25/06/2020 – Afternoon shift – zoe holmes

Shift Report:

I arrived at Fela’s house and said hello, I then had handover from Emma and Claire.

At 13.45 I cleaned Fela’s keloids and he requested for me to put his fan on, I also closed Fela’s blinds and curtains, to try and make it a little bit cooler.

At 14. 30 we all had a cup of tea and after I put some music on YouTube for Fela, he chose love songs.

At 16.10 Fela lay down on the sofa but didn’t go to sleep, Fela sat up at 16.25 and then went to the toilet independently, Fela returned to the lounge and requested five minutes.

At 17.35 Fela had his evening supplements and I then cleaned Fela’s keloids, we then had our evening meal and Fela ate well. I did ask Fela if he would like to help to dry the dishes but he refused and pointed to the sofa.

Fela relaxed and listened to Joseph and the technicolour dreamcoat.

At 19.15 I cleaned Fela’s keloids due to them bleeding a lot, after I applied a dressing to his left keloid.

At 8pm Fela had his evening snack and supplements, Fela was very happy to be going to Mama and Michael’s house, we had earlier done the social story with Fela and he had been smiling all evening about this, at 8.30pm Fela put on his shoes and signed car, he then went to the toilet and we then headed out.

Once at Mama and Michael’s house Fela was full of smiles.

Fela has appeared very tired throughout the shift, I did ask twice if Fela wanted to do walk at home and Fela clearly refused, I didn’t want to push Fela due to his disturbed sleep.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? No to Did he have a bowel movement? No Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Why no exercise? Very little sleep.