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Progress Notes Page 28 of 53

MHA Status: Sec 2
Mental State: Presented as polite, calm and stable in mental state. He was observed to be keeping to self in his bed
space mostly watching tv

Social Inclusion: Selectively interacts with other peers and staff. His mother visited Investigation: Nil on the shift
Physical Health: Nil reported or observed on the shift. He had hot drink and snack and appeared to have slept well
Medication: Simon is not on any night medication
Personal Care and Activities: Appears satisfactory and was observed watching television.

Risk and observation Level: Nil observed to self or others on the shift. He is nursed on general observations.
Leave Status: No leave at the moment
Originator Details: 30 Oct 2018 17:21 Emma Moseley Nursing - Nursing Student
Originally Entered By Details: 30 Oct 2018 17:21 Emma Moseley
Last Amended By Details: 30 Oct 2018 17:26 Emma Moseley
Validated By Details: 30 Oct 2018 17:26 Emma Moseley
Significant: No Added to Risk History: No
Contains Third Party Info: No Conceal From Client: Not Concealed MHA Status: Sec 2

Mental State: Simon has spent most of the shift in his room. Preoccupied with his website and how he is being set up,
by police. He stated that he was not delusional or paranoid as he had evidence to prove he wasn't.

Social Inclusion: Some interaction with selected peers, minimal with staff.
Investigation: Nil on the shift

Physical Health: No reported or observed.
Medication: Not on medication
Personal Care and Activities: Good personal hygiene
Risk and observation Level: Nil observed to self or others on the shift. He is nursed on general observations.

Leave Status: Not currently granted any leave.
Originator Details: 30 Oct 2018 16:42 Dr Timothy Rogers Medical Originally Entered By Details:
30 Oct 2018 16:42 Dr Timothy Rogers Last Amended By Details: 30 Oct 2018 16:42 Dr Timothy
Rogers Validated By Details: 30 Oct 2018 16:42 Dr Timothy Rogers 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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