Showing posts with label care plan. Show all posts
Showing posts with label care plan. Show all posts

Sunday, 1 September 2013

Sectioned in Hospital - Day 25

Written by Fox.

DAY 25 - 1st September

Before you point it out, yes I missed out a couple of days. Keri was pretty zonked out on her medication increase so it was pointless me saying much! About the most exciting thing that happened was that she went to the supermarket with her foster mum, and even that felt like a marathon to her. On the bright side though she's been sleeping very well at night and even snoozing during the day. Unfortunately those effects are starting to wear off. Or maybe they're not and Keri's got this half-Keri half-Sally thing going on at the moment. The medication Keri is on effects her a lot when it's changed but doesn't effect Sally and this evening Keri and Sally have been out at the same time! The characteristics of this are that Keri becomes very angry with everyone, doesn't want to speak, kicks out at things and is generally rude or verbally abusive without realising it.

Her foster mum came to pick her up about 12.30pm which had been planned. She was going to go for some home leave which I thought was going to do her some good. In some ways it did but in other ways it just showed her exactly what she's missing. Her and her foster parents had some long chats, at times having a sense of humour or just talking casually (you've got to have a sense of humour sometimes!). What came out of the conversation was that Keri quickly realised that it was unlikely she'd be discharged at her ward round next week when her section is due to expire. Her foster dad was trying to get Keri to believe that what she's experiencing is psychosis (although of course they try not to use that word around her, I'm just using it to get to the point). In other words, not real. It didn't work. I have to admit I was listening to the whole conversation and her foster parents were doing a really good job at being logical with Keri but she wasn't having any of it. Like I often say, you can't have a rational argument with an irrational person. That's exactly what psychosis is, it's based on irrationality. There were some good times though when she wasn't focusing on her foster dad's drill or watching the guys she sees out of the living room window spying on the house. It wasn't all bad. The only reason I'm mentioning a lot of the bad stuff is because I'm trying to make these blogs as close to Keri's head space as I can and all she had was a black mist. She's in her own psychotic world and no logical argument is going to get her out of it. She did laugh a few times with her foster parents when they managed to temporarily draw her out of her head for a bit. They have a wicked sense of humour!

When it was time to go Keri just sat there and said, "I'm discharging myself."
She was sat outside with her foster dad who said, "You can't discharge yourself."
"It's too late," she said. "I already have done."
This ended up in about a 20 minute conversation with her foster dad trying to persuade her to go back to the hospital. She hates being sectioned and her foster dad quite rightly said, "You've been sectioned. You have no rights." Rights as in she can't discharge herself or make any form of decision without talking to her overseeing psychiatrist as she's not deemed to have the mental capacity. Well, that's how I understood it anyway. He could've meant something completely different! She eventually went with her foster mum in the car back to the hospital. She didn't want to go but if she didn't it would've resulted in the police having to take her back instead which would've provoked Sally, which would've been big bad news.

When she got back to the ward she hadn't even walked through the entrance before the whole "half-Keri half-Sally" thing started happening. She didn't speak to anyone. When someone did speak to her she told them to fuck off. She even refused her evening medication and spent a couple of hours pacing around the garden smoking and talking to herself. 

She did manage to calm herself down a bit at around 8.30pm and went and asked to speak to staff. She got a good nurse (let's call him Brian) and he sat and chatted to her for a while. Her talking was at super speed because she was so frustrated and her head was whirring around so fast she couldn't slow down her words. By the end of her chat she agreed to take her medication which she was supposed to have taken 3 hours earlier. She was grateful that Brian had found the time to talk but also frustrated over the fact that he said it was likely she'd be put on a 6 month section (she's still not allowed any unescorted leave) and also because he said she had delusional thoughts and psychotic thinking. Mention the word 'psychotic' and Keri goes off on one! 

She calmed down a bit afterwards but is still very tense as Sally is still like a walking time bomb. It would be good for Sally to come out so she could blow off steam in a safe environment where Keri won't get hurt but she doesn't seem to want to do that. Maybe she knows that she won't be able to do anything to Keri and won't fully come out for that reason. Who knows. All I know is that right now, Keri's been crying over the fact she just wants to be discharged and go home. She has no freedom, she has no rights, she has no privacy. But she's in a safe place and no one is going to let her drill a hole in her head or do anything life threatening. 

Oh yeah! Forgot to mention her care plan! She was given a copy when she got back from home leave which is what I think triggered everything to go off completely. She thought it was absolute bullshit and scribbled corrections all over the place, swearing and cussing and calling all the nurses fuckers. What annoyed her most was the part that said she says she requested a tribunal however no one has any record of this. She asked three nurses about wanting a tribunal three days after she was admitted, one of which said it had been recorded and put down! That's the part that tipped her over the edge, and Sally for that matter. Hopefully tomorrow will be a better and calmer day. 

