07/01/2020 – Afternoon shift – zoe holmes

Shift Report:

Fela was listening to Kayne on YouTube on my arrival, I said hello and then had handover, after we did the board with fela and then we got ready to go out, first we went to the butcher’s, Fela declined to go into the butcher’s, so Claire went in, we then made our way to the jubilee swimming pool, on the way Fela fell asleep, he did appear tired earlier, once there we went inside and queued up, Fela became vocal and stated to move side to side, please see arousal state, after Fela sat at the table and was happy, I spoke to the staff about membership and Fela had his snack, we decided not to go into the actual pool area today, due to Fela becoming slightly agigtated, we showed Fela the seating area and the disabled toilet, we then went to tesco to collect the shopping, once home Fela helped to carry his shopping in, he then relaxed and watched a film, I put the shopping away and prepared the evening meal, Fela ate really well and asked for more, after he relaxed and listened to music on YouTube, Staff sat with Fela and he was happy, I played some cards with Fela and we all sat listening to the music, Fela went to the toilet and became agitated, please see arousal state, due to Fela’s agitation we were unable to do walk at home, after Fela calmed it was time for his evening drink, Fela then had his evening snack, he relaxed before getting into the bath, Fela was very happy relaxing in the bath, I cleaned his keloids and he seemed to really enjoy this, night routine followed well, I did notice that Fela’s ocds, after cleaning his teeth were alot more than usual, Fela touched everything in the shower room, he even opened the shower cubicle door and picked up the shower mat, after Fela got into bed and we said prayer, music cd left on.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 5 – Very Agitated Fela started to move side to side and became vocal, while we were in the queue at the jubilee swimming pool, Staff encouraged Fela to a seat before it escalated further, Fela was happy with this.

As Fela was coming out of the toilet staff asked Fela to wash his hands because he had used the toilet and not washed his hands, Fela then washed his hands and went into the lounge and sat in his rocking chair, Fela became very agitated, banging his feet hard on the floor, rocking side to side and backwards and forwards very hard, gutteral noises, sweating alot, clapping his hands, jerking his head, this lasted approximately 20 minutes and then Fela calmed. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: –