21/11/2021 – Morning & Afternoon shift – carla cornelius

Shift Report:

Fela has been noisy to agitated throughout the day.

The highlights of his day were:

  • licking the cake bowl whilst Michael was baking.
  • watching T.D. Jakes.
  • playing with his tongue drum.
  • manicure on request.
  • facial trim on request.
  • colouring two images on the theme of Christmas – a wreath and penguin.
  • watching ‘Cool Runnings’ which he chose from a choice of three films beginning with C.

Fela appeared to have slept through the night but his mind was a bit confused today which suggests he either overslept or had a disturbed night. For example, he requested tongue drum but when I wen to play some Michael Buble Christmas music to accompany his drumming, he got up to grab the T.D. Jakes card from the board and insisted that I put that on; he still wanted to play the drums which meant we couldn’t hear the teaching properly. Also, I gave him a choice of pastas and he chose the red lentil penne, but just as I was about to serve, he pulled me upstairs to get pasta from the storeroom.

Fela was picking at his left keloid a lot so I gave him aloe leaf to rub on it which stopped the bleeding. I then put a plaster on and secured it with hypafix but it didn’t stay on for long due to Fela’s sweating from agitation. I think he associates the hypafix with the bandages he had to endure for 5 weeks after surgery in August. Fela’s happiest time of the day was when I was giving him his facial trim; in fact he prompted me to continue for longer. So, I think his keloids particularly the left one was definitely irritating him.

*I have put on the Activity Planner for Fela to have a daily facial trim. If he requests a scrub in the bath, feel free to give him one as well.

Arousal States – Start: 2a – Vocal End: 1 Baseline Did his state change? Yes to 4 – Agitated Fela became very noisy when he came downstairs for dinner. It may have been because dinner was not yet on the table. He calmed but when Michael reminded him on the second occasion to chew with his mouth closed, he became agitated at the table. Michael and I had to leave the table. It took a good 20 minutes for Fela to calm down and afterwards, we prompted him to change his shirt because he had sweated so much. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – It was not on the plan as I had to do Admin in the evening so Michael sat with him whilst he watched a DVD.