12/05/2021 – Morning shift – zoe holmes

Shift Report:

Fela relaxed after breakfast and the board was done, Fela appeared happy with the board, staff did chores.

Fela had his morning snack and then we got ready to go out, we went on a neighbourhood walk and he did really well, Fela was picking up empty drinks cans, staff tried to encourage Fela not to do this but it didn’t work, once home Fela took off his outdoor wear and then sat on his rocking chairs, I got Fela to take off his socks to ventilate his feet, Fela then listened to music while staff prepared lunch.

Fela sat down for lunch and said prayer, while eating lunch Fela got very agitated, please see arousal state, this lasted approximately 15 minutes, once calm Fela sat in his rocking chair listening to music.

I went into the lounge and Fela tried to sign something but myself and Emma didn’t know the sign, I asked Fela to show us, he went into the kitchen and became agitated, please see arousal state, this lasted only seconds.

Fela then returned to the lounge and relaxed listening to music, Claire came on shift and we had handover.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 5 – Very Agitated Fela became very agitated while eating lunch, he was rocking, jumping up and down on the chair, very noisy, gutteral noises, hitting his head with a open palm, banging hands on the table, jerking movements, this lasted for 15 minutes.

Fela signed and asked me for something while listening to music, myself and Emma didn't know the sign, so we asked Fela to show us, he walked into the kitchen and became agitated, very noisy, stamping, this lasted only seconds Did he have a bowel movement? No Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – Neighbourhood walk