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The roses are lovely. But it’s the thorns I’ll land on if I jump out of the window.
As I sit on the ledge, my legs dangling into space, I think about how I came to be barricaded in the doctors’ office, the window my only means of escape.
The cause is Jack. You’ve probably met Jack, or at least someone very like him. Estranged from family, no next of kin, and a reportedly uninhabitable home. He was admitted a few weeks ago through use of the mental health act. Jack was classically ‘unkempt’ on admission and with a delirium-driven tongue to match.
We started sensibly, I think. Reassurance and reorientation, de-escalation and distraction; seeking and treating reversible causes. We gave him a nicotine patch for his tar-tainted talons, we worked with the liaison mental health team.
Then we started some regular antipsychotic medication to relieve his distress. Or was it to relieve our distress in dealing with behaviour that challenged us?
Last week, we stopped it. We had good reasons. The risks of antipsychotic use are many - sedation, falls, Parkinsonism, cognitive impairment, strokes and even death. I spend much of my day job stopping 'bad drugs', and I confess I tend to get a little annoyed if I find that someone has restarted them. But maybe those colleagues have also had to sit on a window ledge?
And was it the right decision for Jack? All I know is that he won’t let me leave, that my calls for help have gone unheard and my efforts at distracting him have failed.
Life is not a bed of roses.
Clare Bostock is a consultant geriatrician in Aberdeen
I got locked in to the management suite of a hospital one evening staying late to do audit. Luckily on the ground floor so hopped out of the window and closed it behind me. Hospital badge firmly clutched in hand to make sure if caught I could explain what I had been doing!
I CAN NOT TOLERATE MOST PSYCHIATRIC MEDICATION HAVE HAD E.C.T IT DID NOT WORK THEN TRAUMA AFTER THEN P.E.N.S A PROBE E C T THROUGH BREAST I USE A WALKING STICK DUE TO RISPERIDONE I CANNOT TOLERATE MOST MEDICATION YEARS OF HAVING MEDICATION SIDE EFFECTS ARE DANGEROUS FOR SOME THEY WORK. THEY DID NOT WORK FOR ME. HELP I AM ON THE LEAST EVER BUT IT IS VIEWED AS A CON TROLED MEDICATION VALIUM IT HELPS WITH THE MUSCLE SPASM. IT IS TRAUMA I ALSO SUFFER DEPERSONALISATION NO ONE CAN UNDERSTAND THE DOCTORS PRESCRIBE IT ONE FROM ANOTHER
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