10/10/2020 – Morning & Afternoon shift – alicia keenan

Shift Report:

I arrived on shift at just before 9am, fela was still in bed so I had handover with Chloe.

Staff heard fela humming at 09.25, Adele took fela his supplements up at 09.30. Fela had his fruit and tea at 09.40am.

Fela was asked by Adele If he was ready for a shower, fela signed to go to sleep.

Fela was still awake and humming so I went up to fela at 10.30am, asked fela if he would like to use the toilet, fela then went to the toilet at 10.35am (large b/m, no blood). Fela then got into the shower. Once fela got out of the shower Adele assisted with morning routine and fela became vocal, I was preparing felas breakfast. Once fela had made his way back into the bathroom to brush his teeth fela became agitated. Staff left fela to calm down, once calm fela came downstairs at 11.28am and went into the lounge and immediately became agitated, banging his shoulder off the wall, stamping his feet and clapping,staff gave fela time to calm down, I asked fela at 11.42am if he was ready for breakfast as he appeared calmer, but fela immediately became agitated so I left fela to calm down. Once fela calmed Adele asked fela If he was ready for breakfast, fela sat down at 11.47am, said prayer and then became agitated, banging the table and vocal. Once calm and eating his breakfast Adele asked fela If he would like her to sit with him, fela clearly said no and pointed to the door. Adele asked again a little while later and fela agreed that she could sit with him. Fela took his supplements at 12.10pm.

Fela then went and sat in his rocker and listened to music (Joseph) and Adele did the board with him whilst I cracked on with chores. I then asked fela If I could sit with him but fela said “no”, fela appeared happy laughing and smiling in his rocker.

Fela did allow me and Adele to sit with him a little while later, fela and Adele then got up and had a dance, fela really enjoyed it.

I then cleaned felas keloids as he they appreared to be aggravating him, I popped some almond oil on his finger nails and offered him tiger balm which he accepted so I put some on his neck and forehead and temples.

Fela had his snack at 13.20pm and continued to relax and listen to music.

At 13.50pm fela got up to use the toilet, once finished fela popped his shoes and coat on and we headed out for a lovely drive and to collect ingredients for lunch tomorrow.

We arrived back home at 15.25pm, once fela had taken his coat/hat/scarf off he washed his hands and made his way to the table for lunch, fela said prayer then ate neat abs tidy. Once finished fela made his way to the rocker, Adele did the board with him and he chose to watch happy feet on dvd. Fela is happily sat watching this.

Zoe then came on shift and we gave her handover, Adele then went off shift.

Fela used the toilet at 17.20pm, no bowel movement.

Fela continued to watch his movie and relax, Zoe gave fela his supplements at 17.33pm.

Fela then had his keloids cleaned by Zoe and had some tiger balm applied to his neck and head.

Dinner was served at 6pm, fela appeared to enjoy his dinner and then enjoyed his dessert.

Once finished we gave fela his surprise from mama and Michael. Fela became agitated, Zoe asked fela If he would like the dvd on, fela said yes and then got up, gave me his apron and then stood by the wall, stamping his feet, banging the wall and being vocal.

Fela did eventually sit down, and Zoe popped Dora the dvd on for him, fela then became agitated, banging his feet and clapping his hands and being vocal and rocking hard on his rocking chair.

Once calm fela allowed myself and Zoe to sit with him and watch the film, I also applied tiger balm to his head and neck. I then cleaned felas keloids then we continued to watch the movie.

Fela then went to use the toilet (no bowel movement).

Fela had his snack and supplements at 8.10pm and continued to watch his film.

Fela had a call from mama at 8:30pm and appeared to enjoy this, smiling throughout.

Fela then made his way to the bathroom, I assisted him with his night time routine, fela is now happily splashing away in the bath.

Fela has been agitated at times but has appeared to have a lovely  overall.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 4 – Agitated Fela became agitated after breakfast, banging shoulder off wall, stamping feet, clapping and vocal
Fela became agitated after dinner, banging table, stamping feet, clapping and vocal Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Due to waking late and agitation.