03/09/2020 – Day & Evening shift – alicia keenan

Shift Report:

I arrived for my shift and Fela was still in bed asleep, Zoe arrived and we had handover with Chloe. Just after 9am Fela woke, Chloe gave him his waking supplement, tea and pear. At 9.30 Fela used the toilet, Whilst Zoe assisted Fela with his morning routine I cracked on and did some chores, I then made Fela his breakfast. At 10.15 Fela came down and popped his apron on and sat at the table, he said prayer well and ate his breakfast and supplements. After Breakfast Fela made his way to the sofa and sat and had his tea and listened to music, Zoe did the board with Fela. At 11.15 Fela made his way to the toilet and then popped his shoes on and we headed out, Fela refused the offer of a walk but did appear to enjoy the nice drive to leek and back and had his snack whilst we were out. We arrived back home and Fela took his shoes off, popped his ag down and removed his jacket. Fela made his way to the table and lunch was served, Fela said prayer and ate well. After lunch Fela used the toilet. Once he had finished, he requested a DVD, initially requested Little women but I asked Fela if he would like joseph instead, with a big smile on his face he said “yes”. Once the film had finished I asked Fela on 3 different occasions if he would like to do some colouring but he refused, I sat at the table and did some colouring and told Fela that if he would  like to join me he could, Fela didn’t join me but appeared to like the picture I had coloured in and gave me a thumbs up when I showed him. At 3.30 Fela had his snack and fruit fusion. Fela has been vocal on and off all afternoon and at times has appeared agitated. At 5.10 Fela chose music t listen to and continued relaxing in the lounge. At 5.20 Fela had his supplements, at 5.30 Fela used the toilet, I informed Fela that dinner was ready. Once he had finished on the toilet, he made his way to the table, popped his apron on and said prayer, Fela ate his dinner well and appeared to enjoy it. After Tea Fela chose to relax in his rocking chair and chose some relaxing music to listen to. We asked Fela if he would like to do walk at home with Nick, Fela jumped up and participated and was full of smiles until about the last 3 minutes, but Fela carried on and appeared to enjoy it overall. Fela then had his snack and supplement and relaxed on his rocking chair listening to calming music. Whilst Fela was eating his snack we did Makaton with Lucinda (duck sign) as Fela has a new bathmat with ducks on, Fela did really well and picked it up straight away. Fela then had a phone call with Mama, he appeared to really engage in the call and when the conversation was ending, he kissed the phone and said “good night, I love you”. Fela then made his way to the bathroom, sat on the toilet and took his clothes off. Fela then got into the bath and is now happily splashing away, laughing and giggling in the bath.

Fela has had a good day all in all but has appeared agitated at times. Fela has also appeared tired this evening and when I asked by Adele if he was tired he replied “yes”.

Arousal States – Start: 2a – Vocal End: 1 Baseline Did his state change? Yes to 4 – Agitated Fela has been agitated on and off all afternoon, lasting seconds, banging his feet, very vocal and rocking backwards and forwards. Did he have a bowel movement? No Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – walk at home