21/03/2021 – Morning & Afternoon shift – emma bowden

Shift Report:

On arriving fela was sitting up in bed. He had his tea supplements and fruit. Alicia support fela with his morning routine. I started preparing Sunday lunch. Fela came down and had breakfast and supplements and is now listening to music in his rocking chair. Alicia did the board and social story. Fela relaxed and listened to music. At 11am I put church on line for fela and he had some fruit and juice. At 11.05 fela became very agitated. Stamping his feet on the floor, very noisy rocking very hard from side to side. We have gave him space. He called at 11:13. He then signed for past and chicken I told fela that we were having chicken for lunch. Fela was agitated at 12 this lasted a few minutes. Then again at 12:15 which lasted a few minutes. He used the toilet at 12:25. He sat for around 25 minutes but no bowel movement. We sat down for Lunch at 12:50 fela ate well and enjoyed his chicken. He had cake and ice cream for afters. Once finished fela sat on the sofa and had a lemon and honey tea. We then put little women on and he lay down on the sofa at 13:50. We made the room dark and cosy and I covered him with a blanket. He used the toilet at 14:05 sat down for 15 minutes no bowel movement. He washed his hands and became agitated when sitting back down this lasted minutes. At 14 .37 fela became very noisy. He lay back down on the sofa and Alicia gave fela a head massage. He didn’t go to sleep. Fela sat up, at 3:30 fela had snack and then went to finish his film. He then listened to some Bob Marley.I did the board with fela and Claire asked him if he would like to do foot physio and fela refused. Fela used the toilet and sat for a while. Carla brought felas chippy tea. Fela got off the toilet and washed his hands then sat down for dinner. Once all finished fela went to sit on the sofa and claire did the board with him and he chose to watch the new movie. He chose to watch the bee movie we sat with him and watched. He then had snack and a phone call from mama. He then got in the bath and claire supported him with his hair. He is now splashing away. Fela has been very up and down from 11am toll 5pm

Arousal States – Start: 2a – Vocal End: 1 Baseline Did his state change? Yes to 5 – Very Agitated fela has been agitated on and off for most of the shift Did he have a bowel movement? No Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Why no exercise?