02/10/2019 – Afternoon shift – zoe holmes

Shift Report:

Fela was sitting in the lounge on my arrival, I said hello and then had handover, we then went to the cinema, Fela sat well through the film but I don’t think he did enjoy the film, he kept requesting head massage and his ocds today have been alot more than normal, Fela as been vocal throughout the afternoon, he was quite in the cinema but you could see he was controlling it, once home Fela sat in his rocking chair and requested time alone and he didn’t even want his evening meal until approximately 6.20pm, Fela ate well but was very noisy after, I tried to engage with Fela and played cards but he didn’t even seem happy with that, Adele sat with Fela but he requested alone time after about ten minutes, after snack time Fela had a phone call from Mama but didn’t seem his happy self, it was only a short call due to Fela been vocal and not wanting to chat, he gave Adele the phone and went into the bathroom, on Mama’s advice we have encouraged Fela into the bath and he as now just gone to bed, night routine completed brilliant and hopefully after a good night’s sleep Fela will be happy, cold/Flu guide followed, all supplements taken and tigar balm applied, plenty of fluids, we have noted Fela coughing while in the bath.

Arousal States – Start: 2b – Vocal unhappy End: 1 Baseline Did his state change? Yes to 2b – Vocal unhappy Fela as been vocal unhappy and very noisy throughout the day. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Fela as refused today, due to him not being himself and lack of sleep, we didn't push Fela.