Tuesday, 20 August 2013

Sectioned in Hospital - Day 12 & 13

Written by Fox.

DAY 12 - 19th August, Monday

Not much to highlight the day with. Keri was doing the usual and clawing at her head and pacing, still unable to have unescorted leave. The only thing that kept her somewhat sane is that T&D came to visit her again which she was quite happy about. They've visited her 4 times since she's been on the ward and are going on holiday tomorrow. If Keri is still in hospital by Monday (which is practically a given) then they said they'll carry on visiting her which I found really nice. They're very kind hearted people and care a lot about Keri. Keri likes them too so it all goes hand in hand! They did a bit of shopping, sat in a cafe, totally lost track of time! It was okay though, although I did notice her mood rapidly drop after they'd gone. Partly this is because when she has visitors they get to leave when they're finished, leaving Keri on her own, sectioned in an adult psychiatric unit.

She did take all her medication, good girl! She also saw Fiona which didn't last too long as Keri was so drained of energy she could barely get out of bed until the late afternoon. That's because Sally is like a walking time bomb. If she ever wants to come out then sometimes Keri feels very fatigued and gets bad migraines, which she's currently having now! Luckily there's been no Sally episodes as of yet!


DAY 13 - 20th August, Tuesday

Oh. Dear. Lord. Keri had her CPA today and she is seriously pissed. I don't swear very often but that's honestly the only word I can use! Her outreach worker from the fostering agency was there, along with her care co-coordinator, a substitute psychiatrist, someone from the Intensive Team and a nurse. The outcome of this meeting was that Keri's section was not going to be lifted and she had to remain in hospital. She was also not allowed any unescorted leave either. Her next review meeting isn't until next Thursday. So what's going to be the point of her ward round on Tuesday exactly? Or maybe they'll skip her and save it until Thursday? Who knows.

Even though Keri still isn't allowed unescorted leave she's now been granted 4 hours escorted leave (with a trusted adult) and isn't to be left alone at any time. I'm assuming this has been put in place for when her foster carers are fit and ready when they're back from their holiday (which I think is tonight). If that's the case then Keri will be able to start going home for a couple of hours. I'm very worried about this. It's not because I'm not happy that Keri will have the chance of going home it's just the amount of things she can get her hands on to get the bug out of her head. I was thinking of contacting Liz via Facebook and telling her about my concerns; Sally's blades, a kitchen knife, or even one of her foster dad's power tools. If they know the signs to look out for then they might be able to stop her doing anything, like if she starts scratching at her head or pulling out her hair.

The other concern is getting her back to the hospital. There's an issue with what Sally might decide to do if Keri goes home and also Keri doesn't think anything is wrong and doesn't need to be sectioned anyway. Obviously she does need to be in hospital. With all the NHS cuts going on they try to keep as many people out of hospital as possible, especially on a section. 

I was actually expecting her to try and scale the fence today and have the alarms going off again and again from kicking off but it turns out she's done the complete opposite. Besides needing some Lorazepam to calm her down after trying to cut her head again she's been pretty calm since about half an hour after the meeting. She even went out with staff to Tesco (which is right opposite the hospital). Yes, there were buses there that she could've jumped on but it would've ended up that the nurse with her would've had to call the ward and get some help to drag her back to the ward and the bus wouldn't have been allowed to leave until Keri was off the bus. She had very strong urges to just leg it to the bus but didn't. At that point she was trying to stay calm. 

She saw the physiotherapist today because of her joint problems. She's had problems with them for years and the medical opinion (and also the opinion of everyone else!) is that it's because of the years she's spent without proper nutrition, either binge eating, throwing up or starving herself completely. I can't even remember the last time she had a decent healthy meal herself (I'm not including me in that). The most you'd get her to have is some toast!

So today has been calm in some respects. She was in hysterics earlier as she's been chatting a lot to another sectioned patient (let's call her Olivia). She was running around screaming "Thank you staff! Thank you for forcing medication in me! Thank you! I'm psychotic! I have a delusional disorder! You've saved me! I'm cured!" Keri found this hilarious. I have no idea why. I didn't find it very funny at all! It was another Clarissa/Keri moment which are starting to get confusing!

Physio tomorrow. Plus she wants to go to the gym in the morning in the hospital. Might do her some good. It's only 2 hours a day so there's restrictions which means it won't be possible for Keri to become too obsessive-compulsive about exercising, hopefully.