Mental Health Act Consent to Treatment
Information for SOAD Visit
Pharmacist;
Re; Second Opinion Meeting for ..................................
on ................. Ward/ Unit
Details; M/F Age Diagnosis Cons.
Patient contact (time & nature);
Symptoms (visible);
Proposed Treatment Plan;
Current Treatment;
Previous Treatments and Response;
Pharmaceutical Comments on Proposed Treatment;
Dose(s)
Combination/interaction/washout
Appropriateness
Past concordance with meds?
Possible reason for patient refusal of treatment?
Patient provided with information regarding treatment(s)?
Discussed with RMO….. ………..YES/NO
Primary Nurse? YES/NO
Perceived benefit from new treatment;
Any drawbacks?
--------------------------------------------------------------------------------------------------------
RECORD of Consultation with SOAD
Name of SOAD ……………. Contact/ Tel. ………………
Date;
| Questions asked by SOAD | Response given | |
| 1 | ||
| 2 | ||
| 3 | ||
| 4 |
Angela Tettersell PRH 3.2000