14/09/2021 – Day & Evening shift – zoe holmes

Shift Report:

Myself and Claire arrived and had handover from Teresa, Fela was finishing taking his supplements, Fela was being very vocal.

Fela then relaxed listening to music and the board was updated and then staff did chores, Fela had his morning snack at the table and then continued listening to music, while sat in his rocking chair.

We then got ready to go out, we headed to Tunstall Park and did two full laps around, the long way and then after we went into the cafe, Fela had a snack and a herbal tea purchased from the cafe, he was full of smiles drinking his tea and watching the world go by, after Fela went to the toilet, he remembered where they were, he had a bowel movement, we then returned to the car, on our way home we ran some errands and then returned home, once home Fela was signing alot for different food and was signing on staff to sign for food.

Fela relaxed while lunch was prepared, Fela ate well and neat and tidy at lunchtime today.

After Fela watched the Croods, staff sat with Fela but he then requested alone time, Fela had his afternoon snack and then became agitated around 3.55pm, he went to the toilet and continued to be agitated, he then went back to his rocking chair and continued to be agitated until 4.30pm, he was rocking, gutteral noises and clapping his hands.

After Fela calmed I gave him a facial trim and he really enjoyed this, after I cleaned Fela’s wounds with saline and the Claire redressed his face.

We then had dinner and Fela said prayer, I encouraged Fela to eat neat and tidy, Fela a couple of times took his sausage out of his mouth and then dipped it into his water, I explained that it isn’t neat and tidy to do this, Fela was giggling, so I am certain it was for my reaction, so I decided to not react, after Fela relaxed listening to music and the board was updated.

Fela became very agitated, banging his feet on the floor, very hard, gutteral noises, rocking vigorously in his rocking chair, clicking fingers, this lasted between 10 and 15 minutes, Fela then removed the walk card from his board and was instantly happy.

I then encouraged Fela to bounce on his exercise ball and he did really well, he bounced for 30 minutes and worked up a good sweat.

After Fela listened to relaxing piano music on YouTube, he then had his evening snack.

Fela completed his bath routine with Claire and was very egar and happy to get into his bath, Fela is now relaxing in the bath.

All supplements taken.

Fela as being requesting alot of drinks today and he as being sweating alot, even when resting, please monitor.

Arousal States – Start: 3 – Very Noisy End: 1 Baseline Did his state change? Yes to 5 – Very Agitated Please see shift report. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – Tunstall Park 30 minutes

Exercise ball 30 minutes