically
denies depression. He states “you can’t let yourself get
depressed… you can drive yourself crazy if you do. I’m not
really sure what’s wrong with me, but I know I can beat it.”
During the client interview, the client states “oh! It’s
happening, let me show you!” this prompts him to stand with
the assistance of the corner of your desk, he pulls off his shoe
and shows you his right leg. His leg is turning purple from the
knee down, and his foot is clearly in a visible cramp as the toes
are curled inward and his foot looks like it is folding in on
itself. “It will last about a minute or two, then it will let up” he
reports. Sure enough, after about two minutes, the color begins
to return and the cramping in the foot/toes appears to be
releasing. The client states “if there is anything you can do to
help me with this pain, I would really appreciate it.” He does
report that his family doctor has been giving him hydrocodone,
but he states that he uses is “sparingly” because he does not like
the side effects of feeling “sleepy” and constipation. He also
reports that the medication makes him “loopy” and doesn’t
really do anything for the pain.
MENTAL STATUS EXAM
The client is alert, oriented to person, place, time, and event. He
is dressed appropriately for the weather and time of year. He
makes good eye contact. Speech is clear, coherent, goal
directed, and spontaneous. His self-reported mood is euthymic.
Affect consistent to self-reported mood and content of
conversation. He denies visual/auditory hallucinations. No overt
delusional or paranoid thought processes appreciated. Judgment,
insight, and reality contact are all intact. He denies
suicidal/homicidal ideation, and is future oriented.
Diagnosis: Complex regional pain disorder (reflex sympathetic
dystrophy)
Decision Point One
Select what the PMHNP should do:
mg BID on day 2 and 3; followed by 25 mg BID on days 4-7;
followed by 50 mg BID thereafter
y 25 mg to a max dose of 200 per day
Neurontin 300 m // Complex Regional Pain DisorderComplex
Regional Pain Disorder
White Male With Hip Pain
Decision Point One
Savella 12.5 mg once daily on day 1; followed by 12.5 mg BID
on day 2 and 3; followed by 25 mg BID on days 4-7; followed
by 50 mg BID thereafter
BID on day 2 and 3; followed by 25 mg BID on days 4-7;
followed by 50 mg BID thereafter
RESULTS OF DECISION POINT ONE
· Client returns to clinic in four weeks
· Client comes into the office to without crutches but is limping
a bit. The client states that the pain is “more manageable since I
started taking that drug. I have been able to get around more on
my own. The pain is bad in the morning though and gets better
throughout the day”. On a pain scale of 1-10; the client states
that his pain is currently a 4. When asked what pain level would
be tolerable on a daily basis, the client states, “I would rather
have no pain but don’t think that is possible. I could live with a
pain level of 3.”. When questioned further, the PMHNP asks
what makes the pain on a scale of 1-10 different when
comparing a level of 9 to his current level of 4?”. The client
states that since using this drug, I can get to a point on most
days where I do not need the crutches. ” The client is also asked
what would need to happen to get his pain from a current level
of 4 to an acceptable level of 3. He states, “If I could get to the
point everyday where I do not need the crutches for most of my
day, I would be happy.”
· Client states that he has noticed that he frequently (over the
past 2 weeks) gets bouts of sweating for no apparent reason. He
also states that his sleep has “not been so good as of lately.” He
does complain of nausea today
· Client's blood pressure and pulse are recorded as 147/92 and
110 respectively. He also admits to experiencing butterflies in
his chest. The client denies suicidal/homicidal ideation and is
still future oriented
Decision Point Two
Decision Point Two
Continue with current medication but lower dose to 25 mg twice
a day
RESULTS OF DECISION POINT TWO
· Client returns to clinic in four weeks
· Client comes to office today with use of crutches. He states
that his current pain is a 7 out of 10. “I do not feel as good as I
did last month.”
