30/10/2020 – Day shift – zoe holmes

Shift Report:

On my arrival Fela was upstairs, Adele handed over that Fela was having his refreshments.

I went up to Fela and prompted him to eat his apple and drink his tea, I then asked if Fela wanted a shower or to go back to sleep, Fela clearly signed sleep.

I went downstairs and I could hear Fela humming, I went up to Fela and he requested five minutes.

I could still hear Fela and he was laughing, so I went back upto Fela, he was in a lovely happy mood and requested a shower.

Fela went into the shower room and had a large bowel movement, after Fela had his morning shower.

Fela did his morning routine well, he did need alot of staff prompting.

Fela was downstairs for 11am,he then had his breakfast and supplements, it took Fela sometime and alot of prompting to take his supplements, it also took Fela a very long time to drink his water.

After Fela sat in his rocking chair and Emma did the board with Fela, after this Fela was very vocal, so I asked Emma to ask Fela if he wanted to remove anything from the board, Fela removed the Burslem Park card, after Fela was happy.

Fela requested alone time, when Emma went to check on Fela he became very agitated, please see arousal report.

Once Fela calmed he was full of smiles, I then cleaned Fela’s keloids.

At 1.50pm we had dinner and Fela ate well, after it took Fela sometime to drink his water, Fela then went to the toilet and after he went to lie down on the sofa, Fela went asleep for approximately 30min and once he woke up Fela went to the toilet had a bowel movement.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 5 – Very Agitated Emma went to check on Fela after he had requested five minutes, Fela became very agitated, banging his feet, clapping his hands, gutteral noises, rocking hard, this lasted for approximately 5 minutes and then Fela calmed and was happy. Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Red alert. Why no exercise?