Page 1284 - 10. 2nd half 2018 New 26-05-21 No Table
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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.
4
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
Originator Details: 11 Nov 2018 04:28
Fungai Nembaware Nursing
Originally Entered by Details:11 Nov 2018 04:34
Fungai Nembaware Last Amended by Details: 11 Nov 2018 04:34
Fungai Nembaware Validated by Details: (UNVALIDATED)
Significant: No Added to Risk
History: No
Contains Third Party Info: No Conceal
From Client: Not Concealed
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.
Si Note:
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2
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