26/09/2021 – Sleep shift – carla cornelius

Shift Report:

Fela was in bed and lights out by 22:45 slightly later than usual as I applied wound dressings to cover his keloids ad a barrier to his scratching during the night. I also offered to rub him down with sleep oil – chest, back, inner arms , behind ears and forehead. He was very happy.

I didn’t hear from Fela again until just after 6:00. I went up to greet him and he went to the loo at 6:30. He was vocal on and off since waking, and I periodically asked Fela to “ssh” or “relax” with sign. Fela had his supplements and refreshments around 7:00. He took  a long time to eat his satsuma/orange.

We did the board together. He re-aligned the TEACCH cards. Fela entered the shower at 7:50 and was dressed and down for breakfast at 8:45 after I put on new wound dressings.  He left with Michael for Green Pastures at 9:25 and seemed calm although he was quite fidgety and sweating since coming out the shower. The wound dressings were still on.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 2a – Vocal Fela was vocal on and off since waking. I think he was trying to get my attention and communicate through signing for food. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: –