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    I Jack Mills

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    prakash poudel
    A 22-year-old man with a history of paranoid schizophrenia is being referred to a new psychiatrist for ongoing care and management. The patient has a history of psychosis, non-compliance with medications and programs, nicotine dependence, and binge drinking. He was recently admitted to the hospital due to suspiciousness, auditory hallucinations, and irritable mood. His condition has improved and he is being discharged on sodium valproate and Navane injections every 4 weeks, with his next injection on January 16th.

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    I Jack Mills

    Uploaded by

    prakash poudel
    2K views1 page
    A 22-year-old man with a history of paranoid schizophrenia is being referred to a new psychiatrist for ongoing care and management. The patient has a history of psychosis, non-compliance with medications and programs, nicotine dependence, and binge drinking. He was recently admitted to the hospital due to suspiciousness, auditory hallucinations, and irritable mood. His condition has improved and he is being discharged on sodium valproate and Navane injections every 4 weeks, with his next injection on January 16th.

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    A 22-year-old man with a history of paranoid schizophrenia is being referred to a new psychiatrist for ongoing care and management. The patient has a history of psychosis, non-compliance with medications and programs, nicotine dependence, and binge drinking. He was recently admitted to the hospital due to suspiciousness, auditory hallucinations, and irritable mood. His condition has improved and he is being discharged on sodium valproate and Navane injections every 4 weeks, with his next injection on January 16th.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views1 page

    I Jack Mills

    Uploaded by

    prakash poudel
    A 22-year-old man with a history of paranoid schizophrenia is being referred to a new psychiatrist for ongoing care and management. The patient has a history of psychosis, non-compliance with medications and programs, nicotine dependence, and binge drinking. He was recently admitted to the hospital due to suspiciousness, auditory hallucinations, and irritable mood. His condition has improved and he is being discharged on sodium valproate and Navane injections every 4 weeks, with his next injection on January 16th.

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    © All Rights Reserved
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    Dr.

    Twyford
    Psychiatrist
    Spirit Community Mental Health Service
    Parramatta
    NSW 2345

    27/12/2017

    Dear Dr. Twyford,


    Re: Mr. Jack Mills DOB 01/09/1995

    I am referring this patient, a 22-year-old man who has a history of paranoid schizophrenia.

    Jack was initially diagnosed with schizophrenia 18 months ago and has had frequent admissions due
    to recurrent episodes of psychosis including an attempted suicide. His compliance has been poor for
    medications and structured work programs. With regard to his psychosocial history, he has a history
    of nicotine dependence and binge drinking episodes. His parents divorced 2 years ago and he is
    currently living with his mother. Furthermore, he has been on disability support pension since 2016.

    He was admitted to our hospital on 23/11/2017, with signs of suspiciousness, oversensitivity,


    auditory hallucinations and irritable mood. During hospitalisation, sodium valproate and Navane
    were used, and psychotherapy was commenced, although his participation was inadequate because
    of his difficulties in concentrating. Apart from this, his laboratory tests were unremarkable.

    Jack's condition has generally improved and he will be discharged today. I have advised him to avoid
    alcoholic beverages, quit smoking, follow psychotherapy and vocational rehabilitation and have
    blood tests annually. Moreover, he will be continued on sodium valproate 250mg twice daily and
    Navane 1.5mg every 4 weeks intramuscularly. Please note that the next injection of Navane is on
    16/01/2018.

    I would appreciate it if you could take over his care for ongoing management.

    Yours sincerely,

    Psychiatrist

    SECC

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