Page 348 - tmp

Progress Notes
Page 46 of 53

Paranoid delusions about the police and MH services and some grandiose delusions noted.

No perceptual abnormalities noted.
Orientated to TPP
Lacks insight, does not believe he has a MH condition and not willing to engage with services historically or currently.
Unlikely to take medication willingly.

Risk:
No risk to self-identified.
Risk of physical and verbal aggression towards others noted. This in turn, increases risk of others retaliating,
therefore harm towards Simon.
Impression:
Simon is a 37-year-old who has a background of a psychotic disorder. He presents with a deterioration in his mental
state, with manic and psychotic symptoms.

Plan
1) Urine drug screen

2) Bloods in morning
3) Collateral history would be beneficial

Originator Details: 25 Oct 2018 23:19 Daizzy Annan Nursing Originally Entered By Details:
25 Oct 2018 23:19 Daizzy Annan Last Amended By Details: 26 Oct 2018 03:37 Daizzy Annan
Validated By Details: 26 Oct 2018 03:37 Daizzy Annan 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
46