18/07/2020 – Afternoon shift – zoe holmes

Shift Report:

Fela was eating lunch on my arrival, I said hello and Fela became agitated, staff left Fela to calm.

After Fela went to the toilet and had a bowel movement, he then returned to the lounge and asked me for a head massage, I prompted Fela to sit on his rocking chair so I could do the handle head massage, Fela enjoyed this and I talked about the different handle techniques to Teresa.

Fela then signed that he wanted to lie down, Fela wanted me to move the cushion at the end of the sofa I tried to encourage Fela to move his cushion, Fela came forward to grab me to guide me to move the cushion, I asked Fela not to grab Zoe and I proceeded to move backwards, Fela moved forward to grab me again to direct me, I exited the room, due to Fela being very agitated shortly before, I thought this was for the best.

Fela returned to sit on his rocking chair, I went to check on Fela and he became agitated, once calm Fela lay on his sofa and I gave Fela a head massage.

Angelia came on shift and we had handover, at 17.10 I cleaned Fela’s keloids and did the board with Fela, myself and Angelia started to prepare the evening meal, I tried to encourage Fela to help me make chocolate cornflake cakes but he totally refused, I even showed Fela the ingredients we would be using but he didn’t want to help.

At 5.35pm I gave Fela his evening supplements, Fela was agitated on and off taking these and needed alot of prompting and encouragement, at 6pm I went to print something off the computer and I chatted to Fela about our. Movie evening, Fela instantly became agitated, please see arousal state.

Once calm we sat at the table for our meal, Fela was full of smiles and said prayer well, Fela then became agitated so we left Fela to calm, we joined Fela again but he became agitated again, Fela didn’t finish his meal and drink until 18.55 due to this.

After Fela finished I asked if he would like to watch a dvd, Fela became agitated.

Fela sat down on his sofa at 19.20 and I encouraged Fela to remove his wet top and vest, I gave Fela a clean vest to put on, Fela had a cup of tea and at 19. 40 Angelia gave Fela a head massage with tiger balm.

Fela had his snack at 8pm and then a telephone call off Mama. After Fela was very happy and had a nice relaxing bath.

Fela as been agigtated on and off through out the shift.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 5 – Very Agitated Fela became agitated when I said hello and staff had to leave the table to allow Fela to calm, Fela was rocking hard, vocal, clicking finger's.

Fela became agitated again while sitting on the sofa, rocking very hard, gutteral noises, clapping hands, clicking finger's.

Fela again became agitated while we were having our evening meal, we left Fela to calm, it took Fela some time to calm, he was rocking very hard, hitting his head with an open palm, hitting the table with his hand, clapping, sweating alot.

Fela as been agigtated on and off for the entire shift, one minute happy and laughing and the very next second agitated. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – Very agitated day.