Page 1225 - 10. 2nd half 2018 New 26-05-21 No Table

Last Amended by Details: 07 Nov 2018
Bibi Khodabux
Page Numbers: 15 + 16
15
Originator Details: 07 Nov 2018 07:02
Bibi Khodabux Nursing
Originally Entered by Details: 07 Nov 2018 07:14
Bibi Khodabux Last Amended by Details: 07 Nov 2018 07:30
Bibi Khodabux Validated by Details: 07 Nov 2018 07:30
Bibi Khodabux Significant: No Added to Risk
History: No
Contains Third Party Info: No Conceal
From Client: Not Concealed
16
MHA STATUS: Section 2
MENTAL STATE: 1:1 with Simon who is preoccupied with his tribunal hearing. He was
insisting that he is being framed for something he did not do. He said he has his mother’s
support. He denied being paranoid against his neighbours. He insists he is innocent and has
no mental illness. He has no insight. Reassurances and support offered by staff by
attempting to explain that he is being offered help, treatment for his condition and not
being accused of any crime.
SOCIAL INCLUSION: Mostly on his computer in his room during the shift is
INVESTIGATION: None carried out.
PHYSICAL HEALTH: He did not report any problem.
He ate and drank well.
MEDICATION: Not on regular medication.
PERSONAL CARE 6 ACTIVITIES: Is satisfactory, he interacted with fellow patients.
RISK AND OBSERVATION LEVEL: Of slow progress in his mental state.
To others on the ward is low.
On general observation.
LEAVE: Granted section 17 leave.
Has slept well.

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