Tag Archive: Duty of care


Who Do You Think YOU Are?

I was told this morning that my key nurse has been changed.  i said I was a bit disappointed that what I had said in anger had been so quickly acted on without talking to me about it.  I was told it was an overall decision that couldn’t be gone into that much.  I wonder if all the changes I have had over the last 17 years have been as a result of decisions of the same nature.

I found out because I asked to speak to my new key nurse not knowing she was my new key nurse.  I wanted to tell her that while I didn’t want to be churlish about not seeing my psychiatrist today, if the only reason she wanted to see me was because I had requested a sleeping tablet to be prescribed for me I had rather leave it.  I said that I was concerned that I had had no structured support since I was assaulted and no one had really asked how I was in connection with it.  I said that I had even been left to myself to decide whether or not I wanted to involve the police, and that since I am meant to be mentally ill I might not be in the best state of mind to decide for myself, and that it had happened on their premises and the woman was in their care, not mine, and that I am also in their care.  I said this is not a one off thing and that I have said things of this nature are happening to me in the community but what I have said has been put down to schizophrenia.  I said I didn’t want to talk to my psychiatrist hoping and believing that she might soften and modify her position in light of what has happened and that the effort should not be having to come from me putting myself in that supplicatory position with an authority figure who might remain distressingly adamant.  I said it should be being treated as an emergency, extraordinary event and that there should be some form of trauma counselling.  I said there had been a witness, as it seemed that this was not known, I was being told that I had said it happened and they had seen the bruising, but it is far too casual.  I’m hoping that on Saturday, when the police come, they will be wanting to take a swab or whatever it is called from my clothing to establish a shoe came into contact with my stomach.  Dr Bradshaw was in the office a couple of days ago when I mentioned it, but her only concern appeared to be that she should see me about the sleeping tablet.  On reflection, she might have been concerned but be trying to maintain confidentiality, but it seems to me to have been a little too opaque.  But perhaps I should go back for the review, I don’t know.

I was shocked and didn’t believe it when my nurse told me there was no provision for trauma counselling as such.  She said I was seeing my psychologist anyway and didn’t seem to pick up that this was a separate event and should have been treated as an emergency.  It also didn’t seem to make an impression that I said the next time I am due to see him is on the 27th as he is on leave for 2 weeks.  She said this is an acute ward and things like this happen, I said yes, but I’m a person, not theory.

I asked her as well, as an adult, that since in any other abusive situation I would be able to take myself out of it, how did it stand in law under a section 3 when I am being abused in an environment where I am supposed to be receiving care, what were my rights.  She asked if I meant being moved to another ward and I said no, there is no guarantee that it won’t happen there as well.  In fact as far as both staff and patients are concerned it has always happened wherever I have been.  I think my experience as a patient in this setting is not unusual.

I can’t afford to keep going out for something to eat but I don’t like having meals there anymore, I feel harassed and intimidated.  Kerry went to the hatch effing and shitting and no one pulled her up about it.  If it had been me it would have been different.  I’m feeling too much guilt about a supposed lack of gratitude on my part when all I really have here, apart from a duty not to be abusive without provocation, when It just comes out sometimes because I am upset and tired and stupid, is rights, a right to protection, a right to respect, which includes a right to be believed, in my opinion . . . .

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Possible Side Effects of Abilify (Aripiprazole)

This is my medication and the leaflet in the box lists these possible side effects:

Common side effects (affects 1-10 users in 100) uncontrollable twitching or jerking movements, headache, tiredness, nausea, vomiting, an uncomfortable feeling in the stomach, constipation, increased production of saliva, light-headedness, trouble sleeping, restlessness, feeling anxious, sleepiness, shaking and blurred vision.

Uncommon side effects ( affects 1-10 users in 1,000) some people may feel dizzy, especially when getting up from a lying or sitting position, or may experience a fast heart rate.

The following side effects have been reported since the marketing of ABILIFY (sic) but the frequency for them to occur is not known:

Changes in the levels of some blood cells;

unusual heart beat, sudden unexplained death, heart attack;

allergic reaction (e.g. swelling in the mouth, tongue, face and throat, itching, rash);

high blood sugar, onset or worsening of diabetes, ketoacidosis (ketones in the blood and urine) or coma, low sodium level in the blood;

weight gain, weight loss, anorexia;

nervousness, agitation, feeling anxious;

thoughts of suicide, suicide attempt and suicide;

speech disorder, seizure, combination of fever, muscle stiffness, faster breathing, sweating, reduced consciousness and sudden changes in blood pressure and heart rate;

fainting, high blood pressure, blood clots in the veins especially in the legs (symptoms include swelling, pain and redness in the leg), which may travel through blood vessels to the lungs causing chest pain and difficulty in breathing (if you notice any of these symptoms, seek medical advice immediately);

spasm of the muscles around the voice box, accidental inhalation of food with risk of pneumonia, difficulty in swallowing;

inflammation of the pancreas, inflammation of the liver, yellowing of the skin and white part of eyes, reports of abnormal liver test values, abdominal and stomach discomfort, diarrhoea;

skin rash and sensitivity to light, unusual hair loss or thinning, excessive sweating; stiffness or cramps, muscle pain, weakness;

involuntary loss of urine, difficulty in passing urine;

prolonged and/or painful erection;

difficulty controlling core body temperature or overheating, chest pain, and swelling of hands, ankles or feet.

Adolescents 15 years and older experienced side effects that were similar in frequency and type to those in adults except that sleepiness and uncontrollable twitching or jerking movements were very common (greater than 1 in 10 patients) and dry mouth, increased appetite, and feeling dizzy, especially when getting up from a lying or sitting position, were common.

In elderly patients with dementia, more fatal cases have been reported while taking aripiprazole.  in addition, cases of  stroke or “mini” stroke have been reported.

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If the symptoms listed are really seen as possible side effects I don’t like the fact that such chances are being taken with my physical health and even my life, no matter how slight the possibilities.  Twitching and jerking are symptoms of tardive dyskinesia, which in the case of Jenelle (see the last link on my Essential Links page) has put her in a wheelchair and is thought by doctors to be irreversible.

It is almost as if listing them in this way makes it OK to take the chances.  But as someone on this drug (and others act like it) I think it is dishonest and the worst kind of bullying to be told that this will improve my quality of life while these side effects, some of them resulting in death or incapacity, are possible.  Most of the time they can’t be bothered with us and they are not interested in how we feel or what we have to say.  That is the truth.  Psychologically and relationally they, among others, have abandoned us even while they have a duty of care.  They force these drugs on us while ignoring our requests and assertions that other things are the problem and there are better and different and less harmful and more effective answers and therapies.

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