· Client states that he is sleeping at night but woken frequently
from pain down his right leg and into his foot
· Client's blood pressure and heart rate recorded today are
124/85 and 87 respectively. He denies any heart palpitations
today
· Client denies suicidal/homicidal ideation but he is
discouraged about the recent slip in his pain management and
looks sad
Decision Point Three
Change Savella to 25 mg orally in the MORNING and 50 mg
orally at BEDTIME
Guidance to Student
The client has a complex neuropathic pain syndrome that may
never respond to pain medication. Once that is understood, the
next task is to explain to the client that pain level expectations
need to realistic in nature and understand that he will always
have some level of pain on a daily basis. The key is to manage
it in a manner that allows him to continue his activities of daily
living with as little discomfort as possible. Next, it is important
to explain that medications are never the final answer but a part
of a complex regimen that includes physical therapy, possible
chiropractic care, heat and massage therapy, and medications.
Savella is a SNRI that also possesses NMDA antagonist activity
which helps in producing analgesia at the site of nerve endings.
It is specifically marketed for fibromyalgia and has a place in
therapy for this gentleman. Tramadol is never a good option
along with other opioid type analgesics. Agonists at the Mu
receptors does not provide adequate pain control in these types
of neuropathic pain syndromes and therefore is never a good
idea. It also has addictive properties which can lead to
secondary drug abuse. Reductions in Savella can help control
side effects but at a cost of uncontrolled pain. It is always a
good idea to start with dose reductions during parts of the day
that pain is most under control. The addition of Celexa with
Savella needs to be done cautiously. Both medications inhibit
the reuptake of serotonin and can, therefore, lead to serotonin
toxicity or serotonin syndrome.
Start Over
6
THE EVOLUTION OF WESTERN POLITICAL SYSTEMS
FROM GREEK PHILOSOPHY
How should I be governed?
First Last
HST 201
Dr. History Expert
Apr 20, 2019
Introduction
Ancient Greek political systems had the virtue of exploring the
various ways through which social contracts could exist for the
operation of state and society. The Classical Greek period bears
a great influence on Western Civilization not because of the
literary, philosophical and social heritage borrowed from the era
but rather – though not exclusively since we do in fact borrow a
great deal from Greek thinking on literature, philosophy and
society – from the political systems devised and explored during
the era. Aristotle and Plato number among the predominant
political thinkers and from their works such as Plato’s The
Republic, Aristotle’s Nicomachean Ethics and On the
Lacedaemonian Constitution. From Thucydides we have
Pericles’ Funeral Oration while from the Father of Western Law
we have Solon’s constitutional/political and economic reforms
as outlined and elaborated upon and collectively known as the
seisachtheia laws. From the question, “how should I be
governed?” a startling realization dawns upon the researcher;
the political systems enjoyed today developed from tried and
practiced attempts at forging the perfect political system
imaginable as can be seen from Plato’s The Republic.
Ultimately, we credit Greek societies for proffering modern
society social contract systems that would cater for the needs,
ambitions and qualities that make up society.
In Nicomachean Ethics, Aristotle offers a connection between
politics and happiness with the explanation that only when one
is happy are they content to live peacefully. We read, “The true
student of politics, too, is thought to have studied virtue above
all things; for he wishes to make his fellow citizens good and
obedient to the laws.”[footnoteRef:1] Essentially, Aristotle
equates politics with every meaningful facet of life and through
this, we gain an understanding of just how important politics
was to the Greeks. Plato stated that the ideal state comprised of
a republican system whose composition revolved around a
meritocratic ideal such as would be imagined from China`s
current political system. He proposes a system where
philosophers governed the city by virtue of their wisdom even
as auxiliaries, soldiers, occupied themselves with the defense of
the city as producers worked at economic
sustenance.[footnoteRef:2] It is equally important to realize
that, like Aristotle, Plato was concerned about the nature of
social contracts and the binding principles that determined both
relationships and conflict resolution between parties. He
defined justice as “To do one’s own business and not to be a
busybody is justice”[footnoteRef:3] and like the French
philosopher Rousseau, saw justice as the equitable division and
protection of wealth. Thucydides, more known for his role in
