Page 1483 - 6. 2016 Diary 1st half New 26-05-21 No Table

Stage 5
Folder 5
Originator Details: 18 Aug 2016
Last Amended by Details: 25 Aug 2016
Sonya Rudra Medical
Page Numbers:56
56
Originator Details: 18 Aug 2016 09:12
Sonya Rudra Medical
Originally Entered by Details: 18 Aug 2016 09:12
Sonya Rudra Last Amended by Details: 25 Aug 2016 12:43
Sonya Rudra Validated by Details: 25 Aug 2016 12:43
Sonya Rudra Significant: No Added to Risk
History: No
Contains Third Party Info: No Conceal
From Client: Not Concealed
57
WBM Haringey Ward
Present: Dr Rudra (CT1), Dr Mumford (FY2), Folake (staff nurse), Herine (staff nurse) James
(student nurse), Robin (ward admin)
No changes, still refusing lorazepam - says it will make him drowsy for his court case.
Unhappy about being on the ward. Says he does not like the water. Says he has abdominal
pain. Complaining about the pain.
Ensure he has given information about his medication Encourage oral tablets. Consider depot
Physical, bloods, ECG

8
The Doctor’s Folder / pub Book Issue: 5!
Stage 5
Folder 5
Originator Details: 18 Aug 2016
Last Amended by Details: 18 Aug 2016
Titilayo Alimi Nursing
Page Numbers:57
Originator Details: 18 Aug 2016 06:00
Titilayo Alimi Nursing
Originally Entered by Details: 18 Aug 2016 06:05
Titilayo Alimi Last Amended by Details: 18 Aug 2016 06:05
Titilayo Alimi Validated by Details: 18 Aug 2016 06:05
Titilayo Alimi Significant: No Added to Risk
History: No
Contains Third Party Info: No Conceal
From Client: Not Concealed
72 Hours: Nocte report:
Simon appeared fairly calm during the early part of the night shift, was observed using his
laptop in his bed area and seems to be keeping to himself. He had night snacks and hot drinks
during refreshment period. He refused his newly prescribed night medication and appeared to
have slept fairly well through the night.

Si Note: