24/09/2021 – Day shift – daniel washington

Shift Report:

I met Zoe at Fela house where we awaited the arrival of Micheal and Fela. Once Fela arrived he was vocal unhappy he came into the house and took around 5 mins to sit down in his rocking chair. I helped unpack Micheals car of Felas belongings. Once Fela had sat to listen to music he removed his shoes and Zoe did the board with him. Myself and Zoe then started to do some chores around the house. At around 10.10 Fela became adgitated making grunting noises and stamping his feet this lasted around 5 mins. Afterwards Zoe did the board with him again, since then Fela has been vocal unhappy.

He then went to sit at the dining table to enjoy his snack of a smoothie which he was happy about and enjoyed. Once he had finished his smoothie he become adgitated again banging hands on the table, clapping hands, gruntal noises, sweating a lot, once stood up rocking side to side.

Afterwards Zoe gave fela the board and asked if he would like to remove anything. He removed walk from the board and seemed to settle afterwards. Fela then chose to watch a DVD and chose ‘Happy Feet 2’ from the DVD folder. Fela then went to the toilet where he became agitated once finished he remained adgitated until he sat down in his rocking chair. He then calmed to watch the rest of the film.

When the DVD had finished it was time for lunch. Fela was very happy that it was time to eat, we said prayer together. Fela ate well. Straight after he had finished Fela became adgitated and went to sit in his chair and calmed but was still vocal. Claire arrived and Fela was still adgitated.

Fela then used the toilet and had a bowel movement once finished he was in a happy mood. This didn’t last long he became vocal unhappy soon afterwards.

We then all did makaton together, then Fela sat at the dining table to have his snack and drink. Once he had finished his snack he became agitated again signing for various foods. He returned to his chair to listen to music. Fela remained adjitated/vocal unhappy for around 15 mins then returned to baseline.

Throughout the day Fela had been adgitated many times but only lasting 2 – 5 mins each time.

Arousal States – Start: 5 – Very Agitated End: 1 Baseline Did his state change? Yes to 5 – Very Agitated See shift report. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Fela has been very up and down and adgitated.