On arrival Fela was finishing his breakfast. We had handover from Mina and then said hi to Fela. Almond set up to board and I prompted Fela to sit on his sofa. He became adjitated before sitting so we gave him space this lasted around 15 mins. Once calm I went through the board with Fela and applied cream to his left arm and shoulders as Mina handed over that he had some scratches visible. Fela remained vocal unhappy. I started preparing the soup so that it would be ready for our return from the walk. Almond gave Fela his tounge drum to play. I then packed his bag with his snack and water. Fela then put away his drum. Once he had finished his morning tea I got his shoes for him. He put on his socks and then pointed to the board saying finished to the walk but still insisting to put his shoes on. I asked Fela again if he wanted walk he requested food so I gave him his snack and rearranged his board to show the walk could be after his snack. He became very noisey and vocal unhappy. He was asked one final time and he said no despite trying most of the morning. He has not been happy all morning. Fela cheered up this afternoon. Almond did the board with Fela and then I served lunch. At lunch time Fela took his supplements and then we all said prayer and ate together. Fela then had cake and icecream for desert. Fela was in a pleasant mood when we began the makaton lesson and he did very well signing (Relationships and roles theme). He then wrote the poem for Liz and did very well keeping the writing small. I then made Fela his snack. Fela refused to clean his sofa afterwards but remained happy. Almond started dinner. Fela requested a shave, shave was given we then did foot physio and handle. Dinner was served we all say to pray and eat and then he had hot chocolate. Afterwards he took himself to the toilet to have a bowel movement once I asked him if he had finishes he asked for 5 and locked the door. Fela then came out I asked Fela if he wanted to do the gym ball which he had agreed to and he asked for 5 once again. On inspection there was blood in the toilet. Fela then bounced on the gym ball for around 20mins. I then made his snack. After he finished his snack I went through his routine with him and he did it well, happily splashing at time of report.
Arousal States – Start: 2b – Vocal Unhappy End: 1 Baseline Did his state change? Yes to 4 – Agitated Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – Gym ball