historical accounting than political thinking, also offers us a
glimpse at the evolution of Greek philosophy on politics. In
Pericles’ Funeral Oration, Athenians laud their political system
by claiming it the best system for not only political conquest
and war, but also social management. We read, “It is true that
we are called a democracy, for the administration is in the
hands of the many and not of the few. But while there exists
equal justice to all and alike in their private disputes, the claim
of excellence is also recognized; and when a citizen is in any
way distinguished, he is preferred to the public service, not as a
matter of privilege, but as the reward of merit.”[footnoteRef:4]
Today, in countries like America, Britain, France and much of
the world that has adopted legal and political measures from the
Greeks, we celebrate the myriad legal reforms and checks and
balances aimed at preserving the unity of communities and
states. We owe these developments to thinkers like Solon whose
economic and political reforms established the merits by which
citizenship was established.[footnoteRef:5] French in “The
Economic background to Solon’s Reforms” notes that among the
agrarian reforms Solon devised, different classes existed within
society such that each possessed different protections and
privileges under the law as citizens or members of
society.[footnoteRef:6] Most political systems today do not
hold to stratified social classes; the French did away with the
notion of superior classes of individuals and the rest of the
world followed. Nevertheless, we still celebrate Solon for the
way his reforms introduced a way to manage factional interests
– much like the factions that arose in the wake of the American
Revolution – such that it was possible to cater for the ambitions
and interests of majorities and powerful factions even as the
needs and requirements of the weaker, minority factions were
preserved. [1: Aristotle, Nicomachean Ethics, (Indianapolis,
Hackett Publishing Company), 13.] [2: Aristotle, Nicomachean
Ethics, 13.] [3: Thucydides, Pericles Funeral Oration,
(Minneapolis, University of Minnesota Human Rights Lbrary),
1.] [4: Thucydides, Pericles` Funeral Oration.] [5: Economou,
Emmanouil M. L., and Nicholas C. Kyriazis. "The emergence
and the evolution of property rights in ancient Greece." Journal
of Institutional Econommics (Cambridge, Cambridge Univeristy
Press) 13 (1) offers insight into the various agrarian, social,
economic and political difficulties faced by the early Greek
cities and the methods developed to deal with emergent tyrants
and other political factors] [6: A. French, “The Economic
Background to Solon`s Reforms” The Classical Quarterly, Vol.
6, Issue 1/2. pp. 15]
Annotated Bibliography
Aristotle. 2000. Nicomachean Ethics. 2. Translated by Terence
Irwin. Indianapolis: Hackett Publishing Company.
Aristotle was a major and influential Greek philosopher
celebrated for his works on philosophy, society and politics.
The reason we include him in the research concerns his thinking
on the connection between morality and politics considering our
question on the merits of Greek political thinking. In principle,
Aristotle’s works revolved around the management of social
systems, but his importance comes in through the way he
connects the different aspects of life such as property
ownership, marriage, legal systems and others by describing
them as political subjects.
Economou, Emmanouil M. L., and Nicholas C. Kyriazis. 2017.
"The emergence and the evolution of property rights in ancient
Greece." Journal of Institutional Econommics (Cambridge
Univeristy Press) 13 (1)
Source traces the relevant emergence and evolution of the Greek
period. It analyzes the different economic structures and
property rights attendant to and protected under acknowledged
law. It describes the different economic times of the classical
Greek period and how the influence of the government and
democracy influenced the governance of the people.
French, A. 1956. "The Economic Background to Solon`s
Reforms." The Classical Quarterly (Cambridge University
Press) 6 (1/2): 11 - 25.
Solon’s political reforms may have placed a political burden on
society by establishing a legal basis for the preservation and
enhancement of certain political practices such as the social
classes. However, French notes that the same legal reforms
reinforced the protections under the law such that the more
powerful members of society would be obstructed from taking
advantage of political and social chaos to pursue selfish
interests. This article`s worth is demonstrated for it
distinguishes the dangers from uncertain political and legal
systems encountering chaos. Additionally, it demonstrates the
virtues of established and accepted legal systems as opposed to
ad hoc law since long after Solon’s death, the Greeks retained
aspects of his reforms in the governance of people.
Plato. 2004. Republic. 3. Translated by C. D. C. Reeve.
