Page 1281 - 10. 2nd half 2018 New 26-05-21 No Table

Originator Details: 11 Nov 2018
Last Amended by Details: 11 Nov 2018
Daizzy Annan
Page Numbers: 9 + 10
Originator Details: 11 Nov 2018
Last Amended by Details: 11 Nov 2018
Daizzy Annan
10
MHA STATUS Detained under Section 2of the MHA
MENTAL STATE Simon spent most of his time in his room using his computer. He only
came out of his room when he wants his demand to be met.
He appeared calm in mood and fairly settled in presentation.
However, when conversation was initiated, he reported that he doesn't know why we
are still keeping him in hospital. Explanation given but Still lack insight into his mental
state.
SOCIAL INCLUSION Minimal interaction with both staff and peers.
INVESTIGATION Nil
PHYSICAL HEALTH Nil reported and observed. Good dietary and fluid taken.
MEDICATION Nil medication due.
PERSONAL CARE & ACTIVITIES Self-care appeared satisfactory. Nil activity.
RISK AND OBSERVATION LEVEL Unpredictable behaviour. Nursed on general
observation.
LEAVE STATUS - Nil Section 17 leave but can go to the garden for fresh air.

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• The Doctor’s Folder / pub Book Issue: 1!
Stage 4
Folder 4
Originator Details: 11 Nov 2018
Last Amended by Details: 11 Nov 2018
Fungai Nembaware
Page Numbers: 10
Mental State Simon appeared calm in mood and relatively settled in his mental state and
calm in mood. He kept mostly to his bed space, utilising his computer. He interacted
selectively with peers and although he kept a low profile mostly. He interacted
appropriately with staff. Slept well after night snacks, no management issues.
Physical Health Nil reported or observed.
Medication Concordant with his prescribed medication.
Personal Care and Activities Adequate personal hygiene.
Risks and Observation Level Nil new risk identified during this shift.
MH Status Currently on S2.
Leave No S17 leave.

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