• Home
  • Profile
  • Log Out


Service Notes

Service Note Details
Frederick (Tom) Walker, Jr.
lionfish38@gmail.com
2022-04-29
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 awoke shortly after my arrival. Tom took his medication with no issues. Tom then had a small breakfast after. Tom then went to get showered and ready to go out with staff to run a few errands. Tom returned back around lunch time and then had lunch after putting his groceries away. Tom watched tv for a few hours and then went into his bedroom to relax. Not long after Tom agreed to go the pottstown hospital ER because the pain in his legs continued to get worse as the day went on. Tom was having a lot of discomfort from the irritation and inflammation of his skin on his inner thighs and lower parts of his legs and feet. Tom and staff arrived shortly after 5:00pm to the ER. Tom got checked in to their database immediately and then had to wait to be seen. Tom and staff waited in the ER waiting room until 8:00pm. Tom wanted to leave because the ER was busy and didn’t want to continue to wait any longer due kids crying, said he wasn’t being treated or seen as fast as he liked and was hungry as well. Tom and staff returned back to the house and Tom went to shower and relax and elevate his legs. Tom went to bed and was still asleep at my shifts end.
07:00 AM
data:image/png;base64,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
0.000000, 0.000000
Active