Updated: Aug 2, 2021
Proudhurse Mental Health Home
231 Bright field Avenue
18 March 2018
Dear Nurse Dicoccio
Re: Ms. Tailor, aged 35.
I am referring to you Ms. Tailor who is diagnosed with Schizophrenia, hypertension secondary to fibro muscular Dyspiasia and Primary Hypothyroidism and have a history of polysubtance abuse mainly; cocainr and alcohol, requires ypur extended care and support.
Ms. Tailor was self admitted on 01 March 2018 with decompensated Schizophrenia, medication non command hallucination with self harm, visual hallucination, delusion agitated and aggressive with respomde to internal stimuli thought blocking and latency.
Anti psychotic medications were commenced Ms. Tailor ceased to report any auditory or visual hallucinations by 10 March 2018. Lessened disorganised thinking, no sogns of thought blocking of latency and was able to minimise delusions and focus on activities of daily living.
Assessed for objective signs of psychosis. Diverted from delusions, ensured medications complaince; assisstedd to maintain behavioural control, provided therapy, if required. Satisfactory progress , fine insight and fair judgement observed. Chronic mental illness can decompensate medication non complaince or substancd abuse.
Risperidone 4g nightly by mouth and Risperidone 1 milligram twice daily p.r.n fir agitation or psychosis and follow up at Proudhurst Mental Health Clinic was recommended.
Contact me for any queries.