31/07/2020 – Day & Evening shift – claire johnson

Shift Report:

I arrived for my shift just before 9 fela was in bed having his fruit, I had handover from zoe and angelia. At 9.10am I went up to fela and said moring and prompted him to eat his fruit.
Once fela had finished his fruit I asked him if he was ready for his shower and he asked for 5 and laid down.

At 9.50 I went up to fela and asked if he wanted his shower fela got out bet past urine then sat on the toilet and asked for 5 so I gave fela 5. I went back up at 10.06 fela had large bowel movements. Fela then got in to shower. Prompted fela to wash all over then asked for 5 so gave him five.

Fela got out the shower and completed his routine well slow and needed a lot of prompting and was vocal throughout.

Fela was downstairs and having breakfast at 11am. Fela said prayer well and ate neat and tidy. Once fela had finished his breakfast I did the board with him and gave fela choice of walk or bike ride fela choose a bike ride. Carla arrived at approximately 11.45 and we got ready to go on bike ride we left at 12.15 fela was vocal at the beginning off ride. We cycled for 35min then had sit on bench in park had water break and fela had snack we sat for about 30min then got back on to bikes. On getting near to entrace that can take to get home we asked fela if he wanted more and head towards chatterly whitfield or home and fela pointed for home so we cycled for home we cycled for about another 25mins. We retuned home approximately at 13.45. Fela took of his gloves and helmet then once in house he took his trainers of and I prompted fela to get changed as he had worked up good sweat. Fela had full set on new clothes on. Once fela had finished in the bath room he sat down with to have his lunch fela said prayer and ate his lunch with teresa while I got changed.

Fela finished his lunch at 14.30pm then had his water once fela had finished he went and had lay down on the sofa. Fela was quite while laying down and did appear to be asleep for about 15 to 20 mins, once fela was awake he lay quietly on the sofa so he had good relax. I heard fela begin slightly vocal at 15.55 so went in to him and noticed fela had been itching at his face and made it bleed so asked fela if he wanted it cleaning, teresa offered to do it. At 16.05 teresa cleaned and creamed fela keliods and then I applied a dressing. Fela relaxed listening to music then had apple for his snack.

At 17.00 I asked fela If he wanted to paint rock or his sun catching bottles fela choose the bottles he did this very well. Fela then went washed his hand.

Fela relaxed listening to music while dinner finished cooking.
We sat down to eat at 18.00 fela said prayer well and ate neat and tidy. While eating fela became slightly agaited rocking backwards bad very vocal and jumped up n down on chair this lasted for about 1 mintue then fela carried on eating. After fela had finished eating he had pudding of cake and ice cream. I then did board with fela and he was happy to have walk at home put on.

At 19.25 I cleaned and creamed fela keliods and asked shall we do walk at home now and fela kept asking for dvd so asked fela if he wanted to do walk at home he said no asked for dvd.

Fela chose to watch little women on dvd. I sat with fela while he watched this and he was starting to fall asleep so I gave fela his metal stress ball and this kept him awake. Fela had his snack and tea ate this very well. At 8.30 fela had phone call of mama.

After fela had finished on the phone he used the toilet then got in to the bath.

On writing this report fela is relaxing in the bath

Fela has had very good day but has been slow processing and need a lot of prompting

All supplements taken

Arousal States – Start: 1 Baseline End: 3 – Very Noisy Did his state change? Yes to 4 – Agitated While eating dinner fela got slightly agaited jumped up and down of chair very vocal but this lasted for about a minute before he was calm Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: No Did he have vigorous exercise?: Yes – Bike ride