Page 1491 - 6. 2016 Diary 1st half New 26-05-21 No Table

Stage 5
Folder 5
Originator Details: 20 Aug 2016
Last Amended by Details: 20 Aug 2016
Angelliner Nassuna Nursing
Page Numbers: 53
CP1: Simon has presented mentally stable and calm in mood throughout the shift. Polite
in approach. Observed to be engaging well with fellow peers, spent the day playing music
on his laptop whilst in the tv lounge with peers also playing ward-based games. He
reported he cannot wait to go home as his missing hi partner and being home. He was
visited by mother and girlfriend this afternoon and they spent some time together in the
quite room.
CP2: Attended to his personal care. He ate and drank well. Utilised the garden to smoke
and relax.
CP5: His not on day medication.
Phoenix Wing Duty Dr Theresa Bacarese-Hamilton, CT3. Asked to chase blood results
however the lab noted the bloods had been taken On
18/08/16
and that the results should have been requested yesterday via the results line, which does
not run on the weekend. They reported his phosphate was slightly raised at 0.84 but said
all other results were within normal range. They advised the line needed to be kept free as
it is A&E emergency line and advised us to get the results on Monday via the results line.

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• The Doctor’s Folder / pub Book Issue: 5!
Stage 5
Folder 5
Originator Details: 20 Aug 2016
Daramola Last Amended by Details: 21 Aug 2016
Gabriel Daramola Nursing
Page Numbers: 53
Mental state: Simon appeared calm in mental state presentation at the start of the shift.
Spent quality time with others in the TV lounge and garden for fresh air.
Nutrition: No concern with food and fluid intake during the shift.
Medication: He was very difficult with compliant with his prescribed medication. He
refused the 5mg Olanzapine prescribed for him at night. He accepted taken 1mg
lorazepam after much persuasion but later came back to request for the names of both
medications prescribed for him. Half an hour later again, he came with complaint that he
might be having side effect from medication that was refused. He was reminded that he
never had the medication Olanzapine and he cannot have any side effect from what he did
not take. He went further to say, may be its from 1mg lorazepam but staff re-assured him
that he's not having any side effect but need to calm down and relax in his bed. He
eventually settled down and slept. Still sleeping at time of this entry.
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1
In St Ann’s Hospital
Getting held illegally: --