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Discharge letter

19 Jul

I just checked my post box and guess what I found in it,my discharge letter from the hospital.

This is to inform you that the care of the above named patient has been assessed by myself today,Thursday 14th July 20011 following a deliberate laceration to her left forearm,which required surgical intervention.
On interview Amy stated that the laceration to to her arm was not carried out with suicidal intent.she has been experiencing ruminating thoughts over the past 3-4 weeks of which she wishes to stab herself in the abdomen.on Monday 11th July she had gone to the local shop with the intention to buy alcohol or order to give her the courage to do this,however she returned home without.she stated that initially she praised herself for her positive action but later she became very angry with herself for “missing the opportunity”.As a result of this aggression she took a craft knife to her arm.She immediately requested help from a friend who brought her to the emergency department.During the interview Amy stated that despite her constant thoughts of wanting to stab herself there were no immediate plans to self harm,nor was she experiencing any suicidal thoughts,plans or intent.

We discussed using coping and distraction techniques that she learnt from attending her psychological input at Red Gables. Amy stated that she now feels that she wants to change these self harming behaviours and the recurrent eating disorder she is presently experiencing by being able to access more intensive therapy.

As a result of the interview with Amy we agreed the following plan:-

That she would attempt to use distraction techniques learnt as a way of coping her negative thought processes and potential self harming behaviours as per her care planning meeting on the 8th of July.

Amy has agreed that her sister will accompany her to the GP if she feels that her currents coping strategies are becoming difficult and her self harming or eating disorder is increasing to the pout that Amy no longer feels able to cope.

To consider attending Alabare,however Amy and her sister raised concerns towards this due to threats Amy had received from fellow service user who attends this group.

Yours sincerely

Mrs Andrea D**e

Mental Health Liaison nurse

First of all there is no mention of the overdose I took in A&E,which caused a dangerous heart which,which only finally returned to normal on the morning of my discharge from hospital. Secondly they didn’t make any note of the pack of 6 craft blades they confiscated from my hand bag,thirdly where the hell is this “more access to intensive therapy” that I am apparently receiving,considering I have been discharged from ALL mental health services.

I am unable to attend Alabre which is a drop in support group due to the fact that a current service user of the group had to be threatened with a restraining order by the police.

I leave you wise people to make up you own minds as to your thoughts on the letter & would really appreciate feedback.

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4 Comments

Posted by on 19/07/2011 in Uncategorized

 

4 responses to “Discharge letter

  1. lotte

    19/07/2011 at 10:03 am

    Im not wise at all….its obvious they are covering there backs by missing out important information that will no doubt make you arrear ‘saner’ than you actually are. The level of care is not adequate and if i was you i’d ask your family to demand better care

    sorry i cant heklp much more, struggling with concentration levels at the minute x x x

     
  2. lotte

    19/07/2011 at 10:05 am

    Im not wise at all….its obvious they are covering there backs by missing out important information that will no doubt make you arrear ‘saner’ than you actually are. The level of care is not adequate and if i was you i’d ask your family to demand better care

    sorry i cant heklp much more, struggling with concentration levels at the minute x x x
    love ya

     
  3. natalie

    19/07/2011 at 10:16 am

    oh im not sure, they were a bit vage into what you did. Obviously they stated why you were ther but never put in your further actions, maybe this was the fact they didnt stay with you the whole time you were there. im not sure but the person who wrote this aint very good at stateing what you did and what will happen in the future. Hope this helps, xx

     
  4. Helen

    19/07/2011 at 11:10 am

    Honestly, I’ve read loads of these over the years and they aren’t really about documenting every thing you did, more about communicating to your GP that you’ve attended A&E and the reasons for admittance. They also want to demonstrate that they have offered advice but they are acute rather than chronic service providers so by their very nature they are seeking to pass you on as soon as your situation has stabilised.

    I know it doesn’t make you feel any better – Its never easy to read these things and they often frustrate me to the point of fury! It doesn’t actually say that you ARE receiving more intensive therapy, its says that you would like to access it, hopefully making your intentions towards recovery clear.

    In all honesty, it sounds bad enough without the extra details of overdose etc!

    Take care, xxx

     

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