https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j What are some of the personal, professional and organisational factors to consider in the decision making process for this patient? en-us 2022-06-29 14:33:31 UTC 2026-01-17 21:50:04 UTC hello@padlet.com https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234208658 Ask her to tell me in her own words what is 'medically' wrong with her so I know that she understands what's going on and why she is unwell to be discharged ]]> 2022-06-30 10:43:58 UTC https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234208658 https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234208985 Asked the patient if there was anyone who could secure her house and then explain the risks of her discharging herself]]> 2022-06-30 10:44:42 UTC https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234208985 https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234209212 Communication could have been utilised earlier on in the scenario when she expressed she felt her house was not safe - could something have been done to rectify this ? Perhaps then she would have felt less anxious and not wish to self discharge. 

With the incident outside ED was it necessary to have as many people involved ? This could have felt intimidating for the patient. She may have engaged better with less staff, she could have had the opportunity to speak openly.]]> 2022-06-30 10:45:11 UTC https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234209212 https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234209480 - Ask why she feels the need to leave ?
- Wait for her response 
- why was she allowed to leave if a DOLs was in place ??
- was the police called ?
- Ask patient if they have anyone we could call to support her or also check her house ]]> 2022-06-30 10:45:46 UTC https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234209480 https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234209489 Ask why she is concerned about her home. Try and come up to a resolution. Is there anything in particular she is concerned about in her home? ]]> 2022-06-30 10:45:48 UTC https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234209489 https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234209685 * Called security earlier 
* Continual assessment of the DOLS
* Utilise additional support - Chaplain?  ]]> 2022-06-30 10:46:03 UTC https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234209685 https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234210279 Speak to the patient and ask if she has been in hospital before, is there another reason she doesn't wish to be in hospital i.e bad experience]]> 2022-06-30 10:47:07 UTC https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234210279 https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234210735 Needs to be on a detox regime. 
Having some chlordizaproxide (don’t know if that’s how you spelt) to help settle the withdrawl. And to prevent the side effects of withdrawl.]]> 2022-06-30 10:48:01 UTC https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234210735 https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234211238 MDT review - psych team.
Patient may have felt threatened with all the staff members outside. 
Should the DoLs be in place until the detox regime is finished?

]]> 2022-06-30 10:48:55 UTC https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234211238 https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234211255 2022-06-30 10:48:58 UTC https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234211255 https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234211570 2022-06-30 10:49:21 UTC https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234211570 https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234212581 Explain the risks of not taking treatment. document all attempts to keep her in hospital. Try and resolve her unsettled mind by contacting relevant parties to find out about her house.

]]> 2022-06-30 10:50:42 UTC https://padlet.com/jblundell4/hxa1fbl6z5vpkl6j/wish/2234212581