How would you as a registered nurse prioritise

Reference no: EM133250999

Question - Patrick should be taking the anti-psychotic medication: Olanzapine 20mg (nocte) and Quetiapine 200mg BD. Patrick is fearful of being in a strange place and finds being in hospital frightening as he feels someone might kill him. He tells you he is suspicious of a lot of people on the ward including other patients and health care professionals as he is scared, they might hurt him. He tells you he is fearful about being locked up for a crime he has never committed but there is a conspiracy against him, and he knows the CIA are involved, with a plot being organised against him the USA secret service, and it is the CIA who have sneaked into his room at night while he was asleep and put acid on his left foot which has caused this ulcer. In a phone call to you Patrick's parents have told you they were fearful of having Patrick at home as they are frightened as he has been verbally aggressive towards them recently, which they feel is out of character, accusing his mother, father, and siblings of being involved in the CIA plot to kill him. You are the nurse looking after Patrick and he tells you that he has no thoughts of suicide or self-harm. However, he will hurt someone in self-defence if he feels they are trying to kill him. He no longer wants the medical treatment, he clearly states he no longer consents to treatment and wants to discharge himself out of hospital against medical advice. He states he will see his GP post leaving hospital and arrange community treatment for his mental health and medical issues. He is clear with you that he no longer provides informed consent for medical treatment, that he has presumed capacity under the Mental Health Act (2014), and he is voluntary in status and wishes to discharge himself immediately.

The consequences of Patrick not having medical and surgical treatment puts him at significant risk of Sepsis and possible amputation of his left lower limb.

Case Study Question - How would you as a Registered Nurse prioritise and manage this situation?

Reference no: EM133250999

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