INTEGRATED CARE Essay Example | Topics and Well Written Essays - 2500 words

INTEGRATED CARE - Essay Example After a few months X noticed changes in Ys behavior. Y would talk aloud as if there was some one else in the room, even when there was no one around. He constantly kept telling X that the other person was plotting to kill him and hence he gave him a severe warning. Y also had many false beliefs. Over a period of time, X noticed that though these symptoms were not there for some days and then they reappeared in a severe form. X also complained that Y stopped attending social functions and preferred to either stay alone or only mingle with his friends who give him company while consuming alcohol. Gradually, the symptoms worsened and on one day, she noticed that Y laughed when X got hurt badly. 5 years after marriage, X managed to convince Y to meet a psychiatrist. Though he was started on some medication, Y did not take the tablets properly and did not return for proper follow ups. X also mentioned that Y kept complaining of abdominal pain for about a month prior to admission. He had l ost weight and actually looked ill and tired. X and Y do not have children. At the time of admission, Y complained of headache and inability to sleep properly. He also complained of nausea. He had consumed alcohol about 18 hours prior to admission. Physical examination of Y revealed pallor, but no icterus. His blood pressures and pulses were within normal limits. He appeared restless and disinterested in the surroundings. Examination of the abdomen revealed tenderness in the epigastric and right hypochondriac region. Respiratory and cardiovascular examinations were unremarkable. He had mild tremors. Rest of the neurology evaluation was normal. A diagnosis of schizophrenia with alcohol abuse was made. Since Y suffered from multiple problems, an integrated care approach was used to treat him. The integrated care was delivered by a multidisciplinary team which included psychiatrist, physician, mental health nurse,