Page 1604 - 6. 2016 Diary 1st half New 26-05-21 No Table

13.1 15/8/16 Upon admission to Haringey assessment ward, Mr Cordell was clerked in by
the _SHO, who documented that Mr Cordell presented as irritable, with pressured speech,
tangential thought patterns, appeared elated and spoke of several projects of a grandiose
nature including his business in the entertainment industry, buying speakers for £50,000
and hiring them to Glastonbury. Mr Cordell described owning a 'city' and that it is 'his job
to understand the various roles people have in society so that he can look after people.
13.2 16/8/16 Mr Cordell refused routine blood tests, physical exam and ECG on the ground
that he treats his body like a temple. Mr Cordell was documented as appearing settled and
calm on the ward, eating and drinking well.
13.3 17/8/16 72-hour CPA review - Mr Cordell presented with rapid speech, often talking
about unrelated themes, and stated he felt he was being persecuted. Mr Cordell became
irate shouting at his mother, angry that she has not appealed his section. Mr Cordell
presented with paranoid persecutory and grandiose delusions with tangential thought
pattern, no insight into mental health. It was agreed by the team to commence regular
1mg lorazepam bd.
730,
13.4 18/8/16 little change in presentation, generally calm on the ward however quick to
become agitated during interaction with staff, can be unpredictable. Refused prescribed
lorazepam. Consented to physical exam, bloods and ECG by SHO who also reviewed
iri
injury to 5 finger.
13.5 19/8/16 Presented as fairly settled and calm in mood, continued to refuse medication
as prescribed. Discussed this with Dr Humphries and agreed to take night-time dose of
lorazepam, which he subsequently did with lots of reassurance from staff.
13.6 20/8/18 Presented as calm in mood, polite and appropriate with peers, spent the day
playing music on laptop with peers. Ate and drank well, attended to personal care.
13.7 21/8/16 Calm, slept well, accepted lorazepam as prescribed at night, however, refused
olanzapine 5mg. Further discussion with nursing staff to explore his feelings about this,
however Mr Cordell told staff that he had been recording the interaction on his phone and
taking pictures. Complained of painful finger, accepted PRN ibuprofen.
13.8 13 8.22/8/16 Nursing notes describe Mr Cordell as quite settled however remains
consumed with same preoccupations which he relates with pressured, uninterruptible
speech, preoccupied with proving that he was wrongfully admitted to hospital. Otherwise
interacting with peers appropriately, accepted 1mg lorazepam as prescribed, refused
olanzapine.
13.9 23/8/16 Consultant review by Dr Cranitch and MDT, during the interview Mr Cordell
spoke with pressure of speech, in an over inclusive and tangential fashion, largely
preoccupied with injustices in the past particularly by the police which made it difficult
for him to focus on the present. He also expressed rather grandiose plans about his
business and his ability to help others in the world. Mr Cordell denied any thoughts or
threats to harm others and stated that he did not feel he was mentally unwell at present.
Mr Cordell however agreed to trial a small dose of olanzapine 5mg at night as
recommended by Dr Cranitch for psychotic symptoms.
13.10 24/8/16 Mr Cordell has accepted his prescribed medication overnight and slept well.
14. Current Medication
14.1 Lorazepam 1mg nocte
14.2 Olanzapine 5mg nocte
15. Most Recent Mental State Examination (04/08/16)
731,
15.1 Appearance and Behaviour –