04/03/2021 – Evening shift – zoe holmes

Shift Report:

Fela was sitting in his rocking chair on my arrival, I said hello and then had handover.

I then went into the lounge and did some work at the computer, I then put some music on for Fela, he had just finished a film, Fela directed me to sit at the computer table, got his dvd file and took my hand and was pointing at a film, I explained that it was time for music.

Fela then relaxed listening to music, I did the board with Fela and he appeared happy.

Staff then started to prepare the evening meal, Fela came into the kitchen, got the spaghetti off the worktop and then got a saucepan out of the cupboard, Emma then asked Fela to put his spaghetti into the saucepan if that was what he wanted.

We ate our evening meal and after Fela relaxed, Fela requested his keloids cleaned but when Emma went to get the homely remedies bag Fela started to peck at his Keloid, making it bleed alot, Emma and myself tried to encourage Fela to stop but he wouldn’t stop and it seemed the more we asked, the more he wanted to, we left Fela for a couple of minutes and then went back in and he had stopped, Emma then assisted Fela with cleaning his keloids.

Fela then chose a dvd and did the board with Emma, I did some ironing and Emma gave Fela a facial trim, Fela looked very relaxed and tired.

Fela had his evening snack and then went straight into the bathroom and sat down asking for porridge, nuts, honey and raisins and music, I left Fela five minutes and went back into Fela and asked if he had finished, Fela then signed for bath and said bath clearly, I asked Fela if he wanted to get off the toilet and come back into the lounge but Fela then asked for five more minutes.

At 8.30pm I asked Fela again if he wanted to get off the toilet and clearly again he said bath, Emma ran the bath for Fela and supported Fela with his night routine, Fela is now relaxing in the bath.

This evening Fela as been directing staff alot and pulling staffs hands.

Arousal States – Start: 2a – Vocal End: 1 Baseline Did his state change? Yes to 2a – Vocal Fela was vocal at the start of my shift and directing staff. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Fela as not being himself this evening.