Indianapolis: Hackett Publishing Company.
Like Aristotle, Plato was concerned with the way people lived.
In many ways, the way a person lives is inextricably connected
to the way society is governed. Plato’s value comes in the
provision of a moral and ethical basis for the political system he
envisioned. Moreover, in his writing we see elements of the
meritocratic system of government currently practiced in China
as well as the basis for the republican systems of government
practices in Britain and America.
Thucydides. 2017. "Thucydides, Pericles’ Funeral Oration."
University of Minnesota: Human Rights Library. Edited by
Richard Hooker.
Thucydides value comes in his demonstration of the way the
Ancient Athenians regarded their way of life. The justifications
they offered for war and economic policies offers insight on the
nature of political systems as an ethos aimed at distinguishing
the unique qualities of a society. Incidentally, it also offers a
confirmation of Solon’s political reforms for the Athenians
inherited much of the political systems devised and perfected
through the ages. Lastly, as a primary source on the social and
political systems of the ancient Greeks, it offers a view into the
political rhetoric used to re-affirm loyalty and obedience to the
state since it allows us to perceive how the Athenians thought of
their community and government.
Bibliography
Aristotle. 2000. Nicomachean Ethics. 2. Translated by Terence
Irwin. Indianapolis: Hackett Publishing Company.
Economou, Emmanouil M. L., and Nicholas C. Kyriazis. 2017.
"The emergence and the evolution of property rights in ancient
Greece." Journal of Institutional Econommics (Cambridge
Univeristy Press) 13 (1): 53 - 77. Accessed October 25, 2018.
https://doi.org/10.1017/S1744137416000205.
French, A. 1956. "The Economic Background to Solon`s
Reforms." The Classical Quarterly (Cambridge University
Press) 6 (1/2): 11 - 25. Accessed October 26, 2018.
https://www.jstor.org/stable/636962.
Plato. 2004. Republic. 3. Translated by C. D. C. Reeve.
Indianapolis: Hackett Publishing Company.
Thucydides. 2017. "Thucydides, Pericles' Funeral Oration."
University of Minnesota: Human Rights Library. Edited by
Richard Hooker. April 24. Accessed October 27, 2018.
http://hrlibrary.umn.edu/education/thucydides.html.
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Essay Assignments Topic (How Should I be Governed d.docx

  • 1. Essay Assignments Topic: (How Should I be Governed during Ancient Greek Era) ERA/Civilization: The Classical Greek Period (Greek Political Thought: Plato and Aristotle) "Great Question" to be answered and analyzed in the essay: How should I be governed? - The paper will argue how the people of the era/civilization (Ancient Greek) answered the particular great question (How should I be governed?). - All papers must carry a working thesis. This is not simply a report of different historical perspectives, but a careful analysis and synthesis of the research you conduct. - Your final essay will include a title page and bibliography. The essay itself should
  • 2. be no less than 2400 words and no more than 10 pages. Note: introduction and Bibliography is already written, please see attached file. Please continue writing the paper using this file. ALL WRITTEN WORK TURNED IN FOR CORE HISTORY MUST FOLLOW THESE BASIC RUBRICS: • Typed work (word processor), neat and legible, 81/2” x 11” paper 1” margins all sides • Times New Roman font, 12 pt. • Use Footnotes as opposed to endnotes • All citations must conform to the Chicago Manual of Style • Use only permitted sources. - Papers must cite no fewer than FIVE scholarly sources, including at least THREE primary sources approved by the instructor. - Permitted secondary sources: Printed works that are scholarly (that is, peer- reviewed) are the only permitted secondary sources. Peer- reviewed print journals
  • 3. that are available electronically through library databases are included among permitted sources. NO OTHER ELECTRONIC SOURCES are permitted Your instructor may, at his/her discretion, reject or fail any paper that has used one or more non-permitted sources. Evidence of academic dishonesty or plagiarism on any part of the assignments will result in failure of the course and referral to the dean for expulsion. Essay Grading Rubric 1. Strong Thesis Statement - Is argued coherently and forcefully throughout the paper. Includes appropriate introductory and concluding paragraphs. The entire body of the paper is argument driven. 2. Use of Appropriate Scholarly Secondary Sources and Primary Sources - There is depth and breadth to the research. No false citations. N0 fluff added to bibliography. 3. Correct use of historical facts and examples to further the argument -
