05/11/2020 – Afternoon shift – alicia keenan

Shift Report:

I came on shift just before 1:30pm, fela was in the toilet so I said hello to him and then took handover from Teresa and Claire.

I then nipped the butchers whilst fela had his lunch and Teresa was still here with Claire.

When I arrived back fela was just finishing his lunch.

Fela has been vocal (unhappy), he became agitated just before he sat down (this lasted a matter of seconds).

Fela then sat on his rocker and relaxed listening to music.

I went into check on fela and saw that he was picking his keloids, I asked him if he would like to clean them and he said yes, I gave him some cotton pads with witch hazel and aloe gel.

Fela then went to use the toilet at 15:30pm.

Fela finished on the toilet at 15:49pm and made his way back into the lounge to have his snack, drink and watch a dvd.

Fela asked us to sit with him but became very vocal once we sat, I asked fela If he wanted us to stay, fela signed for us to leave.

Fela continues to be vocal.

Emma came on shift and we had handover.

Fela then went to use the toilet at 17.05pm, no bowel movement.

Fela had his supplements at 17:30pm.

We all sat down for dinner at 17:35pm, fela became agitated through dinner, banging the table, vocal (guttural), and jumping up and down on chair.

Fela asked for cake after dinner, Emma gave this to fela.

Fela then made his way after gentle persuasion to the rocker and chose Joseph on dvd to watch.

Fela appeared happy relaxing and requested alone time. We checked fela regularly.

At 8pm fela had his supplement and then had his snack and drink.

Fela was then happily listening to nature sounds.

I then assisted fela with his nighttime routine, fela is now splashing away In the bath.

Fela got out the bath at 21:20pm, as he appeared very tired.

Emma assisted fela with his nighttime routine. He completed this well.

fela is now in bed

Arousal States – Start: 2b – Vocal unhappy End: 1 Baseline Did his state change? Yes to 4 – Agitated Fela has been up and down most of the day, he had been vocal (unhappy), agitated and very happy at times. (Please see shift report) Did he have a bowel movement? No Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Due to agitation and requesting alone time.