23/07/2020 – Afternoon shift – zoe holmes

Shift Report:

When I arrived I said hello to Fela and then had handover.

Fela was being vocal so I went into Fela, at 14.10 I cleaned Fela’s keloids and applied cream.

At 14.50 I asked Fela if he would like me to read him a story, Fela clearly declined and said No very firm and clear, throughout the evening I have asked Fela if he would like a story and even got out a book but Fela as declined each time.

At 3.36 Fela had his snack, after Fela finished he got up to go to the toilet but came into the kitchen first, he went to the cupboard and took out the cornchips, he then signed for bowel and then went to his cupboard and got a bowel out, Fela clearly wanted some cornchips so I said he could have only a small amount due to Fela just finishing his snack, Fela then went to the toilet and returned and sat on his sofa with his cornchips.

Fela relaxed listening to music, I did try and get Fela to help me prepare the evening meal but he didn’t want to.

Fela had his supplements and then we had our evening meal at 17.45, Fela said prayer well and ate well, very calm and relaxed all through our meal, after Fela had finished everything he clearly asked and signed for a DVD.

At 18.35 Fela had his keloids cleaned.

I have numerous times asked and tried to encourage Fela to let me give him a facial trim but each time Fela as been very firm with his reply of No.

Fela had his evening snack, which he chose himself, Fela came into the kitchen and used sign and showing me, that he wanted toast, he was sounding the T and peanut butter, using the buttering sign and he got the jam from the fridge, I only gave Fela a very thin layer of jam, due to the sugar content, I was very proud of Fela making very clear choices today in what he actually wanted, I gave Fela praise for this and told him that I’m proud.

After Fela had his snack he requested a head massage from me but I only gave a five minute massage because I didn’t want Fela to become so relaxed that he fell asleep.

Fela is now relaxing in his bath, gently humming.

Fela as asked for alot of alone time but also he as been happy for staff to sit with him at times.

Fela as been very relaxed and content today.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 2a – Vocal Fela became vocal while I was receiving handover.
Fela became vocal when I tried to encourage him to let me give a facial trim. Did he have a bowel movement? No Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Fela requested a DVD very clear after our meal.