• Mirtazapine 30mg

Severe

• Walnuts (Anaphylaxis) - Has an epipen

• Tramadol (Seizures)

• Topiramate (Tachycardia)

• Aripripazole (Tachycardia)

Moderate

• Onion (Gastrointestinal)

• Autism Level 2

  • Communication Deficits (May seem to be communicating, but becomes frustrated because it's not what she's trying to say). Allow time to pause and rephrase, offer options for possible messages ie "is it too noisy?" or "are you having trouble thinking?"

  • Auditory Processing Disorder, has difficulty understanding speech with background noise. Simplify message, allow time to process.

  • Sensory overload causes meltdowns and mild self-harming behaviours ie head-smacking; limit sensory input where possible (dim lights, offer quiet room, etc).

  • May become agitated or loud if frustrated or overwhelmed/overstimulated, this is NOT aggression and she responds well to reduced noise, time to articulate thoughts, calming phrases with direct options ie "do you need the room to be darker?"

  • Offer loops (earplugs) if available.

  • Responds well to clear and direct instructions or information, difficulty with social cues. It is okay to say things like "I need to go now, but I will be back in a bit. I need you to stay here until I get back, but you're allowed to get yourself a drink." May become agitated or distressed without clear instructions on what is expected of her.

• ADHD

  • May seem distracted or agitated if not free to move around, easily distracted and often speaks in a tangential disconnected way.

• DID/PTSD

  • May be reactive if she feels cornered or trapped; leave doors and curtains open if possible, do not stand in doorways, explain reasons if door or curtain does need to be closed, allow freedom of movement where appropriate.

  • Reacts to real or perceived threat, may appear aggressive or agitated or fearful. Responds well to space and a clear exit.

  • DO NOT RUSH unless absolutely necessary. Explain expected behaviour and reason, allow time to process and respond.

• Chronic Treatment-Resistant Depression

  • May seem tearful or stuck in negative thinking. Will pull herself out of it, just needs to vent.

  • May seem to be talking in circles, but this is part of the process of her finding the words to articulate what's wrong. Encourage her to write it out, and if you say you'll come back to talk to her about it then it's important you do. If you can't come back to talk to her about it, ask if she would like you to call someone in and explain that there may be a delay in doing so.

• Stroke/CVA

  • 14/10/2025

  • Left-side Hemiparesis

• Psoriatic Arthritis

  • Multiple weight-bearing joints, spine, fine motor joints

  • Worse in hot weater

• Osteoarthritis

  • Moderate in Left Knee

  • Severe in Right Knee

• Bursitis

  • Left hip

Care Responsibilities

• Children:

  • Callum James Fraser, 22/01/2018

  • Joseph (Joey) Daniel Fraser, 10/12/2019