  • 4. Paper does not give incorrect information, all facts serve the argument and are not used as mere filler, historical context is maintained. 4. Mechanics and Grammar - No grammatical or spelling errors, proper formatting, formality of language. 5. Adheres to assignment instructions - Chicago Manual of Style, Word Count, etc. Complex Regional Pain Disorder White Male With Hip Pain BACKGROUND This week, a 43-year-old white male presents at the office with a chief complaint of pain. He is assisted in his ambulation with a set of crutches. At the beginning of the clinical interview, the client reports that his family doctor sent him for psychiatric assessment because the doctor felt that the pain was “all in his head.” He further reports that his physician believes he is just making stuff up to get “narcotics to get high.” SUBJECTIVE The client reports that his pain began about 7 years ago when he sustained a fall at work. He states that he landed on his right hip. Over the years, he has had numerous diagnostic tests done (x-rays, CT scans, and MRIs). He reports that about 4 years ago, it was discovered that the cartilage surrounding his right hip
  • 5. joint was 75% torn (from the 3 o’clock to 12 o’clock position). He reports that none of the surgeons he saw would operate because they felt him too young for a total hip replacement and believed that the tissue would repair with the passage of time. Since then, he reported development of a strange constellation of symptoms including cooling of the extremity (measured by electromyogram). He also reports that he experiences severe cramping of the extremity. He reports that one of the neurologists diagnosed him with complex regional pain syndrome (CRPS), also known as reflex sympathetic dystrophy (RSD). However, the neurologist referred him back to his family doctor for treatment of this condition. He reports that his family doctor said “there is no such thing as RSD, it comes from depression” and this was what prompted the referral to psychiatry. He reports that one specialist he saw a few years ago suggested that he use a wheelchair, to which the client states “I said ‘no,’ there is no need for a wheelchair, I can beat this!” The client reports that he used to be a machinist where he made “pretty good money.” He was engaged to be married, but his fiancé got “sick and tired of putting up with me and my pain, she thought I was just turning into a junkie.” He reports that he does get “down in the dumps” from time to time when he sees how his life has turned out, but emphatically denies depression. He states “you can’t let yourself get depressed… you can drive yourself crazy if you do. I’m not really sure what’s wrong with me, but I know I can beat it.” During the client interview, the client states “oh! It’s happening, let me show you!” this prompts him to stand with the assistance of the corner of your desk, he pulls off his shoe and shows you his right leg. His leg is turning purple from the knee down, and his foot is clearly in a visible cramp as the toes are curled inward and his foot looks like it is folding in on itself. “It will last about a minute or two, then it will let up” he reports. Sure enough, after about two minutes, the color begins to return and the cramping in the foot/toes appears to be
  • 6. releasing. The client states “if there is anything you can do to help me with this pain, I would really appreciate it.” He does report that his family doctor has been giving him hydrocodone, but he states that he uses is “sparingly” because he does not like the side effects of feeling “sleepy” and constipation. He also reports that the medication makes him “loopy” and doesn’t really do anything for the pain. MENTAL STATUS EXAM The client is alert, oriented to person, place, time, and event. He is dressed appropriately for the weather and time of year. He makes good eye contact. Speech is clear, coherent, goal directed, and spontaneous. His self-reported mood is euthymic. Affect consistent to self-reported mood and content of conversation. He denies visual/auditory hallucinations. No overt delusional or paranoid thought processes appreciated. Judgment, insight, and reality contact are all intact. He denies suicidal/homicidal ideation, and is future oriented. Diagnosis: Complex regional pain disorder (reflex sympathetic dystrophy) Decision Point One Select what the PMHNP should do: mg BID on day 2 and 3; followed by 25 mg BID on days 4-7; followed by 50 mg BID thereafter y 25 mg to a max dose of 200 per day Neurontin 300 m // Complex Regional Pain DisorderComplex Regional Pain Disorder White Male With Hip Pain Decision Point One Savella 12.5 mg once daily on day 1; followed by 12.5 mg BID
