02/11/2021 – Evening shift – zoe holmes

Shift Report:

Fela was relaxing on my arrival, I said hello and then had handover.

I finished off preparing the evening meal and then I gave Fela a facial trim, at the end , I asked Fela if Dan could complete the part where we use the nose trimmer and Fela was happy with this, we then all sat together and had our meal, Fela was very happy, Fela ate well but kept dipping food into his water glass and jog, I encouraged Fela not to do this, to eat neat and tidy.

After Fela sat in his rocking chair and chose to watch Charlotte’s Web, Fela kept looking at the board and became very agitated, rocking vigorously, sweating profusely, gutteral noises, clapping hands, clicking fingers, banging feet on the floor, I left Fela to calm and kept checking on him, when we checked on Fela this only seemed to make him worse, I managed to encouraged Fela to remove his jacket and the cards on the board he didn’t want to do, this was the gym ball, Fela didn’t calm instantly but a short time after.

I don’t know if the agitation was a combination of the gym ball and not wanting to exercise and perhaps seeing the telephone call with Mama, I thought this might have put in his mind that he wasn’t going to Mama and Michael’s house.

Once calm Fela was full of smiles, at times overly excited, he then had his snack and then a phone call with Mama.

After Dan supported Fela with his bath routine.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 5 – Very Agitated Fela became very agitated after his evening meal, rocking very hard, banging feet on the floor, clapping hands, clicking fingers, gutteral noises, sweating alot, this lasted 40 minutes. Did he have a bowel movement? No Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Refused and became agitated