Page 1559 - 6. 2016 Diary 1st half New 26-05-21 No Table

Originator Details: 27 Aug 2016 14:33
Angelliner Nassuna Nursing
Originally Entered by Details: 27 Aug 2016 14:34
Angelliner Nassuna Last Amended by Details: 27 Aug 2016 16:50
Tracey Jordan Validated by Details: (UNVALIDATED)
Significant: No Added to Risk
History: No
Contains Third Party Info: No Conceal
From Client: Not Concealed
Contacted HTT to refer Simon, they informed me to call back in 30mins as they were out
carrying out an assessment.

7
The Doctor’s Folder / pub Book Issue: 5!
Stage 5
Folder 5
Originator Details: 27 Aug 2016
Last Amended by Details: 27 Aug 2016
Neli Avramova Medical
Page Numbers: 39
39
Originator Details: 27 Aug 2016 13:27
Neli Avramova Medical
Originally Entered by Details: 27 Aug 2016 13:46
Neli Avramova Last Amended by Details: 27 Aug 2016 13:46
Neli Avramova Validated by Details: 27 Aug 2016 13:46
Neli Avramova Significant: No Added to Risk
History: No
Contains Third Party Info: No Conceal
From Client: Not Concealed
40
ATSP, asking to self-discharge Hx and BG noted.
Handover from ward doctor received and advised that pt is not detainable unless presentation
massively changed.
Simon is keen to be discharged today, he wants to visit his civil partner, take his dog out for a
walk and "get back to normal". He also intends to go to AED for. CXR of his distal phalange
of L small finger which he believes to be broken following an accident on the ward - slipped
in the bathroom. Advised by staff that this was examined by duty doctor and it was felt it is
unlikely to be a fracture. He admits that he has benefited from his stay on the ward but feels
that no further IP stay is necessary as he would feel much more comfortable at home. He
initially suggested to go home today, stay overnight and return to the ward. The plan from the
day team was for pt to go out on escorted leave with staff and then gradually increase his
leave and let him go out alone. He refused going out with staff due to "embarrassment" of
walking with staff if he is seen by his neighbours/friends.
I asked if he would be happy to be visited by HTT at home on discharge and he agreed. He
confirmed he is happy to take his meds and to engage with HTT.
He denied any suicidal thoughts or thoughts of self-harm, denied thoughts of harming others.
Denied any hallucinatory experiences.
MSE