23/03/2021 – Morning & Afternoon shift – emma bowden

Shift Report:

I arrived on shift and fela was still asleep. We had habdover. Fela woke at 9:45. Zoe took his refreshments up. Fela looked like he wasn’t ready to get up so Zoe asked if he would like to go back to sleep. Fela said yes and lay back down. We did some chores and then I went up to fela ya 11:15 and was greeted to a lovely smile. I asked fela if he was ready for his shower and he jumped up. He went to sit in the toilet and took his clothes off and turned the shower on. I prompted fela to wash and then gave him 10 minutes. Zoe then went back up and supported fela with his routine. I did felas breakfast and fela was downstairs for 12:15. Breakfast and supplements taken and then fela went and sat in his rocking chair. I did the board with fela and he seemed happy with the activities on there. Fela listened to some soft rock on you tube. He relaxed for a while and we did some chores.at 1:45 We then got ready to go for a walk. Fela put his shoes on and he used the toilet. Fela became vocal unhappy. But we proceeded to get ready. He used the toilet and then Fela put his coat and went outside where he was very noisy. Staff assured fela that it would only be a very short walk and that we could come home after. We started walking around the block and fela was getting more agitated. Jumping up and down. Guttural noises. We got to walk through on bellington lane and fela started to point and walk up to it. We asked fela if he wanted to go home  and fela started to walk through the walk way towards his house. Once home fela stood outside for a few minutes agitated. Once inside he remained behind the door and was agitated.  Staff encouraged fela to remove his rucksack. We gave fela space to calm down. It appeared every time staff spoke to fela, fela became more agitated. Banging his arm against the wall and door jumping up and down. Rocking aggressively. Making gutteral noises. Fela calmed slightly and went onto the lounge and remained by the wall agitated. From 2:22 to 2:50 fela was highly agitated. He sat in the staff rocking chair in the lounge and began to calm. He then went and sat in his rocking chair and was calm. After a few minutes he became agitated again. He was agitated in all for around 45 minutes. When he was fully calm he took his shoes and coat off and I helped fela to change his clothes. He then had a cup of tea and his snack. Fela chose to watch moana and we sat with him while he watched it. Fela then asked to be on his own for 5. After around 10 minutes fela became agitated again. I went to check on him and fela became more agitated. This lasted minutes. Zoe offered fela some nuts. He finished watching his film. I prepared dinner and then i have fela a head massage while I put him some music in he chose Joseph. He relaxed before all sitting down for dinner. Fela ate well and had some cake and ice cream. Once finished fela went and sat in his chair. I did the board with him and he continued to listen to Joseph. Fela and Zoe did 10 mins of walk at home while o did the ironing. Fela the used the toilet he sat for a while and had a small bowel movement. Once finished he washed his hands and then he came to sit down and I gave him a manicure and cut his toe nails. He then came to the table for his snack. Once finished he went to sit back down and he listened to relaxing music. He had a phone call from mama and then I supported him with his bath routine. Fela is now splashing away

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 5 – Very Agitated Please see report Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – Walk at home