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Progress Notes Page 13 of 53

ENTRY BY: Lawrence Gina
MHA STATUS: On Section 2 of the MHA of 1983
MENTAL STATE: He Remains relatively calm and settled on the ward maintaining low profile, though still lack insight
into his mental state.
SOCIAL INCLUSION: Interacting well with other service users and staff.

MEDICATION: - Not on any medication at the moment
PHYSICAL HEALTH: Nil physical health concern . He was observed to have had adequate dietary and fluid intake

INVESTIGATION: - Nil carried out today .
PERSONAL CARE & ACTIVITIES: Self caring which appears satisfactory . There were no ward based activities by the OT
on this shift
RISK AND OBSERVATION:-- None identify with him or other. Remains on general observation.
LEAVE STATUS :He has section 17 leave __________________________________________________________________
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 . ______________________
Originator Details: 08 Nov 2018 15:03 Lisa Brady Social Worker Originally Entered By Details:
08 Nov 2018 15:04 Lisa Brady Last Amended By Details: 08 Nov 2018 15:04 Lisa Brady Validated
By Details: 08 Nov 2018 15:04 Lisa Brady Significant: No Added to Risk History: No
Contains Third Party Info: No Conceal From Client: Not Concealed
Enfield FICS
Dr Tim Rogers has contacted Dr Jonathan Greensides - await update ___________________________
Originator Details: 08 Nov 2018 13:05 Maria Bruce Medical Originally Entered By Details:
08 Nov 2018 13:05 Maria Bruce Last Amended By Details: 04 Dec 2018 16:03 Maria Bruce Validated
By Details: 04 Dec 2018 16:03 Maria Bruce Significant: No Added to Risk History: No
Contains Third Party Info: No Conceal From Client: Not Concealed

https://rio.beh-mht.cse.thirdparty.nhs.uk/rio/Reports/RiOReports.asp 08/01/2019
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