13/05/2020 – Sleep shift – carla cornelius

Shift Report:

When Fela arrived, he was vocal but happy. Fela was in bath by 21:15 after having a bowel movement. Fela did his evening routine well, and was in bed by 22:30.

I applied tea tree oil to his athlete’s foot on both feet between smallest toes, aloe propolis on toes and fingers which appeared dry, keloid cream and lavender and chamomile massage oil to his forehead, chest, back and behind his ears.

I didn’t hear Fela until 1:00 when I prompted him to the loo. he returned to bed by 1:15, but  didn’t fall asleep until 4:15 after I prompted him to the loo again, and decided to apply massage oil to him again to induce sleep. He requested apple before lying down so I told him it would be later after sleep.

Fela slept for three more hours until 7:15 when I heard him being vocal. He seemed ready to get up so Michael prompted him to the loo, then he had his waking supplement followed by water, plum and apple tea and plum. I looked up the sign for ‘plum’ on google, and showed Fela which he imitated well.

He then asked for 5 but did not lie back down. Cafe jazz for studying was playing in the background. I informed Fela that shower was next. He also did the sign, and he entered the shower just after 8:00. Once again, he was smiling. He did his morning routine well and was down for breakfast just before 8:15 minutes after Emma and Zoe Lou arrived.

When Fela left Green Pastures around 9:45, he was baseline.

*In total, Fela had about 5 and a half hours sleep so staff will need to exercise extra caution and patience as he appears to be touching objects more, and is processing more slowly. He will probably need a lie down or nap in the afternoon.

Arousal States – Start: 2a – Vocal but happy End: 2a – Vocal but happy Did his state change? Yes to 1 Baseline Fela was baseline once he entered the bath which was on the warmer side. He was silent throughout his bath, and when I checked on him he appeared to have fallen asleep momentarily. He was baseline whilst asleep but happy vocal whilst awake. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Why no exercise? Sleep shift