Page 338 - tmp

Progress Notes Page 36 of 53

MHA Status: Informal
Mental State: Simon appeared fairly settled in presentation. During my interaction with him it was difficult to follow
his train of thoughts, as he was jumping from one topic to another. During the hourly check, Staff perceive a smell like
cannabis in his room. When staff enquire from him he denied.

Social Inclusion: Seen in the lounge and was observed interacting with his peers.
Medication: Nil due during the shift.
Physical Health: Nil reported or observed. Had hot chocolate and toast Investigation: Nil

Personal Hygiene and Activities: Self-care appeared satisfactory. Nil activity.
Risk and Observation: Unpredictable behaviour. Nursed on general observations
Leave: Nil leave but can go to the garden for fresh air. ___________________________________________________
Originator Details: 26 Oct 2018 17:27 Miss Bejal Nandha Nursing Originally Entered By
Details: 26 Oct 2018 17:27 Miss Bejal Nandha Last Amended By Details: 26 Oct 2018 17:27
Miss Bejal Nandha Validated By Details: 26 Oct 2018 17:27 Miss Bejal Nandha Significant:
No Added to Risk History: No
Contains Third Party Info: No Conceal From Client: Not Concealed
Simon Cordell - in the morning Simon asked for forms to complete and send for tribunal meeting. He was reminded he
could appeal against his section in which case we could provide him with a list of solicitors. Simon told staff he did not
need anyone to represent him, he can do this by himself, he said he knows the law inside out. He presented elated in
mood and grandiose. Mother and uncle visited him. Lacks insight into his mental state.
UDS - positive to THC, negative to all other substances.
Personal hygiene is poor. Did not take part in OT group. Observed in bedroom using his electronic devices.

Nursed on general observation. Has his blood test done today.
Eating and drinking adequately. _______________________________________________________________________
Originator Details: 26 Oct 2018 15:09 Debajyoti Choudhury Medical Originally Entered By
Details: 26 Oct 2018 15:11 Debajyoti Choudhury Last Amended By Details: 26 Oct 2018 15:11
Debajyoti Choudhury Validated By Details: (UNVALIDATED)
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
36