EB

Mr Edward Banda

Eddie · he/him Age 78 · Room 12 NHS 485 777 3456
English first language · large-print preferred · hearing aid (R) · MCA assessed 12 Mar 2026 · capacity fluctuating
NEWS2 = 2 (low risk) Plan v4 · current
kooper · clinical Major active problems · Vol. 4
Active · monitor

Mixed anxiety & depressive disorder

A long bereavement disorder, well held by medication, music, and the steady hand of Sister Anne. The team's job is to keep it steady.

Eddie was diagnosed with mixed anxiety and depressive disorder in the months after Margaret died in 2019. The grief did the heavy lifting; the adjustment to Draycott on admission did the rest. Six years on, the picture is steady.

Mood is mostly bright. There are brief low days around the September anniversary, which the team flags weeks in advance. The PHQ-9 has trended down over six months — eight to six — and the GAD-7 sits at five. Sertraline 50mg in the morning and mirtazapine 15mg at night are well tolerated. There is no suicidal ideation. Family contact, especially the daily call with his daughter Sarah, is protective.

Risk to self is assessed low and stable. The link to the risk register is open and current.

Severity
Mild
PHQ-9 score 6 · GAD-7 score 5 · 28 Apr
Active medication
Sertraline 50
+ mirtazapine 15mg ON
Talking therapy
Completed
bereavement counselling · 10 sessions, Sep 2025
CMHT review
6-monthly
next 12 Sep · Dr K. Adesina
CQC SAF Safe Effective Caring Responsive Well-led
NEWS2 · early warning
Auto-calculated from kooper · vitals · last reading 07:40
SCORE 2
Resp rate
17
/min
SpO₂
96%
on air
Temp
37.6
°C
Sys BP
128
mmHg
Pulse
78
bpm
AVPU
A
alert

Auto-escalation triggers at score ≥ 5. Currently below threshold. Recheck in 4h or sooner if symptoms change.

MHA · DoLS · ECT
S117 aftercare Active
Plan agreed CMHT 12 Mar. Funding stream confirmed. Reviewed quarterly.
DoLS authorisation Renew 5d
Standard authorisation, 12-month. Best-interest decision logged. IMCA on file.
ECT history Nil
No ECT recorded. Section 58A consent flow available if ever needed.
Recent pathology
FBC + U&E + LFTs · 28 Apr All in range
TSH · 28 Apr 2.1 mIU/L
Vitamin D · 28 Apr 52 nmol/L · low normal
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