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Service Notes

Service Note Details
Frederick (Tom) Walker, Jr.
jaiken09@gmail.com
2022-03-15
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 awake and in the kitchen when I arrived. Tom greeted me as I walked in. Tom took his medication and filled out the MAR. Tom spent most of the day on the phone making and taking calls. Tom is looking forward to going to Aspen dental so that pretty much consumed his whole day with making calls to his previous dentist and calls to Aspen dental. Tom spent quite a bit of time on the phone with his mother, I assume she is helping him with this process financially. So they spend a good bit of time on the phone going over details. In the early evening Tom and I went out to see a movie which we both enjoyed. Tom and I returned back and checked the mailbox for mail and then watched jeopardy and wheel of fortune. Tom ate dinner and then relaxed on the couch watching tv for a few hours. Then Tom went to his bedroom until shift end.
07:00 AM
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