25/11/2020 – Day & Evening shift – zoe holmes

Shift Report:

Fela was relaxing on my arrival, I said hello and then had handover.

After Chloe did the board with fela and he was happy, staff then did chores.

At 10.10am I cleaned Fela’s keloids and applied aloe gel at 10.30am Fela then had his morning snack, after Fela went to the toilet and had a bowel movement, this was not Fela’s usual large amount.

After we got ready to go out and Fela was so happy giggling and smiling, we went for a lovely walk around Forest Park and Fela was happy all the was around, smiling and seemed to really enjoy being put, after we headed to Freshways and wow Fela did absolutely amazing, he held his basket and was so happy, once at the till Fela did become vocal for only a few seconds, Chloe explained that we had finished and were going to the car, Fela was then back smiling and carried his bags to the car.

We arrived back at 12.20 and Fela relaxed while lunch was finished off and the table set.

We had lunch at 12.40 and Fela ate well, after lunch Fela went to sit in his rocking chair and then Chloe cleaned Fela’s keloids and applied aloe gel and after did the board and Fela chose to watch Joseph.

At 1.45 Fela went to the toilet and sat down, he remained in the toilet until 14.19,Fela didn’t have a bowel movement.

Fela finished watching his dvd and myself and Emma sat with Fela.

At 3.30pm Fela had his snack and then Emma cleaned Fela’s keloids and Fela then relaxed listening to soul woman.

Myself and Emma prepared the evening meal and we sat down to eat at 5.45, Fela said prayer and was very happy indeed with his burger and wedges.

Fela became agitated towards the end of his meal at approximately 5.55 and this lasted until 6.30pm, please see arousal state.

Fela went to the toilet at 6.20pm and calmed for 6.30pm after sitting on the toilet until 6.50pm Fela had had a very small bowel movement, which looked like small nuggets.

At 7pm I cleaned Fela’s keloids and applied aloe gel and did the board with Fela.

At 7.30pm we all did 15min of walk at home and Fela did well and completed it all, after he relaxed listening to fireside music on YouTube.

At 8pm Fela had his evening snack and then a phone call with Mama, after Fela’s phone call I supported Fela with his bath time routine.

Fela is now splashing away in the bath.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 5 – Very Agitated Fela became very agitated towards the end of his evening meal, Fela was very vocal, making gutteral noises, rocking, jumping up and down on the chair and banging the table, Fela remained agitated at the table for 30min and then went to the bathroom and continued to be agitated for 10 minutes before calming. Did he have a bowel movement? Yes Bristol score: 1 Separate hard lumps Was Fela incontinent?: No Did he have vigorous exercise?: Yes – We went to Forest Park for a walk and did walk at home in the evening.