17/07/2023 – Day & Evening shift – marc hancock

Shift Report:

Arrived at Fela’s , had a handover from Ann, checked petty cash. Fela was upstairs agitated, guttural noises , slapping legs, stamping feet, vigorous rocking so we all gave space. Eventually after some minutes  I went up and asked him to brush his teeth. He did so and then after some messing went downstairs. Messed again and vocal. Sat, said prayer very loudly. He was getting agitated so again gave him space. Carla rang to see how he was, advised to offer a nap in the morning before the walk. I offered the nap and Fela refused, sat on sofa with his tea. Went through the board with Fela and he chose a walk at Longton Park. He had his tea at the sofa but kept asking for 5 and leaving the tea. Rocking occasionally and doesn’t seem happy. We did cleaning chores. Mina gave Fela his snack. After I asked Fela several times if he’d like to get ready and refused. It rained heavy so a walk wasn’t viable, he refused a walk at home and again kept asking for 5 and vocal. I prepared Fela’s lunch, he got ready, then sat, said prayer and ate. After had a cake. He cleaned the table afterwards. Sat on the sofa and was vocal at times and again refused going out at all. He did agree to doing the magic painting which he seemed to enjoy. After sat on the sofa listening to music. He agreed to have a story read to him which I did. After he asked for 5. Again refused a nap. We did makaton and makaton sing a long. Gave Fela a a snack and tea, has been very vocal on and off throughout. Relaxed with music. I prepared his dinner, Kingsley arrived, had handover and checked petty cash. Mina left. Had his supplements. Fela used the toilet, after some messing in the lounge, he put his apron on, sat, said prayer and ate, after had his hot choc drink. He cleaned the table then sat listening to music.  all  floors were swept and mopped. I dried all dishes. Kingsley went through the board with Fela and he chose gym ball. I changed the batteries in thermostat as old ones were dead. Later Fela used his gym ball. I gave Fela his snack and sleep well tea, when he’d finished gave him a shave. Put washing in the drier. Fela used the toilet and had bowel movement. Kingsley went through bath routine. Splashing happily at time of report.

Arousal States – Start: 4 – Agitated End: 1 Baseline Did his state change? Yes to 3b – On Edge Agited and vocal at times throughout the shift Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – Gym ball