24/11/2020 – Afternoon shift – michael cornelius

Shift Report:

Fela was listening to music when I arrived and have handover from Claire. Fela has obviously had a lot of keloid distress this evening, Alicia has cleaned and creamed several times. He spent a long period on the loo but produced only a small movement, but as he has gone for his bath he has sat aging and we suspect a significant movement on the way.

After dinner Fela has done some foot exercises with Alicia, watched a dvd, spent time in the loo, had a phone call from Mama, finished watching Joseph – very insistent, and is now on the way to a bath.

Has been a very lazy shift for me – but what do you expect being on with Alicia. Fela has generally been happy with a couple of minor noisy periods. He has been scratching his keloids and continually asking Alicia to clean them again and again. It seems he is unable to get relief, as he gets in the bath he asks yet again for her to clean them.

 

All in all a lovely shift with Fela and Alicia.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 4 – Agitated On a couple of occasions Fela became quite noisy, but soon calmed himself Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – He spent a long time in the bathroom, then had phone call with Mama and completed DVD, so by 9:10 it was too late and time for his bath