| |
Problem
3.2
A
patient that was started on an antidepressant one week ago for
major depression has returned to your office for a follow-up visit.
You inquire about side effects and the patient replies, "My
stomach has been upset, and I've felt a little jittery."
The patient also completed a self-administered questionnaire in
the waiting room prior to seeing you (see Figure 3.1 below).
| Figure
3.1: Self-Administered Patient Questionnaire
|
|---|
| How
much have any of the following symptoms bothered you
in the past week? |
| Symptom
| Not
bothered at all
| Bothered
a little
| Bothered
a lot
|
|---|
| Gastrointestinal
|
|
|
|
|---|
| a.
Nausea |
|
|
X
|
| b.
Diarrhea |
|
X
|
|
| c.
Constipation |
X
|
|
|
| d.
Stomach Pain/Buring |
|
X
|
|
| e.Change
in Appetite |
|
X
|
|
| f.
Weight Gain |
X
|
|
|
| Sleep
|
|
|
|
|---|
| g.
Daytime Sleepiness |
X
|
|
|
| h.
Trouble Getting to Sleep |
|
|
X
|
| i.
Fatigue or Lack of Energy |
|
|
X
|
| Other
|
|
|
|
|---|
| j.
Dizziness |
|
X
|
|
| k.
Dry mouth |
X
|
|
|
| l.
Blurred Vision |
X
|
|
|
| m.
Headache |
|
|
X
|
| n.
Difficulty in Urinating |
X
|
|
|
| o.
Change in Sexual Function |
|
X
|
|
| p.
Anxious, Jumpy, Shaking |
|
|
X
|
| q.
Other |
Enter
Response
|
|
Question
3.2
| The
questionnaire results in Figure 3.1 confirm that the patient
has had substantially more side effects than admitted on direct
inquiry by the physician. |
 | True |
 | False |
|