17/03/2021 – Afternoon shift – zoe holmes

Shift Report:

Fela was at the table on my arrival, I said hello and then had handover.

After Fela relaxed listening to music sitting in his rocking chair, at 2pm I went and did the board with Fela and he appeared happy, I then cleaned Fela’s keloids and applied aloe propolis, while cleaning Fela’s keloids I asked if he would like a facial trim later, I then asked Fela if he would like five minutes, Fela became agitated, rocking hard, gutteral noises, so I left the room this lasted approximately 1 minute.

At approximately 2.45pm Chloe asked Fela if he would like her to read him a story, Fela clearly said no, so Chloe asked if he would like to do some colouring but he again refused.

At 3pm Fela had his snack and I applied tiger Balm to Fela’s forehead, back and chest, after I asked Fela if he would like me to sit with him but he refused and said no.

At 4pm Fela had a dvd on and I asked Fela if he was hot or cold, Fela signed cold so I covered him up with his blanket, staff sat with Fela and he was happy with this.

I prepared the evening meal and Fela came into the kitchen and got the spaghetti and then got a saucepan and put it in, he then returned to the lounge.

Fela ate his evening meal well and asked for more, so I gave Fela some more, Fela became very agitated, so we left the room, Fela was jumping up and down, loud gutteral noises, banging the table, I went into check on Fela and he had finished, he then had a drink of water and signed for cake, Fela again was very agitated, banging his palm on the table, jumping up and down, Fela calmed and got his cake with prompting, he then became very agitated again, Fela ate his cake and became agitated after, once calm I removed the table wear and Fela went to sit in his rocking chair and watched his film, I gave Fela two cotton pads, with witch hazel, to clean his keloids, Fela then requested five minutes.

Fela had his evening snack and then went to sit in his rocking chair and watched the rest of his film, Fela then had a phone call from Mama, he became agitated for a few minutes, after his phone call Fela was happy to start his bath routine.

Fela is now relaxing in the bath.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 5 – Very Agitated Fela as had slight moments of agitation throughout the day, after our evening meal Fela became very agitated, jumping up and down on the chair, banging his hands on the table, vocal, gutteral noises, rocking, this lasted approximately 15min.
Fela became agitated again while on the phone to Mama, this lasted a few minutes. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Not well