31/08/2020 – Day & Evening shift – alicia keenan

Shift Report:

I came on shift just before 9am,Fela was awake but upstairs and in bed. At 09.05 Fela used the toilet and had a large B/M (blood), Feka then got back into bed and did not want his shower. Adele asked Fela to lie down and rest for a bit. We went into Fela at 10am, 10.30am, 11am and each time asked Fela if he was ready to have a shower, Fela clearly said “no” and pointed to the light switch. During this time household chores completed (no noise). At 11.30, Adele asked Fela if he was ready to use the shower, Fela agreed and made his way to the bathroom, he used the toilet first and then jumped into the shower. Fela came downstairs at 12.15pm, I popped his breakfast on the table and he had his supplement, said prayer and ate. Fela became very agitated once he had finished his breakfast, banging the table, jumping up and down on chair and very vocal. Once Fela had calmed, he requested a head massage off Adele, this was given and Adele asked if he had a headache, Fela Said “yes” and when offered tiger balm he agreed, this was then popped on his temples. Fela then lay on the sofa and requested another head massage, which Adele gave him, he appeared to be asleep for about 15 minutes on the sofa. Once awake I asked Fela if he would like me to read him a book, Fela refused and clearly said “no”. at 3pm Fela had his lunch and supplement, he said prayer well and ate neat and tidy. At 15.25pm Fela used the toilet and had a large B/M (no blood). Fela then popped his shoes on and we headed out of the house to Flip out, Fela had a short nap (10mins) in the car whilst driving to Flip out, Fela appeared to be enjoying flip out but after 40mins signed “car”, as we made our way to pop our shoes on Fela became agitated, very vocal and rocking backwards and forwards, we gave Fela time to calm down, once calm we made our way to the car. Fela then had his tea in the car and appeared much happier afterwards. Once home Fela took his shoes off and made his way to the toilet. He then made his way into the lounge and Chloe told him that Michael had put Joseph on Plex for him and asked if he would like to watch it, Fela said “yes” and smiled. Fela then had a tea and homemade biscuit, he was so happy, he was smiling. At 8pm, Fela had his supplement and snack. Fela appeared extremely tired and kept nodding off, Fela made his way into the bathroom and I assisted with his personal care, Fela is happily splashing away in the bath.

Arousal States – Start: 1 Baseline End: 1 Baseline Did his state change? Yes to 5 – Very Agitated after lunch Fela became vocal, jumping up and down on chair, banging table
at flipout Fela became agitated, very vocal and rocking backwards and forwards, we gave Fela time to calm down, once calm we made our way to the car Did he have a bowel movement? Yes Bristol score: Was Fela incontinent?: Yes Did he have vigorous exercise?: Yes – 40 mins at flipout