24/08/2020 – Morning & Afternoon shift – alicia keenan

Shift Report:

I arrived on shift just before 9am, Fela was still in bed, we had handover from Chloe. Fela was give his cup of tea and asked for 5. we checked on Fela regularly, chores completed whilst Fela relaxed in bed,  he got into the shower at 10.30am, Fela was vocal in the shower. Fela came down for breakfast at 11.10am, said prayer and ate neat and tidy, he also took his supplements. Claire then did the board with Fela and he relaxed, listening to music and finishing his drink of tea. Fela then used the toilet at 12.20pm, Medium B/M, no blood. we left the house at 12.35, made our way to Rudyard lake, Fela appeared to really enjoy the walk and continued all the way to the end, he sat for a short time and had his snack and drink then returned to the car at 2pm where he had his lunch and supplement. Whilst out Fela appears to be turning his right foot over (Carla made aware).We arrive back home at 14.43 and Fela took his shoes off and used the toilet (no B/M). The board was then completed with Fela and he relaxed listening to music. t 15.35 Fela had his snack and drink, he had been signing for crisps all day so i gave him a packet of his crisps, Fela became extremely happy, laughing, smiling. At 16.10 Fela became agitated, please see report. Claire gave Fela a pad with witch-hazel which Fela accepted and some aloe gel, Fela happily sat there applying it. at 17.55 Fela participated in foot physio. Fela used the toilet at 18.00 and then made his way to the table for tea, we said prayer and Fela ate neat and tidy, i tried a new recipe (suitable for Fela), Fela really enjoyed it and asked for seconds, he then had cake and ice-cream. Claire did the board with Fela and the left him to relax. We did walk at home with Fela which he appeared to enjoy and his coordination was amazing. Fela then chose a DVD to watch (little women). At 8pm Fela had his snack (peanut butter and jam on toast which he signed to me). Fela continued to watch his DVD, Fela is now in the bath splashing away.

All in all a good day with Fela, he has been vocal at times but he appeared happy whilst doing activities.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 5 – Very Agitated 16.10 started agitated and became very agitated, appeared hot so Claire prompted him to remove his Tshirt which he did, new t shirt and towel provided. slapping his legs, clapping loudly, rocking backwards and forwards rigorously. When he calmed he placed his t shirt on. Vocal on and off throughout the day. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: Yes Did he have vigorous exercise?: Yes – 1 hr 10 min walk around Rudyard Lake and 15 mins walk at home.