Page 1102 - 10. 2nd half 2018 New 26-05-21 No Table

Denies thoughts or plans to hurt others. Has clearly documented history of aggressive
behaviour and currently elated.
From others - low/moderate at risk of reciprocal aggression
Physical examination:
Comfortable at rest
Nil abdo/chest/msk pain reported
HS I+11+0, pulse regular, CRT <3s
Chest chear, L=R, nil wheeze or cough
Abdomen SNT, bowel sound present
Neurology intact, normal power, normal gait
CN1-12 intact, PEARL
Obs last night BP 130/74, Temp.36.6, Sat 97% Res. 17, Pulse 86, BM. 6.0 Weight 78.4 Kg,
Height 179.0cm - BMI 24.5 ECG: NSR 88bpm QTc 440ms
Impression:
Evidence of grandiose delusions and elated mood. In view of long-term symptoms this is
most likely consistent with a Schizoaffective disorder. Does not currently have capacity for
treatment or admission.
41
Plan:
1. Formulation meeting on Monday 29/10
2. Review on Monday and /consider starting antipsychotics
3. Chase blood results
4. Upload ECG on Rio
5. PRN Lorazepam

10
The Doctor’s Folder / pub Book Issue: 1!
Stage 4
Folder 4
Originator Details: 26 Oct 2018
Daniel Dwomoh Nursing
Last Amended by Details: 26 Oct 2018
Page Numbers: 41
Originator Details: 26 Oct 2018 13:19
Daniel Dwomoh Nursing
Originally Entered by Details: 26 Oct 2018 13:52
Daniel Dwomoh Last Amended by Details: 26 Oct 2018 14:18
Daniel Dwomoh Validated by Details: 26 Oct 2018 14:18
Daniel Dwomoh Significant: No Added to Risk
History: No
Contains Third Party Info: No Conceal
From Client: Not Concealed
MEETING WITH LORRAINE CORDELL (MOTHER) AND ANDREW CORDELL (UNCLE)
I had a meeting with Simon's mother and uncle. They demanded copies of the detention
papers. They were disputing the reasons for detention and more importantly the phrase