20/12/2020 – Day & Evening shift – alicia keenan

Shift Report:

I arrived on shift and fela was just getting into the shower. I took handover from Teresa, I then went to prepare felas breakfast.

Once downstairs I gave fela his breakfast and Adele did prayer with him and sat with him whilst I did chores.

Fela took his supplements and then became very agitated at the table, banging the table, clapping his hands, guttural noises and jumping up and down on his seat. This lasted around 10 minutes on and off.

Once calm I asked fela for his apron and he made his way over to the rocker and drank his tea.

Fels had his snack at 10:55pm with a drink of tea.

I then popped church on for him and me and Adele sat with him whilst he watched it.

Fela got up to use the toilet at 11: 35pm, we checked fela regularly but fela continued to request 5.

When fela pulled his trousers up we noticed that fela had been incontinent so we changed his trousers and underwear.

Fela had no bowel movement.

Once finished fela made his way into the lounge and continued to watch church.

I then cleaned felas keloids and Adele popped his come tiger balm on.

Fela became agitated again at 12:20pm, rocking in chair and banging wall and guttural noises.

We popped felas shoes on at 12:40pm and fela made his way to the toilet.

Once fela had finished urinating fela became agitated, stamping feet, guttural noises. Once calm we headed out in the car upto mama and Michaels.

We all said prayer and had a lovely lunch, before dessert fela became very agitated, banging his head, guttural noises, jumping up and down in chair, this lasted around 20 minutes.

Once calm fela had dessert.

Fela then took his apron off and made his way to the chair and cleaned his keloids with aloe and had a tea.

Adele then left and Emma came on shift.

Emma cleaned felas keloids.

Fela then made his way upstairs at 15:10pm, used the toilet and then I asked him if he wanted to lie down, fela gladly accepted. I popped the blanket on him and pulled the blinds down and then gave fela head massage.

Fela had around 1 hour sleep and then read his letters and cards from family, fela appeared much happier and used the toilet and got his shoes and coat on.

We arrived home just after 5, fela took his outdoor wear off and chose a dvd (Joseph).

Fela requested time alone so we gave him this.

I went into fela and the film had finished so I asked him if he would like another film on, fela said yes and chose (perfect man), I then cleaned his keloids for him.

At 8pm fela had his supplement, snack and drink.

After felas film had finished I asked him if he was ready for his bath, fela said yes, made his way to the bathroom, used the toilet and popped his clothes in the basket. Fela then got into the bath, I assisted him with personal care.

Fela is now happily splashing away in the bath.

Arousal States – Start: 2a – Vocal End: 1 Baseline Did his state change? Yes to 5 – Very Agitated Fela has been agitated on and off throughout the morning and afternoon (please refer to shift report). At times fela has been hitting his head, banging table, clapping hands, guttural noises, hissing, stamping feet.
Fela has appeared much calmer this evening but had requested a lot of alone time throughout the day. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: Yes Did he have vigorous exercise?: No – Due to agitation