Page 1114 - 10. 2nd half 2018 New 26-05-21 No Table

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The Doctor’s Folder / pub Book Issue: 1!
Stage 4
Folder 4
Originator Details: 28 Oct 2018
Last Amended by Details: 28 Oct 2018
Simon Tsenuokpor
Page Numbers: 35
Originator Details: 28 Oct 2018 06: 44
Simon Tsenuokpor Nursing
Originally Entered by Details: 28 Oct 2018 06:43
Simon Tsenuokpor Last Amended by Details: 28 Oct 2018 06: 44
Simon Tsenuokpor Validated by Details: 28 Oct 2018 06:44
Simon Tsenuokpor Significant: No Added to Risk
History: No
Contains Third Party Info: No Conceal
From Client: Not Concealed
MHA Status: Sec 2
Mental State: Presented as polite, calm and stable in mental state. He was observed to be
keeping to self in his bed space. He denies any thoughts of self-harm, suicidal ideation or
thoughts to harm others.
Social Inclusion: Minimal interaction with staff and peers, however pleasant on approach
Investigation: Nil on the shift
Physical Health: Nil complained or observed on the shift. Had hot drink and snack and
retired to bed and appears to have slept well.
Medication: He is not on any prescribed medication on the shift.
Personal Care and Activities: Appears satisfactory and was observed watching tv
Risk and observation Level: Nil observed to self or others on the shift. He is nursed on
general observations.
Leave Status: No leave at the moment

Si Note:
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2

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Summary!

Disrepair!

Time Spent Building;