When I arrived on shift fela was just sitting down at the table and was agitated. Once fela sat down he was jumping up and down on his chair and being very vocal and unhappy. He calmed after lunch but was still a bit up and down. Fela refused everything we offered (reading, writing, handle etc) he pointed for the teach folder and picked dvd and foot spa. After I done the board we done some Makaton and then fela watched tangled fela was up and down so didn’t have a foot spa and didn’t want staff in the room until towards the end when he let claire and I come and sit with him. Fela had his snack and once his movie was over fela had some music on.
fela done some handle and we then had dinner. Fela ate well and once finished he took himself to the toilet and had a very large bowel movement.
We done the board and fela set out the night activities. Dvd, foot spa, snack and then we explained to fela that we needed to do some exercise too so he was given the choice of either walk at home or mr motivator so fela choose walk at home and seemed very proud of himself for picking the nights activities.
Fela had a foot spa, watched tangled (choose by fela again) had his snack and then once the movie had finished we did walk at home. Fela done really well.
Fela then used the toilet and got ready for his bath. Fela washed himself and in between his toes and is now splashing away in the bath.
Arousal States – Start: 4 – Agitated End: 1 Baseline Did his state change? Yes to 4 – Agitated Fela has been up and down a lot during this shift.
Please see report Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – Walk at home