Page 1705 - 6. 2016 Diary 1st half New 26-05-21 No Table

- Admitted to A+E in 2012 for assessment after allegedly using LSD and drinking a
bottle of rum at a festival.
- Mr Cordell reports that he has not taken any illicit substances recently, has used
cannabis occasionally in the past ‘recreationally’. Mr Cordell denies alcohol consumption or
any drug use recently.
- Unfortunately, I have been unable to find record of a urine drug screen since
admission to hospital.
12. Social History
- Mr Cordell lives alone in a 1-bedroom flat which he says he owns
- outright. Mrs Cordell lives nearby and provides support to Mr Cordell. There are also
siblings and other extended family that live in the local area.
13. Progress on the ward
- 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.
- 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.
- 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.
785,
- 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 injury
iri
to 5 finger.
- 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.
- 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.
- 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.
- 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.
- 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