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Service Notes

Service Note Details
Frederick (Tom) Walker, Jr.
jaiken09@gmail.com
2022-03-08
Supervision Outcome Statement: Supervision Outcome Statement:
PROACTIVE STRATEGIES:
. THOSE WHO SUPPORT TOM SHOULD PROVIDE HIM WITH DETAILS OF ACTIVITIES THAT WILL OCCUR DURING THAT SHIFT
. THOSE WHO SUPPORT TOM SHOULD VISIT PLACES HE ENJOYS.
(APPROVED OUTINGS ONLY CALL )
. TOM ENJOYS A CALM, QUIET ENVIRONMENT TO HELP WITH ANXIOUS BEHAVIORS OR THOUGHTS.
. HE RESPONDS BETTER WHEN STAFF SPEAK TO HIM IN A SLOW, CALM VOICE AND MAKE EYE CONTACT
. OFFER CHOICES OF HIS FAVORITE ACTIVITIES
. ENCOURAGE TOM TO KEEP A CONSISTENT DAILY ROUTINE ALLOW FREE TIME
. OFFER OPPORTUNITIES TO ASSIST IN CLEANING OF THE HOUSE TO FEEL THAT HE HAS CONTRIBUTED NO MORE THAT 3 OPTIONS TO HELP BUILD INDEPENDENC
. THOSE WHO SUPPORT TOM SHOULD HAVE A BACKGROUND KNOWLEDGE OF HIM
. WHEN MEETING TOM FOR THE FIRST TIME, THOSE WHO SUPPORT HIM SHOULD TAKE THE TIME TO EXPLAIN WHO THEY ARE AND BUILD RAPPORT.

COMMUNICATION:
. WHEN IT APPEARS THAT TOM WANTS TO OBTAIN AN ACTIVITY OR ITEM ENSURE HE UNDERSTANDS THE ANSWER BY REPEATING THE ANSWER.
. HELP TOM WITH ACCEPTING THE CONCEPT OF TWO-SIDED CONVERSATIONS.
REACTIVE/DE-ESCALATION STRATEGIES:
. SUGGEST TOM TAKES A WALK, WEATHER PERMITTING
. ASK TOM IF THERE IS A MOVIE HE WOULD ENJOY WATCHING
. REMINDERS OF WHAT ACTIVITIES ARE COMING UP THAT HE WILL ENJOY

THINGS TO AVOID/AND OR TRIGGERS:
. NOT HAVING HIS QUIET TIME AVAILABLE
- DRINKING HOT COFFEE IN THE KITCHEN (PLEASE ONLY DRINK IT IN THE STAFF OFFICE)
. LOUD NOISES AND BUSY CROWDS
. INSISTING THAT HE HAS TO COMPLETE A NEW TASK, OR NON-PREFERRED TASK.
-Tom will work with staff to document upcoming appointments by adding the appointments to the day planner with no more than 2 prompts from staff.

-Tom will contact the Program manager/Program Director by email or voicemail or to request transportation at least 24 hours in advance of the scheduled appointment with no more than 2 prompts from staff.

-Tom will further develop his social boundaries and appropriateness skills by increasing his ability to take turns with others during conversations with no more than 2 prompts to stop speaking and listen to the other speaker.
Tom was watching the news when I arrived. Tom had taken his medication and drank an ensure. Tom and I talked for a while and then Tom went to his room to relax for a while. Tom ate lunch and watched tv for a while until he went to his room to get ready to take a call with Dr. Gomberg at 2:00pm. Tom was still on the phone with Dr. Gomberg at shift end.
07:00 AM
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