Patient Name Simon Date of Birth 05.06.1990

Patient Name Simon Date of Birth 05.06.1990 (31) Relevant medical History Paranoid schizophrenia Clinically obese with a BMI of 31 Insomnia History of self harm as a result of voices telling him to harm himself typically by burning self with cigarettes. 1 occasion 5 years ago when he attempted suicide by cutting wrists. Current medication Olanzapine 20mg OD Aripiprazole 5 mg OD Zopiclone 3.75mg prn Allergies None known Social History lives alone in council owned flat on the 10th floor of a block of flats. Sees his mother once a week when she visits him she has a key as he does not always answer the door. Attends the bridge project for support with substance misuse issues on a sporadic basis. Scenario information Simon has been informally admitted to an assessment and treatment unit at the local mental health care hospital. He has just been admitted due to a relapse in his mental health and is presenting with psychotic symptom. He has presented with difficulties in maintaining his accommodation and personal hygiene. His warden has stated that he may not be suitable return to his accommodation to the poor maintenance and him being more at risk. There is an identified flat which his mother has recommended which is close to her house. Simon has stated that he wants to return to his original flat. A capacity assessment has been undertaken to assess his ability to make the decision as to where he lives, and it is deemed that he doesn’t currently have capacity to make this decision as he does not understand the risks if he continues to live alone. You have the opportunity to discuss with your nurse manager your recommendations and rationale for a best interest decision. What are the ethical and legal considerations in this scenario What would your recommendation be for a “best interest decision” for Simon ‘s continued care? What legislation do you need to consider? How would Simon, his family and the multi-disciplinary team be involved in this decision? What are your responsibilities, limitations and accountability within this scenario? Please, can I also have the references not less than 10 years and in Harvard format? Thank you SCIENCE

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