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Progress Notes Page 34 of 53

Weigh up the information- Yes Communicate the decision- Yes

Impression/Diagnosis:
Simon appears unwell. Symptoms unclear. Paranoia - possible auditory hallucinations.

Plan:

1. Requires further review of notes
2. Liaise Enfield council re plans for housing - ask Rosie for input________________________________________
Originator Details: 29 Oct 2018 12:41 Marilyn Cameron Therapy
Originally Entered By Details: 29 Oct 2018 12:45 Marilyn Cameron
Last Amended By Details: 29 Oct 2018 12:45 Marilyn Cameron Validated
By Details: 29 Oct 2018 12:45 Marilyn Cameron Significant: No Added
to Risk History: No
Contains Third Party Info: No Conceal From Client: Not Concealed
OT: Self pampering
11-12noon
Simon came into the session to introduce himself. He said he did not need to do anything as his family had brought him
in what he needed.

Originator Details: 29 Oct 2018 10:18 Maria Bruce Medical Originally
Entered By Details: 29 Oct 2018 10:18 Maria Bruce Last Amended By
Details: 01 Nov 2018 16:21 Maria Bruce Validated By Details: 01 Nov
2018 16:21 Maria Bruce Significant: No Added to Risk History: No
Contains Third Party Info: No Conceal From Client: Not Concealed
Dorset Ward - Chase Farm Hospital
Whiteboard meeting
CORDELL, Simon P (Mr)

Meeting today UDS

positive to THC

Plan:

1. Formulation meeting today ____________________________________________________________________
Originator Details: 29 Oct 2018 04:29 Bibi Khodabux Nursing
Originally Entered By Details: 29 Oct 2018 04:33 Bibi Khodabux Last
Amended By Details: 29 Oct 2018 04:35 Bibi Khodabux Validated By
Details: 29 Oct 2018 04:35 Bibi Khodabux Significant: No Added to
Risk History: No
Contains Third Party Info: No Conceal From Client: Not Concealed
1:1 with Simon who was agitated and blamed police for his admission. He was irritable and quite hostile. He was on the
phone to his relative, complaining about police and claimed to be falsely accused. Staff tried to reassure him and he
thanked staff for their support. He had pm ibuprofen. Has slept well at night.
At risk of confrontational behaviour and slow progress in his mental state due to poor compliance.
Nursed on general observation. ___________________________________________________________________
34

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