Page 1255 - 10. 2nd half 2018 New 26-05-21 No Table

MENTAL STATE: Simon has maintained a low profile. Remains relatively calm on the ward,
though still lack insight into his mental state.
SOCIAL INCLUSION: Interacting well with other peers and staff.
MEDICATION: - Not on any medication and no pm medication given PHYSICAL HEALTH: Nil
physical health concern.
INVESTIGATION: - Nil carried out today.
PERSONAL CARE & ACTIVITIES: Self caring which appears satisfactory.
RISK AND OBSERVATION: - Remains on general observation, no immediate risk identified.
LEAVE STATUS: He utilised his unescorted section 17 leave.

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The Doctor’s Folder / pub Book Issue: 1!
Stage 4
Folder 4
Originator Details: 08 Nov 2018
Last Amended by Details: 08 Nov 2018
Gifty Dadzie
Page Numbers: 13
Originator Details: 08 Nov 2018 17:48
Gifty Dadzie Nursing
Originally Entered by Details: 08 Nov 2018 17:43
Gifty Dadzie Last Amended by Details: 08 Nov 2018 17:48
Gifty Dadzie Validated by Details: 08 Nov 2018 17:48
Gifty Dadzie Significant: No Added to Risk
History: No
Contains Third Party Info: No Conceal
From Client: Not Concealed
MHA STATUS: Detained on section 2 of the MHA 1983 as amended 2007
MENTAL STATE: - Simon remains relatively calm on the ward. Seen interacting with staff and
peers.
He did not utilise his leave, he attended his tribunal and he unfortunately lost his tribunal.
Remains on section 2 of the mental health act.
SOCIAL INCLUSION: Simon did not utilise his section 17 leave,
INVESTIGATION: -Nil carried out today.
PHYSICAL HEALTH: Nil physical health concern. Ate and drunk adequately during meal times
MEDICATION: — Nil regular medication prescribed
PERSONAL CARE 6 ACTIVITIES: - Maintains good personal care.
RISK AND OBSERVATION LEVEL: Nursed on general observation.
LEAVE STATUS: He utilised his section 17 leave and returned to the ward.

8
The Doctor’s Folder / pub Book Issue: 1!
Stage 4
Folder 4
Originator Details: 08 Nov 2018
Last Amended by Details: 08 Nov 2018