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Service Note Details
Client
Frederick (Tom) Walker, Jr.
Created By
jaiken09@gmail.com
Created
2022-04-07
Care Instruction
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.
Outcomes
-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.
Service Note Entry
Tom was still asleep and awoke and 7:45am. Tom took his medication and then had a small breakfast. Tom and I talked about video games for a while and then he went to call Jackie. Tom was on the phone for close to two hours. Tom returned from his bedroom and we spoke about his phone call with Jackie. He said it went well. Tom then returned back to his bedroom to call James to discuss their plans for friday. Tom is still saying his tablet doesn’t work for sending emails, so he hasn’t put in his request for his needs/wants as far as transportation is concerned. Tom did spend some time on his tablet playing various games before he asked to go to the grocery store and to the chinese food restaurant for takeout. I did grant his request although on short notice. We went out for a little and then returned back to the house. Tom ate and watched tv and also relaxed in his bedroom between watching certain tv shows and the news. Tom has good and bad days, thankfully today was a good day.
Start Time
07:00 AM
End Time
Time Duration
Signature
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