Page 1498 - 6. 2016 Diary 1st half New 26-05-21 No Table

stage is antipsychotic medications as was stated at our first meeting. Mum says that
Simon will refuses to take these, and she denies that he is delusional or paranoid. Simon
continues to decline his antipsychotics as he does not think he needs them. We have
explained the signs and symptoms that Simon is exhibited warrants the use of
antipsychotics to prevent further deterioration in his physical and mental health. We have
explained that if Simon continues to refuse tablets the next stage would be an injection.
Simons mum asked about when or if he will be moved to another ward, we explained that
this depends on Simons progress and how long it takes to make a fuller assessment of his
needs. Simons mum was concerned with the lack of activities on the ward and she feels
this is contributing to his bad health, she says the only time there was an activity on the
ward was when the solicitor on the ward and she felt these two things were linked.

5
• The Doctor’s Folder / pub Book Issue: 5!
Stage 5
Folder 5
Originator Details: 22 Aug 2016
Last Amended by Details: 25 Aug 2016
Sonya Rudra
Page Numbers: 50
51
Dr Rudra (CT1 Psychiatry)
Fingers reviewed:
Continue to complain of lack of sensation in tip of right fourth finger. Reports no active
movement. Is convinced he has turned the ligaments. OE Small laceration, clean and dry.
Able to move passively. Complaining of pain in left little finger. Movement slightly
limited by pain. Finger is swollen at DIPJ. No warmth. Mildly tender to palpate. Full
range of passive movement. Imp - No improvement since Friday, however, has not been
wearing the finger strap. Emergency treatment not indicated currently. Plan Finger
strapped Simon will discuss with consultant in his next review whether he can have leave
for an XR as he says it is his right

6
• The Doctor’s Folder / pub Book Issue: 5!
Stage 5
Folder 5
Originator Details: 22 Aug 2016
Last Amended by Details: 25 Aug 2016
Sonya Rudra
Page Numbers: 51
WBM Haringey
Present: Dr Cranitch (consultant),
Dr Rudra (CT1),
Rosemary (ST4),
Dr. Mumford (FY2),
Fiona (psychotherapy placement),
Dayo (nurse),
Robin (admin),
Bessie (ward manager)