22/08/2020 – Afternoon shift – zoe holmes

Shift Report:

When I arrived on shift Fela was still sitting at the table, I said hello and then had handover.

After I went into Fela and spoke to him while Fela ate his apple, I then did the board with Fela and he appeared happy, I then cleaned Fela’s keloids and applied cream.

I then encouraged Fela to sit on his rocking chair, I gave Fela a foot massage with tiger balm and then a head massage with tiger balm, Fela really enjoyed this and was very calm and relaxed.

We then got ready to go out, before we left Fela went to the toilet and had a bowel movement.

We got in the car and Fela was very happy, we went to Burslem Park and I was hoping we could encourage Fela to have a little walk but he instantly became agitated when we pulled up in the car, so we went on a nice drive and Fela enjoyed this, while out Fela had his snack and drink.

We returned home for 16. 45 and Fela went to the toilet, he sat on the toilet until 17.55 but did not have a bowel movement, when staff checked on Fela he requested five minutes each time.

After I cleaned Fela’s keloids and the board was done, we had our evening meal at 18.15 and Fela ate well, while drinking his water Fela became agitated, at 19.15 Fela went to sit on his rocking chair and watched Aladdin and had a foot spa, while having a foot spa Fela became agitated but this only last a minute or so.

At 19.25 Fela himself signed for his keloids to be cleaned, Alicia did this and then gave Fela a head massage with the ball.

At 8pm Fela had his evening snack and then a phone call off Mama.

After Fela got into the bath and relaxed, Fela did become agigtated while in the bath, rocking backwards and forwards and side to side, very vocal, this didn’t last very long and then he continued to relax.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 5 – Very Agitated Fela as been agigtated at different points throughout the shift.
When I was having handover and Teresa went into the lounge to do her report, Fela became agitated so Teresa left the room and he calmed.

When we arrived at Burslem Park Fela became agitated, rocking and vocal, after his evening meal Fela became agitated and while having a foot spa, on both occasions very noisy, rocking hard.

When in the bath Fela became agitated, rocking backwards and forwards and sideways and noisy vocal.
On all occasions this as only lasted for very short periods of time. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Agitated.