04/09/2019 – Morning & Afternoon shift – chloe power

Shift Report:

Fela was upstairs finishing his morning routine when I arrived on shift. He came down and started his breakfast. Fela ate extremely slow but did not want staff in the room with him but we did encourage him to eat but he kept staring blankly infront of him and not eating. Fela finally finished his breakfast and then listened to music. (Please see arousal) Fela then took himself to the bathroom where he continued asking for extra time, he had a bowel movement. Fela had his snack and listened to music while staff prepared lunch.

Fela ate well and then chilled for half an hour before we headed out for a walk. Fela was vocal during the walk. We then headed home and fela requested a dvd.

Andrew then arrived so the dvd was paused, fela seemed fine with this and went to sit down. After approx five minutes (please see aorusal)

michael and Carla then came down and Carla gave fela a massage and played cards with him.

Fela then had dinner and told staff to leave.

Fela eventually moved to his rocker and listened to music, had his snack and then spoke to Carla in the phone. Fela then got in the bath and is now still in the bath being very quiet

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 6 – Aggresive
Fela came into the staff Room this morning with his phone in hand and asked for cake, rachel was standing up and fela opened his hand and pushed her on the chest roughly towards the seat and then went out again.

Fela has been laughing hysterically (in a way I have never seen him laugh) and then instantly becoming very agitated. This has continued during the day and Fela has been up and down throughout the day, stamping his feet, rocking, being very vocal, clapping his hands and then he would start laughing again. Acting unusually. Eg. Taking his phone into the staff room, pushing rachel, coming into the staff room and then sitting back down. all things that I have not seen fela do before.

During education fela was very agitated so Andrew asked if he would like to take 5, he went to rub his head with his T-shirt as he was sweating so rachel brought him over his towel, fela got up grabbed rachel aggressively by the arm and bite her, knocking her over in the process and then continued holding her arm while he tried to bite her again and again. Fela then let go, jumped up and down and started to scream before sitting on the sofa and rocking hysterically while still being extremely vocal.
This continued until zoe arrived and managed to calm him down but he has been up and down all evening since the incident, being very vocal, rocking, stamping his feet, clapping his hands and thrusting his head forward.