27/08/2021 – Morning & Afternoon shift – daniel washington

Shift Report:

On arrival fela was sitting at the dining table having breakfast myself and claire had handover from zoe. Fela then went to sit in his rocking chair to listen to music. Claire did the board with fela and then we started some chores around the house. Afterwards fela took all his supplements and antibiotic and had his snack sat at the table. Once he had finished he returned to his rocking chair and I did the board with him. He then became a little vocal so I prompted him to the toilet. Once he had finished in the bathroom he returned to his rocking chair. Later we had a visit from the district nurse who redressed felas bandages aswell as speaking to Carla on the phone who had a few questions to ask the nurse. Once the district nurse had left fela put on his shoes to go for a drive and a walk. We went to the butchers and then went to tesco to collect his shopping. We then drove to tunstall park for a walk. Fela walked at a very good pace and was very happy throughout (20 minutes). We then returned to the car where fela got very vocal grunting and rocking back and forth. Myself and claire then got out of the car and gave fela time to calm this lasted about 5 minutes. On the way home I sat in the front with claire. When we returned home fela removed his shoes and jacket and went to sit in his chair while we put the shopping away and prepared his lunch. I then did the board with fela. Later we all sat at the dining table for lunch said prayer, fela ate neat and tidy. Afterwards fela returned to his chair to listen to music. Later fela had his antibiotic and sat at the table for his snack. He then sat in his chair and listened to music. We all did makaton together fela did really well. I did the board with fela and he was happy listening to music. Theresa arrived and hand handover, she then started to cook dinner while I did some chores and did foot physio and handle with fela. We then all sat down for dinner said prayer and enjoyed the food. Afterwards I prompted fela to the toilet where he spent around 15 minutes once he had finished he was in a happy smiley mood. Theresa then completed the board with fela and he chose to watch Alvin and the chipmonks. Fela then had his supplements and antibiotic and sat at the table for his snack and refreshments. Fela then went into the bathroom ready to complete his bath time routine fela used the toilet and I removed his dressings. Fela did his routine very well and is now splashing happily in the bath.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 4 – Agitated After our walk at Tunstall park we returned to the car where fela got very vocal. grunting, rocking back and forth and clapping. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – Walk in tunstall park at a good pace.