30/11/2021 – Day shift – daniel washington

Shift Report:

On arrival Fela was sitting at the dining table finishing his supplements we then had handover from Chris. I then went to say hello to Fela, once finished he then removed his apron and went to sit in his rocking chair to listen to music. I then updated the board and went through it with Fela. He then relaxed until it was time for his snack. During lunch time he sat at the dining table, Fela was very vocal when eating. Once finished he went to sit in his rocking chair and started to become adjitated clicking fingers clapping and beginning to make gitteral noises. I asked Fela if he was okay and he requested a hot chocolate. I explained that after our walk we could have a hot chocolate I passed him the board and asked if he would like to remove anything, he then removed the walk card but was okay to drive to the butchers. Afterwards he was happy and in a good mood. He put on his shoes used the toilet and put on his coat. We then drove to the butchers and returned home. Fela had an orange from his bag on the arrival home. He then removed his coat and shoes and sat where he chose a DVD to watch with his hot chocolate. I also updated the board which Fela seemed happy with. We then all sat down for lunch and said prayer together, Fela ate very well and enjoyed his lunch which was prepared by Julie. Once finished he used the toilet and I asked if he would like to take a nap so he lay on the sofa covered by his blanket and we made the room sleep appropriate. Fela lay down at 13.55. I went in to check if Fela was okay at 14.55 because he was making noises. He was fine and pulled the blanket over his head. At 15.15 Fela was still awake so I greeted him and asked if he would like his snack. He ate his snack at the dining table once finished he began to be adjitated clapping hands making gitteral noises and sweating a lot he withdrew into the bathroom while we went into the staff room until Fela had calmed. The adjitation lasted around 20mins promoting Fela to wipe his head occasionally during this time. Afterwards he went to his rocking chair and i cleaned his keyloids. Upon leaving at 17.00 Fela is listening to music in his rocking chair.

Arousal States – Start: 4 – Agitated End: 3 – Very Noisy Did his state change? Yes to 5 – Very Agitated See shift report. Did he have a bowel movement? No Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: No – Due to being on a red alert and taking the walk card of his TEACHH board.