Page 1259 - 10. 2nd half 2018 New 26-05-21 No Table

Simon is nursed in a safe environment. He has been encouraged to approach staff to
discuss his feelings. A therapeutic outlet has been provided for him to ventilate his
feelings.
3. He has been offered 1:1
• session with staff on each shift to discuss his care plan and also to gain his cooperation
and to get him involved in his treatment. He was encouraged to get involved in his care
plan and discuss his views. Staff encouraged him to gain insight so that he would engage.
• Staff initiated establishing rapport with him which has gradually improved.
• He has politely declined to attend occupational therapy sessions on the ward. He is
currently nursed on general observation.
• Nursing report for inpatient
(Reports for MHA Hearings Policy v5.0 - Appendix H)
2228,
Si-Bibi-Khodabux-08-11-2018.pdf
Barnet, Enfield, and Haringey CTJH
Mental Health NHS Trust
4. Current medication
He is currently on no regular medication
He is on PRN Lorazepam Maximum 4 mg in 24 hours.
Paracetamol PRN 1g 4-6 hourly.
Ibuprofen 400 mg Maximum TDS in 24 hours
5. Contact with others
He interacts well with fellow patients and staff on the ward.
He has been leaving the ward to proceed on unescorted section 17 leave and he
complied with it.
His mother and uncle visited him on the ward and observed to have interacted well with
them.
6. Progress on the ward-
On admission he presented with challenging behaviour, intermittently agitated, hostile,
argumentative, and demanding to leave the ward but did not make any physical attempt
to leave. He has now. calmed down but there is limited progress in his mental state.
He has no insight and complains of being wrongfully detained.
He states that there is a conspiracy by the police and mental health services that are all
out to get him. He claims to have set up a website with details, videos, and recordings.
7. During 1:1
with Simon he appears preoccupied with talking about his websites
He states he has several businesses that the police have tried to stop.
He is eating and drinking well.
He has limited insight.
He attends to his personal care which has improved.
He socialises with other patients and staff on the ward.
He engages willingly with staffs.
8. Incidents
There is no report of any incidents on the ward.
9. Risk
At present risk to self is low. He did not express any thoughts of self-harm.