10/37

8/23/93     Addendum

1:30PM      Patient found wandering hallways - on 2FW - looking
in other patient's rooms.  When I saw him - I accidentally ran into him - 
he told me little children were tormenting him - 
he was looking for them.  Then, when I returned him to his
room, he began searching in bathroom, behind door, saying
that they were in his room or another next door - as soon
as he looks - they will know a secret passage between (?)these
rooms.  He believes one of them is hiding behind a non smoking sign
in his room.  He said the children were giving him dolls whose
appendages come off.
IMP(ression)      Paranoia - with visual hallucinations
                          Suggest benzodiazepine  withdrawal (vs post concussion syndrome  doubt)
                          Will start Ativan - 2mg q(every) 4 hours
                          1:1 attendant x24 hours
                          Will arrange for psych(iatric) admission

                                                               E. Collins

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8/23/93  Nutrition: 2:15PM
     Current Diet:  Regular 8/21
Chart screened to identify if patient is at nutritional
risk. Patient interviewed. Food preferences taken
Deferred obtaining diet history. Patient will be provided
with routine nutrition care. Will follow up as necessary.

                                               P(?)Murad/D(iet)T(echnician)
                                                                #4033

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8/23/93      Intern Berkowitz Note
           Psychiatry consult appreciated
          Patient doing well  ?(negative) complaints of chronic
                                                   dizziness, Nausea or Vomiting
      Physical Exam unchanged
      Imp(ression)    Unclear but complicated history

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