When I arrived on shift at 9:15, Fela was still in bed. Soon afterwards, Claire went up to him and began to support him with his morning routine. Fela gave us a big smile when he popped into the kitchen for his apron. Barbra and I were preparing his porridge. Fela took a long time to finish his breakfast including supplements. It was clear that he was processing slowly, and he kept getting agitated as if he was getting frustrated with himself for going so slowly.
Claire did the board with Fela at the table. We decided to offer him a choice between a neighbourhood walk and a rest on the sofa. I quickly printed off a picture of a settee because we did not want to confuse him by showing him the card for ‘bed’ – he might think that we wanted him to go back to bed. He chose to lie down on the sofa so we reduced the volume on the Michael Bolton music and put the blanket over him, drew the blinds and curtains. Fela lay down from 12:10 to 13:30. We heard him from time to time so not sure whether he slept. At one point when Claire checked on him, he requested a head massage. When I went into him later he pointed to his chest and made a ‘b’ sound so I knew he wanted tiger balm. I applied some to his chest and back, and then wrapped him up in the blanket like a swaddling baby. Before leaving the lounge, I decided to offer Fela some more calming music, and chose some fire crackling jazz piano on youtube. He smiled when he saw the fire.
When we went in to Fela at 13:30 after hearing his voice, Claire went to prepare lunch of lemon chicken and veg leftovers and noodles. I decided to offer Fela the choice of eating it on his tray on the sofa because he had been so agitated at the table beforehand. He chose to stay on the settee and was full of smiles when I brought him the food on the tray. Michael arrived to relieve Claire who had an appointment but was due back later. After a late lunch, I did the board with Fela and offered him a neighbourhood walk with as much enthusiasm as I could muster. He seemed calmer and more conducive to a walk now that he had rested and had his lunch. He gave it a thumbs up, and I changed him into the Heattech shirt and thermal leggings under his jogging bottoms. The leggings only just barely fit Fela as they were bought a while ago when he was XL.
He was quick off the blocks at 15:15 and he was very noisy when we set off and for half of the walk. He chose the Norton Height cycle path. It took a lot of effort for Barbra and me to keep up. Fela was sweating profusely, but became noticeably calmer for the second half of the walk. The weather was a lot warmer by then so it turned out to be a very pleasant walk.
On returning home just before 16:00 Fela sat quietly in his rocking chair as if he was trying to recover. I prompted him to change his clothes, then he ate his snack of red-skinned peanuts and spiced ginger tea (his choice) at the table. Teresa arrived and we had a brief handover. Barbra and I finished off our chores, then Claire arrived and we had a brief handover.
On my departure Fela was trying to sign for pasta through the window to Barbra as she was getting in her car. I had only just drew the blinds. He was sitting contentedly in his rocking chair as the lovely aromas of dinner being cooked were wafting through the house. I gave him a kiss and promised to speak to him tomorrow, then wished him a good evening.
Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 4 – Agitated Fela became agitated on and off whilst eating his porridge and transitioning from the dining table to the lounge after breakfast. Did he have a bowel movement? No Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – Brisk walk in neighbourhood.