25/11/2020 – Morning & Afternoon shift – alicia keenan

Shift Report:

I arrived on shift just before 9am, fela was in the shower, I took handover from Emma, I then went upto fela and I assisted him with his morning routine. Fela did brilliant and was laughing throughout.

Once finished fela made his way downstairs and chose his breakfast, Claire then did prayer and sat with fela whilst he had his breakfast and supplements. Claire then did the board with fela.

I then cracked on with chores.

Fela then made his way to the rocker to relax and listen to music.

At 10:50pm I asked fela to pop his shoes on, fela did this then made his way to the toilet and passed urine. We then got our outer clothes on and headed out to silverdale country park 11am

We had a lovely Walk on the flat path for about 45minutes,  we did not venture onto the other paths due to low visibility. Fela stopped half way and had his snack and drink and we headed back to the car.

We had a lovely drive back home, we arrived home at 12:35pm, fela took his outer wear off and then used the toilet (b/m medium).

Fela then made his way to the dining table, popped his apron on and then said prayer and ate his lunch neat and tidy.

After lunch fela relaxed in his rocker listening to music.

Fela used the toilet and had a small b/m.

After using the toilet I cleaned Fela’s keloids (noticed small spots on his left keloids that appeared to be filled with a small amount of pus, like a spot). Claire is aware.

I then did the board with fela and he continued to relax and listen to music.

At 14:05pm fela used the toilet. Fela remained on the toilet for quite some time (small b/m). Once he had finished fela became agitated, banging, guttural noises, stamping his feet. This last around 10 minutes.Once calmed he came out of the toilet and made his way to the rocker.

After a short while we did Makaton for weather, fela did really well.

After I asked fela if he was ready to do arts and crafts, fela very clearly said no!

Fela then asked for his keloids to be cleaned which Claire did for him.

Fela is now relaxing listening to music, at 15:30pm fela had his snack and drink.

Fela became agitated at 15:48pm this lasted around 15 minutes on and off, when staff asked fela if he was ok and what he needed he did not answer.

Fela then became very agitated at 16:03pm, stamping his feet, guttural noises, clapping and rocking vigorously in his chair.

Claire popped the arts and crafts away and I did the board. I then popped Andre Rieu on YouTube for him to watch.

Fela then asked for 5 so we gave fela space to calm down, we checked on fela regularly.

I asked fela if he would like some fruit as he kept asking to set the table and for dinner. Fela happily accepted and requested an apple.

We then did handover with Teresa. I then did the board with fela and we all did handle (hug and tug and skull tapping) and foot physio.

Fela then made his way to the toilet.

After the toilet fela had his supplements (small b/m).

Fela then made his way to the dining table, we said prayer and then ate dinner, fela ate well.

After dinner fela went to his rocker and continued to watch Andre rieu.

We then did walk at home with fela, fela appeared very tired and not very interested in doing walk at home tonight but he did manage 10 minutes.

Fela then chose a dvd (moana) to watch an relaxed with the sensory lights on.

I have Fela his supplements and snack at 8pm.

Fela continued to watch his dvd.

fela kept asking for a bath so I ran the bath for him, once it was ready I told fela and he jumped up and made his way to the barhroom, fela appeared very high ( laughing and vocal), I also noticed that fela had urinated as his trousers and underwear were wet.

Fela then jumped in the bath and I assisted him with his personal care and then left him to relax.

Fela has been on and off all day.

Arousal States – Start: 3 – Very Noisy End: 1 Baseline Did his state change? Yes to 5 – Very Agitated Fela has been agitated/very agitated on and off throughout the day (please see shift report) fela then became very high and excitable when getting into the bath Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: Yes Did he have vigorous exercise?: Yes – Silverdale country park
Walk at home