03/11/2020 – Morning & Afternoon shift – alicia keenan

Shift Report:

I came on shift just before 9am, fela was just finishing his cup of tea.

Teresa then came on shift and went upto fela and got him in the shower.

Fela requested 10, so we left him to relax in the shower.

Once out of the shower I assisted him with his morning routine, fela was laughing and hissing. Fela did his morning routine well and then came downstairs for his breakfast at 09:25am

Fela said prayer and took his aloe juice and then ate his breakfast. Fela became agitated at 09:34am, banging the table, rocking in his chair and very vocal, this lasted about a minute.

Once calm I did the board with fela and he appeared happy with a relaxing morning.

It has raked fela over an hour to eat his breakfast, fela has been agitated on and off throughout breakfast.

Fela finished his breakfast and took his supplements at 10:50am.

Fela then made his way over to the couch, I drew the curtains, and popped his weighted blanket and blanket on him.fels then requested a head massage, I did this for about 30 seconds and then left the room. Fela fell asleep almost immediately at 11am.

Fela woke at around 1pm, he got up and used the toilet, I went to fela and asked if he was ok, fels replied “yes” then signed for 5.

I kept checking on fela to make sure he was ok but fela kept requesting 5, fela was laighing and hissing. I prepared his lunch and waited for him to be finished on the toilet.

Fela finished on the toilet at 14:45pm (b/m  medium, no blood) he washed his hands and popped his apron on and then said prayer and ate his lunch.

I then did the board with fela.

Fela then took his apron off and made his way to the rocker, we looked at films on pled and fela chose narnia. I then asked fela If he would like a drink of juice and fela accepted.

Fela is now relaxing in the lounge watching the dvd and drinking his juice.

I could see that fela was scratching his keloids but did not want myself or Teresa in the room so I gave him cotton wool pads with witch hazel on and aloe gel. Fela is now happily cleaning his keloids.

Zoe came on shift and we all had handover.

I then did the board with fela and fels continued to relax watching the dvd.

Zoe then cleaned felas keloids for him whilst I cooked dinner.

At 17:30pm fela had his supplements.

At 17:40pm we all sat down for dinner, we said prayer and fela ate neat and tidy.

Fela had cake after his dinner.

At 18:10pm fela made his way to the bathroom, we have checked on him regularly but fela became agitated at times. Fela had a medium b/m (no blood).

I then asked fela If he would like another dvd and he said yes and picked happy feet to watch. Zoe then did the board with fela at 19:15pm.

At 19:20pm I cleaned felas keloids and popped almond oil on his fingernails. Zoe then did handle with fela.

Fela then had his snack and supplement at 8pm.

Fela became agitated at 20:38pm, banging his feet and clapping and vocal. Fela made his way to the bathroom but continued to be agitated, fela finally got into the bath at 21:15pm, Zoe gave fela shower gel on his flannel to wash himself and then retreated at fela asked for 5.

Arousal States – Start: 2a – Vocal End: 1 Baseline Did his state change? Yes to 5 – Very Agitated Fela has been agitated throughout the day at different periods time (please see shift report) Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Due to agitation