  • 7. on day 2 and 3; followed by 25 mg BID on days 4-7; followed by 50 mg BID thereafter BID on day 2 and 3; followed by 25 mg BID on days 4-7; followed by 50 mg BID thereafter RESULTS OF DECISION POINT ONE · Client returns to clinic in four weeks · Client comes into the office to without crutches but is limping a bit. The client states that the pain is “more manageable since I started taking that drug. I have been able to get around more on my own. The pain is bad in the morning though and gets better throughout the day”. On a pain scale of 1-10; the client states that his pain is currently a 4. When asked what pain level would be tolerable on a daily basis, the client states, “I would rather have no pain but don’t think that is possible. I could live with a pain level of 3.”. When questioned further, the PMHNP asks what makes the pain on a scale of 1-10 different when comparing a level of 9 to his current level of 4?”. The client states that since using this drug, I can get to a point on most days where I do not need the crutches. ” The client is also asked what would need to happen to get his pain from a current level of 4 to an acceptable level of 3. He states, “If I could get to the point everyday where I do not need the crutches for most of my day, I would be happy.” · Client states that he has noticed that he frequently (over the past 2 weeks) gets bouts of sweating for no apparent reason. He also states that his sleep has “not been so good as of lately.” He does complain of nausea today · Client's blood pressure and pulse are recorded as 147/92 and 110 respectively. He also admits to experiencing butterflies in his chest. The client denies suicidal/homicidal ideation and is still future oriented Decision Point Two Decision Point Two Continue with current medication but lower dose to 25 mg twice a day
  • 8. RESULTS OF DECISION POINT TWO · Client returns to clinic in four weeks · Client comes to office today with use of crutches. He states that his current pain is a 7 out of 10. “I do not feel as good as I did last month.” · Client states that he is sleeping at night but woken frequently from pain down his right leg and into his foot · Client's blood pressure and heart rate recorded today are 124/85 and 87 respectively. He denies any heart palpitations today · Client denies suicidal/homicidal ideation but he is discouraged about the recent slip in his pain management and looks sad Decision Point Three Change Savella to 25 mg orally in the MORNING and 50 mg orally at BEDTIME Guidance to Student The client has a complex neuropathic pain syndrome that may never respond to pain medication. Once that is understood, the next task is to explain to the client that pain level expectations need to realistic in nature and understand that he will always have some level of pain on a daily basis. The key is to manage it in a manner that allows him to continue his activities of daily living with as little discomfort as possible. Next, it is important to explain that medications are never the final answer but a part of a complex regimen that includes physical therapy, possible chiropractic care, heat and massage therapy, and medications. Savella is a SNRI that also possesses NMDA antagonist activity which helps in producing analgesia at the site of nerve endings. It is specifically marketed for fibromyalgia and has a place in therapy for this gentleman. Tramadol is never a good option along with other opioid type analgesics. Agonists at the Mu
  • 9. receptors does not provide adequate pain control in these types of neuropathic pain syndromes and therefore is never a good idea. It also has addictive properties which can lead to secondary drug abuse. Reductions in Savella can help control side effects but at a cost of uncontrolled pain. It is always a good idea to start with dose reductions during parts of the day that pain is most under control. The addition of Celexa with Savella needs to be done cautiously. Both medications inhibit the reuptake of serotonin and can, therefore, lead to serotonin toxicity or serotonin syndrome. Start Over 6 THE EVOLUTION OF WESTERN POLITICAL SYSTEMS FROM GREEK PHILOSOPHY How should I be governed? First Last HST 201 Dr. History Expert Apr 20, 2019
  • 10. Introduction Ancient Greek political systems had the virtue of exploring the various ways through which social contracts could exist for the operation of state and society. The Classical Greek period bears a great influence on Western Civilization not because of the literary, philosophical and social heritage borrowed from the era but rather – though not exclusively since we do in fact borrow a great deal from Greek thinking on literature, philosophy and society – from the political systems devised and explored during the era. Aristotle and Plato number among the predominant political thinkers and from their works such as Plato’s The Republic, Aristotle’s Nicomachean Ethics and On the Lacedaemonian Constitution. From Thucydides we have Pericles’ Funeral Oration while from the Father of Western Law we have Solon’s constitutional/political and economic reforms as outlined and elaborated upon and collectively known as the seisachtheia laws. From the question, “how should I be governed?” a startling realization dawns upon the researcher; the political systems enjoyed today developed from tried and practiced attempts at forging the perfect political system imaginable as can be seen from Plato’s The Republic. Ultimately, we credit Greek societies for proffering modern society social contract systems that would cater for the needs, ambitions and qualities that make up society. In Nicomachean Ethics, Aristotle offers a connection between politics and happiness with the explanation that only when one is happy are they content to live peacefully. We read, “The true student of politics, too, is thought to have studied virtue above all things; for he wishes to make his fellow citizens good and obedient to the laws.”