The Aim of this report is to provide an update on Mr wingfield ‘s progress since he was admitted to Hospital he was admitted in January 2009 and transferred to Maple ward October 2014 The information contained herein is past history the knowledge of wingfield’s primary Nurse. He has a diagnosis of treatment resistant schizophrenia, Mr wingfield currently detained under section 3 of the mental health Act 1983.
Brief Background History
Mr wingfield is of British parentage. He was born and brought up in working. He lived with his parents and siblings and had a normal delivery at birth. However For three years he worked as an industrial cleaner. At 19 his mother evicted him from the house and he moved to Chertsey in a flat for the next six years he then went into bed and breakfast accommodation before entering a hostel for a year, therefore throughout this period there was no contact with is siblings Mr wingfield sister is registered with Surrey’s mental health services. Mr Alan Wingfield diagnosed with paranoid schizophrenia in 1996 and he did not comply with his medication requirements and was admitted to Abraham Crowley unit but absconded to live with friend, under section 47 /49 he was transferred to Oaktree clinic, he then moved to the Woking area having various types of hostel accommodation under section 136 of the mental health Act 1983 ,he was picked up by the police being homeless in addition to that his currents section dates back to 2007.
Circumstances leading to current admission
Mr Wingfield has had a history of alcohol abuse and cannabis use. He was presented to psychiatric services being induced by LSD in the past, Mr wingfield has violent incidents such as unpredictable behaviour and also threatening verbally towards others, at one point set fire to a sofa which resulted in significant damage to the caravan. He was charged with arson and sentenced to three years imprisonment. Mr wingfield has a history of refusing his depot antipsychotic injection which he promotes negative behaviour such as shouting breaking things punching holes through the doors and observe throwing the table out of the window and threating staff members.
Mr Wingfield 45 year male detained on section 3of the mental health Act 1983 However since his last CPA his mental state appears stable presentation has generally been significant improvement he is able to communicate with both peers and staff members with coherent speech, however when requires he can express himself his need to be met nevertheless Mr wingfield holds poor concentration, however at times he finds it difficulty understanding what is been related to him. Subsequently the team observed him talking and mumbling to himself but this has been subside recently, Mr wingfields sleeping patter remained regularly good at night. He observed to have a good appetite he has been observe prepare a sandwich which he appears to enjoy doing, he continues attend community meeting and current affairs team continue observe signs of marks improvement he has not display any hallucination he has been engaging more with is peer, hence there are times he like to state in his bedroom and also spent time in the lounge watching television and listening to music. I have observed Mr Wingfild join with his peer preparing a Sunday meal for the ward he listen to instruction and try to follow the method Mr Wingfield adheres to his medication with minimal prompting he also cooperate with the team taken his blood and all vital he remains independent with his personal hygiene and attends to his laundry on scheduled day Mr Wingfield expresses delusional ideations sporadic as he talks about his skull wanted a new one. Hence continue participate in his chores on a weekly base and utilizes his section 17 unescorted leave frequently, and returned appropriately without any incident. Mr wingfield currently has two hours unescorted leave daily and eight hours with occupational therapy activities they has been an improvement in his recovery process he cooperate with all physical health check down by his GP,