19/03/2021 – Afternoon shift – claire johnson

Shift Report:

I arrived for my shift and Fela was still in bed, we then had handover from Emma.

We felt Fela to sleep and to wake naturally on advice from Carla. While Fela was sleeping myself and Zoe did some chores in the house.

Fela then woke at 12.55pm Zoe went up to Fela and he got out of bed and went to sit on the toilet and asked for five. I then went up to say hello to Fela and as I put my head around the door Fela turned the shower on, he had had normal bowel movement.  Fela got undressed and in to the shower, I supported Fela with his personal hygiene then gave him 10 in the shower.

I went back up to Fela and asked if he was ready to get out the shower and he said yes, we did the counted down then turned the shower off. Fela got out the shower and completed his morning routine well but needed lots of prompts. Fela was downstairs and sitting down for breakfast at 13.50. we said prayer and Fela ate well.

Michael arrived to take over form Zoe, Fela was then taking his supplements I prompted Fela to finish taking his supplements. Once he had finished he went sat in his rocking chair.

Fela then relaxed listening to Louis Armstrong and requested his keloid to be cleaned, I cleaned ant creamed Fela keloids.

At 14.45 I read the story manny bananas to Fela and he appeared to enjoy this and at times would smile, myself and Fela then did some colouring together in Fela colouring books and he did this very well.

A t 15.50 Fela had his snack, once Fela had finished his snack I got Fela new spelling tool out of the cupboard and Fela did amazing at this and did couple of cards before signing finished, so we put it away and let Fela relax.

I then asked Fela if he wanted me to read to him and he picked on of his Paddington books, I was reading this to Fela when chole arrived for hr shift, she did her DBS on the computer with Michael, once they had finished this Michael went home. Myself and chole then went into staff room and had handover.

Fela relaxed listening to music until dinner time. At 18.00pm Fela sat down for dinner said prayer well and ate neat and tidy.  after dinner Fela had pudding.

Once Fela had finished he went and sat on the toilet from 18.45pm until 19.15 pm. Fela had bowel movement. Once Fela had finished in the bathroom myself and Fela did 20 mintue walk at home. Fela needed a lot of praise and encouragement throughout walk at home and did this with little enthusiasm.

After walk at home Fela relaxed and watched Wallace and Gromit, we sat with Fela to watch this. Fela has appeared to be very tired this evening.

At 20.00 pm Fela went sat at the table and had his snack and cup of tea. Shortly after his snack Fela went in to the bathroom use the toilet and past urine then got undressed and int to the bath.

Chole supported Fela with his personal hygiene.  Fela is now relaxin in the bath

All supplement taken

 

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? No to Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Why no exercise?