I wondered why they wished to meet the physician in this department, as they both "looked" normal to me. I was present in the physician's consulting room when they arrived. He made them comfortable and then slowly ventured to the actual problem. Tim added that Annie was hesitant to go to a physician at first, as she did not think she had any mood swings at all. But Tim persuaded her to just accompany him. The other symptoms were noticed by Tim, and hence he had planned this visit.
The physician thought it fit to perform certain medical examinations and selected investigations for Annie, before diagnosing a major depressive disorder. All the above symptoms were the same as that of clinical depression, which Annie might be suffering from, but these tests were necessary to rule out a medical illness.
As expected, all the above tests had normal results. So any medical cause was ruled out. All this while, I had been observing Annie. She actually seemed to be just like any other woman you see on the road, but sometimes she suddenly became hyper and had a violent streak in her. I discussed about this with the physician, and I suggested that this case should be referred to a Psychologist. It would be better to handle this case in an interdisciplinary health care team comprising myself, a nurse, a psychologist, an occupational therapist and a social worker, if need be.
I checked the schedule of the interdisciplinary team member...
I discussed about this with the physician, and I suggested that this case should be referred to a Psychologist. It would be better to handle this case in an interdisciplinary health care team comprising myself, a nurse, a psychologist, an occupational therapist and a social worker, if need be.
I checked the schedule of the interdisciplinary team members and requested for a meeting with the psychologist and occupational therapist. I also sent a formal request for a meeting to both the doctors prior to this. I had prepared myself with all the relevant details of Annie's case, and had put down my questions on paper. I carried a file containing the information of the symptoms and physical examination reports of Annie, so that it would be easy for the consultants to decide on the further course of action. (Ackley and Ladwig, 376)
The requirement of interdisciplinary medical help was posted to all concerned. All concerned departments were informed officially that there help is needed in dealing with this particular patient. In the meeting, we discussed the possibilities that Annie could be suffering from, in an informal way. At this stage it is important to point out that interdisciplinary care was a must for this patient.
As a nurse I had not only to look after the administrative issues but also needed to worry about the patient's health as well as coordinating activities to make sure she got all the right things at right places. (Katz, Carter, Bishop and Krayits, 54) Now we had a resourceful health care team, including the psychologist, occupational therapist and me, a nurse, and all of us were focused on Annie. I handed over the copies of Annie's documents to each one present, so that they could have a reference. The psychologist then