Page 1486 - 6. 2016 Diary 1st half New 26-05-21 No Table

Went to see Simon to explain changes to medication. Explained that we will prescribe
lorazepam only at night for now as he does not want to take it during the day. I have
explained that the consultant Dr Cranitch would like him to be started on 5mg olanzapine.
The patient was unhappy about this and said he will not take the medication as he does
not think he needs it. I have explained that despite this we will still prescribe it and offer
it to him if he would like to take it. I have explained that it will be beneficial to improving
his mental health.

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Stage 5
Folder 5
Originator Details: 19 Aug 2016
Last Amended by Details: 25 Aug 2016
Sonya Rudra Medical
Page Numbers:54 + 55
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Notes
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WBM Haringey Ward
Dr Humphries (ST6),
Dr Rudra (CT1),
Dr Mumford (FY2),
Theo (nurse in charge),
Tracey (staff nurse),
Robin (ward admin),
Bessie (ward manager)
Nursing feedback Background reviewed. Refused clonazepam last night as wanted
lorazepam. Had his ECG yesterday. Mother had reactions against injections. Plan
Prescribe lorazepam at night and PRN Offer olanzipine 5mg at night, if not taking then
review next week and consider to be given IM - inform patient Allocation of CCO
requested

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• The Doctor’s Folder / pub Book Issue: 5!
Stage 5
Folder 5
Originator Details: 19 Aug 2016
Last Amended by Details: 19 Aug 2016
Iloabuchi Chukwunweike
Page Numbers:55
Simon presented as fairly settled and calm in mood. He spent time socialising with fellow
service users within the communal area, played music with his laptop and made quite a
few phone calls thereafter. He had snacks and hot drink during teatime. However, he
refused his night medication as prescribed. Retired to bed and appears to have slept from
midnight.

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