[footnoteRef:1] Essentially, Aristotle equates politics with every meaningful facet of life and through this, we gain an understanding of just how important politics was to the Greeks. Plato stated that the ideal state comprised of a republican system whose composition revolved around a meritocratic ideal such as would be imagined from China`s
  • 11. current political system. He proposes a system where philosophers governed the city by virtue of their wisdom even as auxiliaries, soldiers, occupied themselves with the defense of the city as producers worked at economic sustenance.[footnoteRef:2] It is equally important to realize that, like Aristotle, Plato was concerned about the nature of social contracts and the binding principles that determined both relationships and conflict resolution between parties. He defined justice as “To do one’s own business and not to be a busybody is justice”[footnoteRef:3] and like the French philosopher Rousseau, saw justice as the equitable division and protection of wealth. Thucydides, more known for his role in historical accounting than political thinking, also offers us a glimpse at the evolution of Greek philosophy on politics. In Pericles’ Funeral Oration, Athenians laud their political system by claiming it the best system for not only political conquest and war, but also social management. We read, “It is true that we are called a democracy, for the administration is in the hands of the many and not of the few. But while there exists equal justice to all and alike in their private disputes, the claim of excellence is also recognized; and when a citizen is in any way distinguished, he is preferred to the public service, not as a matter of privilege, but as the reward of merit.”[footnoteRef:4] Today, in countries like America, Britain, France and much of the world that has adopted legal and political measures from the Greeks, we celebrate the myriad legal reforms and checks and balances aimed at preserving the unity of communities and states. We owe these developments to thinkers like Solon whose economic and political reforms established the merits by which citizenship was established.[footnoteRef:5] French in “The Economic background to Solon’s Reforms” notes that among the agrarian reforms Solon devised, different classes existed within society such that each possessed different protections and privileges under the law as citizens or members of society.[footnoteRef:6] Most political systems today do not hold to stratified social classes; the French did away with the
  • 12. notion of superior classes of individuals and the rest of the world followed. Nevertheless, we still celebrate Solon for the way his reforms introduced a way to manage factional interests – much like the factions that arose in the wake of the American Revolution – such that it was possible to cater for the ambitions and interests of majorities and powerful factions even as the needs and requirements of the weaker, minority factions were preserved. [1: Aristotle, Nicomachean Ethics, (Indianapolis, Hackett Publishing Company), 13.] [2: Aristotle, Nicomachean Ethics, 13.] [3: Thucydides, Pericles Funeral Oration, (Minneapolis, University of Minnesota Human Rights Lbrary), 1.] [4: Thucydides, Pericles` Funeral Oration.] [5: Economou, Emmanouil M. L., and Nicholas C. Kyriazis. "The emergence and the evolution of property rights in ancient Greece." Journal of Institutional Econommics (Cambridge, Cambridge Univeristy Press) 13 (1) offers insight into the various agrarian, social, economic and political difficulties faced by the early Greek cities and the methods developed to deal with emergent tyrants and other political factors] [6: A. French, “The Economic Background to Solon`s Reforms” The Classical Quarterly, Vol. 6, Issue 1/2. pp. 15] Annotated Bibliography Aristotle. 2000. Nicomachean Ethics. 2. Translated by Terence Irwin. Indianapolis: Hackett Publishing Company. Aristotle was a major and influential Greek philosopher celebrated for his works on philosophy, society and politics. The reason we include him in the research concerns his thinking on the connection between morality and politics considering our question on the merits of Greek political thinking. In principle, Aristotle’s works revolved around the management of social systems, but his importance comes in through the way he connects the different aspects of life such as property ownership, marriage, legal systems and others by describing them as political subjects.
