15/05/2020 – Afternoon shift – zoe ball

Shift Report:

When I arrived at 1330, fela was watching the crackling fire. He was quite noisy.

At 1415, fela chose a dvd to watch. He chose to watch the lion King 2. Fela was still quite noisy.

I cleaned fela’s keloids at 1555 and then did a new teach board with him which he seemed happy with.

At 1610, fela went to the toilet to pass urine. When he was back, I got Fela to chose an activity out of three choices, puzzles, cards or domino’s. He chose cards.

Fela and I played cards until Zoe arrived and came to say hello to deal at 1700.

Zoe then read some stories to fela as he seemed happy enough and chose 2 books while I made dinner.

At 1740, fela had his supplements and helped to set the table with Zoe. At 1755 we sat down to eat. Fela said prayer with staff well and ate his meal nicely. Fela then asked for more. I asked fela if he wanted more fish, and he very clearly said, rice. Zoe and I were very impressed with the clarity.

Dinner was finished at 1815 and fela wiped the table with verbal encouragement then, fela wiped the cooker voluntarily. He received a lot of praise for this.

At 1835 I cleaned fela’s keloids again and fela started to fall asleep. Fela even asked staff if he could lie down and go to sleep. Zoe spoke to Carla and she advised to give fela a shower or bath before snack to see if this woke him up a little bit.

I started a jigsaw with fela to try and keep him engaged but he was really really struggling. We all took part in doing the puzzle and just towards the end, fela seemed to perk up a bit.

At 1945 we finished the jigsaw and Zoe did a new board with him.

At 1955 fela had a cup of tea and at 2000, he had his snack. Fela had become sleepy again and we had to encourage him to finish his rice cakes.

At 2015, mama called and spoke to fela. I cleaned fela’s keloids while he was on the phone as he had made them bleed.

Both Zoe and myself remained in the lounge with fela to try and keep him awake until 2040 and we told fela to go upstairs. Fela was walking very slowly and took his time going up the stairs. Then he flopped down on the bedding chest like he couldn’t stand up any longer.

We encouraged fela to use the toilet and get undressed, which he did. Then he spent 15 mins in the shower. And got dry and in his pyjamas by 2100. It took fela 20 minutes to complete his night time routine and was in bed for 2125. Fela said night time prayer and snuggled straight down.

We have not heard a peep from fela since. It it 2150 at present.

Arousal States – Start: 3 – Very Noisy End: 1 Baseline Did his state change? Yes to 2a – Vocal but happy Fela was very noisy at the start of the shift and got quieter throughout the shift. He has been vocal happy at times when interacting with staff and has been very quiet as he was falling asleep after dinner. Did he have a bowel movement? No Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Why Fela was extremely tired and had asked if he could lie down and go to sleep several times.