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No problem! Alan On 15 April 2010 08:18, Stephanie McGauley <[log in to unmask]>wrote: > thanks for this alan - sorry for volunteering you > > best > > stephanie > > On 15 Apr 2010, at 00:35, Alan wrote: > > I seem to have been volunteered... it's been that sort of a week. >> Yesterday I sectioned a 40-something year old with a BMI of 12.8, who was >> trying to kill herself by eating raw chicken in the hope that the ensuing >> salmonella might kill her. >> >> I've emailed Lola off list... and thank you for your confidence in me, I >> think >> >> Alan >> >> <the bloody computer.gif> >> >> >> >> Stephanie McGauley wrote: >> >>> >>> Hi Lola >>> >>> This all sounds very difficult for you and I am not a psychiatrist or a >>> psychologist in any form that i can help with a diagnosis. You do not say >>> if you are a nurse however if you are and your with the RCN they will offer >>> confidential support with counselling and grant you five telephonic sessions >>> very quickly if you need the support for yourself. They are excellent. >>> >>> You dont say how often your friend is being supervised by the crisis >>> mental health team and to what extent nor what type of medication (name) she >>> is taking and what her daily routine and sleep pattern is. I should also >>> mention MIND is also very supportive as is Breathing Space for support to >>> you. When your close to someone and therefore there is an emotional >>> attachment to the issues/person this makes this issue extremely difficult >>> for you. The care team she is under has a duty of care to your friend so >>> try not to take ownership of this though this is easy for me to say they too >>> have responsibilities and should have done and still do risk assessment for >>> your friend. >>> >>> I dont know what to advise other than the direction with this and to >>> section 18 to avoid potential for harm to self and that of others. In time >>> once the correct treatment has been given a chance and time to be >>> therapeutic your friend should hopefully see how unwell she had been and it >>> may be an isolated event premeditated by a trigger and the support and >>> treatment input will help avoid/reduce future occurence. She will reflect >>> and be able to see what a good friend you are and the support of family. >>> Her illness be organic if there has been no trigger but once her >>> understanding/input etc to manage this has been gained she can carry on with >>> normal life following this episode all being well. >>> >>> Dr Alan who is a GP on this forum and has extensive experience may be >>> able to offer more concise help and support with your post. >>> >>> However may i offer best wishes to you and thank goodness for good >>> friends which you clearly are >>> >>> Stephanie Nicoll >>> On 14 Apr 2010, at 15:46, Lola Wood wrote: >>> >> ******************************** Please remove this footer before >> replying. >> OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html >> >> CONFERENCES AND STUDY DAYS: >> http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH >> >> > ******************************** > Please remove this footer before replying. > > OCC-HEALTH ARCHIVES: > http://www.jiscmail.ac.uk/lists/occ-health.html > > CONFERENCES AND STUDY DAYS: > http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH > ******************************** Please remove this footer before replying. OCC-HEALTH ARCHIVES: http://www.jiscmail.ac.uk/lists/occ-health.html CONFERENCES AND STUDY DAYS: http://www.jiscmail.ac.uk/cgi-bin/filearea.cgi?LMGT1=OCC-HEALTH