Health conditions:

ADHD, Autism and Anxiety & Depression. Danny also experiences panic attacks.

Medication:

• Elvanse 20mg 1x Tablet 14:00pm
• Elvanse 50mg 1x Tablet 8:00am
• Erythromycin 250mg 1x Tablet 8:00am and 20:00pm
• Mirtazapine 30mg 1x Tablet 20:00pm
• Promethazine Hydrochloride 10mg – PRN for panic attacks

Panic attack management:

Danny to be given privacy, prompt other tenants to leave the area. Danny will know if the panic attack is bad enough to have a PRN or if he will be able to get himself out of it. We measure the scale of his panic attacks on a scale of 1-10. 1 being low and 10 being a bad attack. Danny will nod his head yes or no. Danny to be advised around his breathing with the box breathing technique. Danny to be told to focus on repetitive movements. Danny likes staff to tap his back in different areas or rub his back. Danny to be spoken to throughout, providing him with reassurance and positive comment such as “you’re doing really well Danny” staff to provide distraction by talking about different topics such as football, what he has been up to throughout the week.

Triggers of panic attacks:

• Seeing his father
• Appointments
• Taking part in an activity he is unsure of
• Overcrowded places
• Christmas
• Birthday
• Certain members of staff being off
• Change of routine
• Unfamiliar places
• New staff
• Other tenants challenging behaviours