01/11/2020 – Morning shift – carla cornelius

Shift Report:

When I arrived just before 9:30 Fela was upstairs getting dressed with Alicia. Claire gave me a handover. Fela’s sleep was disturbed but he had a total of about five and a half hours sleep.

He was downstairs at 9:45 and I gave him cornflakes as requested with mixed seeds, chopped banana and honey. after his prayer and ‘Neat and tidy’ prompt, he requested honey. I had already put some on, but  I brought the honey jar so he could see me putting on a tiny bit more. Fela had a few lapses as he was eating – a sign that he was tired.

alicia did the board with him indicating that we were going to Green Pastures. He was okay with this. we arrived there at about 11:00 so after taking off his shoes and coat, hat and scarf , Alicia did the board with him again to indicate we would be watching church online. whilst they watched, I did a few chores around the house. Because Fela had a late breakfast, we elected not to offer him a snack unless he requested it.

Fela really enjoyed his lunch of lamb chops with potato croquettes, veg and luxury stuffing, followed by mini lemon meringue pies. Fela became agitated just as lunch was ending[see report]. I could see he was looking tired just beforehand. He transitioned to the armchair but then we had to give him space to calm down. We made him camomile tea and put it beside him so the vapours might help to calm him. we also put on some fore crackling sounds on youtube. It took half an hour to calm down. After finishing his tea, he was happy to go upstairs. Alicia prompted him to lie down and he was asleep within seconds with coloured lights on dim and fireside crackling playing in the background.

Alicia and Adele took the car to the car wash. After 40 minutes he awoke to use the loo then went back to sleep with prompting. All in all he slept for close to 1.5 hours.

Fela left Green Pastures just before 16:45 and seemed a lot calmer after his sleep.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 5 – Very Agitated Fela became very agitated after lunch. This lasted for half an hour. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Why no exercise? It was not scheduled on the Activity plan.