  • 13. Economou, Emmanouil M. L., and Nicholas C. Kyriazis. 2017. "The emergence and the evolution of property rights in ancient Greece." Journal of Institutional Econommics (Cambridge Univeristy Press) 13 (1) Source traces the relevant emergence and evolution of the Greek period. It analyzes the different economic structures and property rights attendant to and protected under acknowledged law. It describes the different economic times of the classical Greek period and how the influence of the government and democracy influenced the governance of the people. French, A. 1956. "The Economic Background to Solon`s Reforms." The Classical Quarterly (Cambridge University Press) 6 (1/2): 11 - 25. Solon’s political reforms may have placed a political burden on society by establishing a legal basis for the preservation and enhancement of certain political practices such as the social classes. However, French notes that the same legal reforms reinforced the protections under the law such that the more powerful members of society would be obstructed from taking advantage of political and social chaos to pursue selfish interests. This article`s worth is demonstrated for it distinguishes the dangers from uncertain political and legal systems encountering chaos. Additionally, it demonstrates the virtues of established and accepted legal systems as opposed to ad hoc law since long after Solon’s death, the Greeks retained aspects of his reforms in the governance of people. Plato. 2004. Republic. 3. Translated by C. D. C. Reeve. Indianapolis: Hackett Publishing Company. Like Aristotle, Plato was concerned with the way people lived. In many ways, the way a person lives is inextricably connected to the way society is governed. Plato’s value comes in the provision of a moral and ethical basis for the political system he envisioned. Moreover, in his writing we see elements of the meritocratic system of government currently practiced in China as well as the basis for the republican systems of government practices in Britain and America.
  • 14. Thucydides. 2017. "Thucydides, Pericles’ Funeral Oration." University of Minnesota: Human Rights Library. Edited by Richard Hooker. Thucydides value comes in his demonstration of the way the Ancient Athenians regarded their way of life. The justifications they offered for war and economic policies offers insight on the nature of political systems as an ethos aimed at distinguishing the unique qualities of a society. Incidentally, it also offers a confirmation of Solon’s political reforms for the Athenians inherited much of the political systems devised and perfected through the ages. Lastly, as a primary source on the social and political systems of the ancient Greeks, it offers a view into the political rhetoric used to re-affirm loyalty and obedience to the state since it allows us to perceive how the Athenians thought of their community and government. Bibliography Aristotle. 2000. Nicomachean Ethics. 2. Translated by Terence Irwin. Indianapolis: Hackett Publishing Company. Economou, Emmanouil M. L., and Nicholas C. Kyriazis. 2017. "The emergence and the evolution of property rights in ancient Greece." Journal of Institutional Econommics (Cambridge Univeristy Press) 13 (1): 53 - 77. Accessed October 25, 2018. https://doi.org/10.1017/S1744137416000205. French, A. 1956. "The Economic Background to Solon`s Reforms." The Classical Quarterly (Cambridge University Press) 6 (1/2): 11 - 25. Accessed October 26, 2018. https://www.jstor.org/stable/636962. Plato. 2004. Republic. 3. Translated by C. D. C. Reeve. Indianapolis: Hackett Publishing Company. Thucydides. 2017. "Thucydides, Pericles' Funeral Oration." University of Minnesota: Human Rights Library. Edited by Richard Hooker. April 24. Accessed October 27, 2018. http://hrlibrary.umn.edu/education/thucydides.html.