20/10/2023 – Day shift – kingsley osei

Shift Report:

Continued with my day shift, updated the TEACCH board with Fela and he declined (said no three times) to Aquafit. PN went in to ask and he said finish, we gave him option and he again said “no & finish “ to activity we offered (gym), we offered gym due to the weather condition.

We gave him space as he was very noisy, for sometime he was quite and pulled out the church TEACCH card but we added closed TEACCH card to it for him to know that church is closed for today. We rang Jubilee II but couldn’t get anyone to speak to as the staffs were busy, we left a voicemail and told them to ring back CC as we left her number for them.

We did Makaton & he did some writing of the months with the song as well, we gave Fela a ‘good job’ sticker to encourage him.

Got served his snack and vocally happily afterwards, had 30 minutes of nap. When leaving he was on the toilet and handed over to AM when she arrived.

Arousal States – Start: 3a – Very Noisy 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 – Decline most activity