Highlights
Introduction
- Ella 26yo woman
- BPD affective
- Poor control of BPD using mediation
- Unstable BGL - DM and lack of medication
Situation
-Arrested at a shopping centre after being caught by security guard Re theft
-Sexually provocative with police (Terry)
-Has been waiting in ED for 20min
-A security guard is stationed at the door
Background
-First admission @ 18yo
-4 admits since then
-3 x 2 month stays
-Lives alone
-Studying nursing - struggling with study
-Has a case manager
-L) Foot ulcer
-BAC - Nil
Video Observations
-Average height and weight
-Shoulder length scruffy unkempt natural red hair,
-Grey sweater and jeans
-No visible tattoos, scars or distinguishing marks
-Appears Manic
-Constantly moving and pacing
-Wearing sunglasses- keeps taking them on and off
Medications
-Sodium valproate 1000mg BD - Depression
-Melatonin 2mg nocte - prescribed in the last 2 weeks. Has not been refiled and is not on PBS - Sleep
-Palparidone 3mg daily - Schizofrenia
-Metformin 500mg BD
-Insulin 30 units nocte - DM
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