13/01/2021 – Day & Evening shift – alicia keenan

Shift Report:

I arrived on shift and fela was just waking up, Emma took his supplements, tea and fruit up and then gave us handover.

I then went up to fela and assisted him with his morning routine. Fela did really well and remembered to clean in between his toes. All creams applied.

Fela then came downstairs and made his way to the table, fela had his aloe juice and said prayer and ate his breakfast well,  fela did not want us to sit with him whilst he ate so we checked fela regularly. fela then allowed me to sit with him and then took all supplements.

Fela removed his apron and made his way to his rocker where he relaxed and had his cup of tea.i then did the board with fela.

Fela then got his shoes on and used the toilet, we then headed out. We first nipped the laundrette, fela waited in the car with me. We then headed to Burslem park for a walk, we walked for around 15 minutes but then the rain started coming down heavy so we headed back to the car and let fela have his snack and drink. We then had a little drive around before going back to the laundrette to pop the duvet into the drier.

Once home fela removed his outdoor wear and had a cup of tea and relaxed watching a movie (shrek).

At 12:50pm we all sat down for lunch. Said prayer and fela ate well.

After Lunch fela had a lie down on the sofa and continued to watch his dvd, all curtains drawn, phone removed and doors closed.

Adele came on shift and we gave her handover.

At 14:00pm fela got up and used the toilet and passed urine.

Fela then went and lay back down and Adele put another dvd on for him (secret garden). Michael arrived to fix the computer, I gave fela a head massage whilst we waited for Michael to fix the computer.

Fela now appears like he is falling to sleep.

We heard fela laughing at 14:40pm, so I went into fela and gave him another head massage, fela then signed to sleep.

At 14:50pm we heard fela laughing again and he then got up and went to the bathroom and then ran back in the living room and lay back down. I went into fela and asked him if he needed anything fela signed for a head massage so I did this for fela.

At 15:20pm fela sat up on the sofa, I asked fela if he was ok and if he would like a drink, fela said juice and signed for a bowl and tray.

I then provided fela with his snack and drink.

Fela then allowed us to sit with him whilst he finished his snack and movie. Once he had finished snack I cleaned felas keloids for him.

After the movie I asked fela if he would like to do Makaton signs and fela said yes, he did amazing and even taught me some of the signs for greetings! Lots of praise was given and a sticker, fela appeared very happy with himself.

I then asked fela if he would like to play a game of cards, fela said no. I then asked if he would like me to read a story but fela said no.

We then sat with fela and did handle (fish face and hug and tug with him).

Fela had his supplements at 17:30pm.

We all then sat down for dinner at 6pm, we said prayer and fela ate neat and tidy.

After dinner fela relaxed in his rocker with a hot drink watching Andre rieu in concert.

Adele then cleaned felas keloids.

I did the board with fela and he appeared happy.

After 10 minutes we asked fela if he was ready to do walk at home, fela jumped up laughing and smiling and started to do walk at home, after around 13 minutes fela looked unhappy so we asked him if he wanted to finish, fela became vocal and stamped his feet, fela then sat in his rocking chair and started to rock backwards and forwards, this lasted around 2 minutes. Once calm I went into fela and popped some nature sounds for him to listen and relax to.

At 8pm fela had his supplements and snack and drink.

Fela then had a lovely phone call with mama at half 8.

Fela made his way to the bathroom and I assisted him with his night routine and gave fela a facial scrub. Fela was very interactive tonight in the bath and wanted to do his own facial scrub, I let him do this and then went over his keloids again.

A very pleasant shift with a happy fela, fela has appeared tired throughout the day and did get agitated once but apart from that fela has appeared to enjoy the company of staff today.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 6 – Aggresive Please see shift report ( agitated whilst finishing doing walk at home, stamping feet and rocking on chair). Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – Burslem Park 15 minutes
Walk at home 13 minutes