10/09/2021 – Morning & Afternoon shift – zoe holmes

Shift Report:

Fela was at Mama and Michael’s house on my arrival, I started some chores.

The nurse arrived but Fela wasn’t home, just as she was leaving Fela returned home, the nurse said hello and then left.

Once inside Fela became agitated, rocking, stamping, clapping hands, clicking fingers, gutteral noises and banging his feet hard on the floor when rocking, this lasted approximately 40 minutes.

Fela had his morning snack, a smoothie, which he requested and then Fela requested a lemon and ginger tea, Fela as requested alot of drinks today.

All morning Fela as being very agitated on and off, he as being smiling for a few minutes, followed by a few minutes of agitation, I asked Fela if he wanted to sleep but he refused.

Fela went to the toilet before lunch and sat down and requested five minutes, Fela had a bowel movement and there was blood in the toilet pan.

After Fela lunch and then sat in his rocking chair and watched a film, at 14.10 I prompted Fela to lie on the sofa, I made the room sleep ready, Fela lay down for about an hour, he did sleep for a while but I’m unsure how long, Fela went to the toilet independently at 15.15 and returned to the lounge.

At 16.15 I changed Fela’s dressing and then I sat with Fela and chatted to him.

At 4.30 Teresa came and we had handover, we then made a start on the evening meal, Fela ate well, after Fela became agitated, rocking, banging his hands together, gutteral noises, this lasted for approximately 10 minutes, Fela then sat in his rocking chair and relaxed, the board was updated.

Staff did some chores, we then got ready to go out.

We went on a neighbourhood walk and walked for approximately 40min, Fela was happy all the way around, once home Fela went to the toilet and a bowel movement and there was blood.

Fela then had his evening snack and then relaxed listening to music, before getting ready for his bath I removed Fela’s bandages and he enjoyed this.

I supported Fela with his night routine and he did brilliant, Fela is now splashing away.

Arousal States – Start: 4 – Agitated End: 1 Baseline Did his state change? Yes to 5 – Very Agitated Fela as being agitated throughout the morning, please see shift report Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – Neighbourhood walk