# data[].attributes.body
- Can we do any better this time?
- Is there another plan we can take?
- Government issue that isn't being taken care of, bigger system related issues
- Frustration at government and systems
- Compassion for vulnerable groups

# data[].attributes.body
- OH NO ITS PAX AGAIN?!
- That name is very familiar
- Feelings of frustration - why are they coming back again, did I not do my job well? How else can I support them?

# data[].attributes.body
- Feeling guilt, shame RE reactions before coming in
- Feeling and thinking "why am I here" " I don't have any problems" etc. RE involuntary admission
- Betrayal of friends
- How long will this admission be and when will I be discharged
- Overwhelmed with the ward and external stimuli and other patients
- Feeling unsafe and fearful for own safety amongst other people are unwell
- If they have had multiple admissions maybe they might feel safe or know other people there.

# data[].attributes.body
- Unsettled
- Observed to see if he has been medicated (sedated) - see whether he needs ICA or not.
- Tired and sleepy
- Starting to crash and become tired
- Withdrawal, low mood, med seeking, appetite coming back
- Agitated and demanding discharge

# data[].attributes.body
- Judgemental
- Trauma influenced
- Desensitised to presentation
- Likely related to comorbid mental health issues - what other dual diagnoses are there? or other medical health conditions.
- Assume they are homeless - how to involve services/social workers
- assumptions around them not completing education.
- It is "their choice" to use ICE - blaming consumers/sense of frustration and it being a burden
- Start thinking about risk assessment, treatment planning, room allocation and orientation.
- Has family been contacted for Pax.
- Assume people who use ICE do not have the capacity to make informed decisions

# data[].attributes.body
- Afraid and anxious dealing with hostile presentation
- Worried about the unknown and unexpected
- Ruminating about previous experiences - Biases may be triggered - could be slightly dismissive towards Pax
- Attitude would depend on clinicians own experience
- There could be more compassionate staff members who have had experience with these presentations in the past.
- Eager to get full assessment of Pax and context of situation

# data[].attributes.body
- Hostile towards staff
- Lonely/misunderstood by staff
- Betrayed by friends, abandoned by supports
- Feeling disoriented and disorganised
- Verbally abusive to people around
- Wanting to abscond from ED
- Anxious about what might come next

# data[].attributes.body
- Agitation, Hostile, Confused, Disorganised
- Paranoid and Psychotic (Hallucinations/Delusions)
- Aggression and Annoyance
- Distrustful and resisting help from staff
- Dehydration
- Suicidal

# data[].attributes.body
Definition: a basic truth. An example, is a list of values set by a group of people.

# data[].attributes.body
What might staff be thinking about ICE use (and people who use it) in general?

# data[].attributes.body
What might staff be feeling and/or thinking about Pax?

# data[].attributes.body
What might Pax be feeling and/or thinking?

# data[].attributes.body
What might staff notice / observe about Pax, especially Pax’s behaviour?