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Progress Notes Page 35 of 53

Originator Details: 28 Oct 2018 18:47 Emma Moseley Nursing - Nursing Student Originally
Entered By Details: 28 Oct 2018 18:55 Emma Moseley Last Amended By Details: 28 Oct 2018 18:55
Emma Moseley Validated By Details: (UNVALIDATED)
Significant: No Added to Risk History: No
Contains Third Party Info: No Conceal From Client: Not Concealed MHA Status: Sec 2

Mental State: Spent most of his time in the room. Spoke to staff in depth about his beliefs about his neighbours and
previous admission in hospitals and police investigations. He stated that he beliefs that they are out to get him and that
there is a conspiracy theory that they are all out to get him. He has set up a website with details, videos and
recordings.
Social Inclusion: Some interaction with peers in the lounge area.
Investigation: Nil on the shift
Physical Health: Nil complained or observed on the shift. Observed eating and drinking adequately.

Medication: Took medication as prescribed.

Personal Care and Activities: Observed to have good personal hygiene
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: 28 Oct 2018 06:44 Simon Tsenuokpor Nursing Originally Entered By Details:
28 Oct 2018 06:43 Simon Tsenuokpor Last Amended By Details: 28 Oct 2018 06:44 Simon Tsenuokpor
Validated By Details: 28 Oct 2018 06:44 Simon Tsenuokpor Significant: No Added to Risk
History: No
Contains Third Party Info: No Conceal From Client: Not Concealed 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. He denies any thoughts of self-harm, suicidal ideation or thoughts to harm others.
Social Inclusion: Minimal interaction with staff and peers, however pleasant on approach
Investigation: Nil on the shift
Physical Health: Nil complained or observed on the shift. Had hot drink and snack and retired to bed and appears to
have slept well.
Medication: He is not on any prescribed medication on the shift .

Personal Care and Activities: Appears satisfactory and was observed watching tv

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: 27 Oct 2018 06:19 Daizzy Annan Nursing Originally Entered By Details:
27 Oct 2018 06:34 Daizzy Annan Last Amended By Details: 27 Oct 2018 06:34 Daizzy Annan
Validated By Details: 27 Oct 2018 06:34 Daizzy Annan Significant: No Added to Risk History:
No
Contains Third Party Info: No Conceal From Client: Not Concealed

35

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