Page 1501 - 6. 2016 Diary 1st half New 26-05-21 No Table

From Client: Not Concealed
Dr Mumford
Dr Mills
Conversation with Simons mother Explained current treatment plan and mental state. Agreed
Simon is taking the lorazepam however it has not made any notable change to his mental
state. Explained that the next 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 more - full 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
50
Originator Details: 22 Aug 2016 12:27
Sonya Rudra Medical
Originally Entered by Details: 22 Aug 2016 12:31
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
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