02/09/2021 – Morning & Afternoon shift – zoe holmes

Shift Report:

Fela was at Mama and Michael’s on my arrival, once Fela returned we had handover from Michael and then we did the board.

Fela relaxed while staff did chores and then had his morning snack, after we got ready to go out, we went on a neighbourhood walk, we walked for 35 minutes, Fela was vocal the whole time we were walking.

Once home Fela relaxed while lunch was prepared, Fela said prayer well and ate well, after lunch he relaxed.

Dan did Makaton with Fela and then I changed Fela’s dressing and showed Dan how to, I then started to read Fela A Bakers Story but he closed his eyes and started to fall asleep, I asked Fela if he wanted to leave the Story and lie down, Fela wanted to, I made the room sleep ready and then Fela lay down at 2.15.

Fela didn’t go to sleep, after about forty minutes Fela went to the toilet, he had a bowel movement and was very vocal, after Fela went to sit on his sofa, I tried to encourage Fela to sit on his rocking chair but he declined, Fela had his snack while watching his movie.

While having his snack Fela became very agitated towards the end, this lasted approximately 25 minutes, rocking very hard, clapping hands, gutteral noises, hitting his head with his open palm, banging his hand on his small table, everytime I checked on Fela it made him worse, so we left Fela to calm.

Once calm Dan wiped Fela down and changed his clothes, Fela wanted to be alone, so I was unable to change his dressing at this point.

Ten minutes later I was able to change Felas dressing, Fela was frowning throughout the morning and vocal throughout, so I asked Fela if he was in pain and I signed this in Makaton,  Fela signed pain and put his hand to his head, I then gave Fela two white willow incase he had an headache, after Fela relaxed.

Teresa came on shift and then we had handover, after we prepared the evening meal

We ate our meal and Fela ate well, after the board was updated and Fela relaxed.

We then headed out on a neighbourhood walk, Fela was vocal while we were walking but he seemed to not mind being out and he chose the route we took, we were out for about 40 minutes.

Once home Fela removed his shoes and jacket, ge then sat at the table for his snack, after his snack Fela sat at the table for a few minutes, I then encouraged Fela to sit on his rocking chair but he got up and went to the bathroom, Fela sat and had a bowel movement.

Fela remained in the bathroom and I supported Fela with his bath routine, he completed this well and is currently relaxing and humming.

Fela as being vocal noisey throughout the whole of the shift today and frowning, he as wanted alone time and just not his happy self today at all.

Arousal States – Start: 2a – Vocal End: 2a – Vocal Did his state change? Yes to 5 – Very Agitated Fela be there very agitated towards the end of his afternoon snack, please see shift report. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – 2x neighbourhood walks