20/08/2020 – Morning shift – alicia keenan

Shift Report:

I arrived on shift just before 9am, Handover received from Chloe and Adele. Fela was just getting into the shower, after a while I went up to Fela with Emma and she assisted me with his morning routine. Fela made his way downstairs and had his breakfast, supplements and I completed the board with him. At 10.15 Fela made his way to the toilet and had a (large B/M, no blood). After his bowel movement Fela became agitated at 10.25am, this lasted about 15mins. Once calm Fela came out of the toilet and popped his shoes and coat on and we made our way to Flip out, Fela appeared happy in the car and was laughing and smiling. Once in Flipout he bounced for about 10 mins then came off the trampoline, very vocal and slapping his knees, we asked if he wanted to stay or go back to the car, Fela said car. Fela had his lunch in the car and we had a leisurely drive back to the house, Fela appeared to enjoy this. Once back home Fela had a drink, took his shoes off and relaxed in the lounge listening to music. Fela then used the toilet. On writing this Fela is relaxing in the lounge listening to Louis Armstrong.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 5 – Very Agitated after using the toilet Fela became very vocal, making guttural noises, stamping his feet, jumping up and down on toilet, bashing himself against the wall.
At Flip out Fela appeared unhappy before getting on trampoline, came off after 10 mins, slapping his hands on legs, very vocal (it was very busy and children running around) Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – 10 mins at flipout