03/07/2023 – Day & Evening shift – kingsley osei

Shift Report:

Turned up for my shift with MH, PN handed over and petty cash checked and signed. Fela was on an amber alert from PN sleep report of having less hours of sleep. Met Fela on the toilet, vocal and waited for him to come out before updating the TEACCH board he took almost 50 minutes before coming out after threading. He agreed to the update off the TEACCH board but declined work at home and took the card out.

Settled in his sofa but was still vocal and got his mid morning snack served, went to do the cleaning activities for the day (hoovering, mopping, wiping, washing and drying). He has been vocal ( unhappy) and rocking on his sofa before lunch, served lunch and we sat together, prayed and had it after that when having his dessert he got agitated, rocking, clapping and vocal so we gave him space immediately to calm himself down and relax for sometime. He said no to education two time in a role when asked and said finished, MH rang Liz to inform her Fela can’t make it for today’s education.

We offered him a nap of which he declined, he was relaxed to music (calming music) for a while, MH went in again to ask him for the third time and he accepted took a nap and woke up vocal (had an hour). MH served him his snack and tea but remained vocally unhappy, got relaxed after taking his tea.

DW turned in for his shift got briefed about Fela’s half day, petty cash check and signed and went on to cook dinner, served, prayed and we ate. Fela had his hot chocolate drink after and relaxed for sometime then DW got him to exercise with the gym ball (30 minutes) after that gut facial trimmed, keloids cleaned and evening snack served with his medication. Prepared his bath, assisted him to bath some parts of his body and allowed him to continue with the rest.

At the entry of my report Fela was rinsing in the tub.

Arousal States – Start: 3 – Very Noisy End: 5 – Very Agitated Did his state change? Yes to 1 Baseline After shave Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – Gym ball