• Home
  • Profile
  • Log Out

Service Notes

Service Note Details
Frederick (Tom) Walker, Jr.
jaiken09@gmail.com
2022-04-12
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. Tom took his medication. Tom and I talked about the plans for the day and then Tom went to his bedroom to make a few phone calls. Tom then went to use the bathroom and shower to get ready to run a few errands. Tom and I were out for a few hours. We returned back to the house and Tom had lunch. Tom then waited for his phone call meeting with Mr. Carver from the social security office. Afterwards Tom stated that the phone meeting didn’t go so well and that he can potentially lose his future social security payments and was unhappy because he believed that he may have spoke out of turn and said to much in the meeting and that was the reason for the future payments possibly ending. Tom just wanted to relax for the rest of the day and process his thoughts. Tom took and made a few calls in the early evening and had dinner. Tom played the game on his tablet and watched tv for the rest of the night. Tom was awake and in the living room at my shift end.
07:00 AM
data:image/png;base64,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
0.000000, 0.000000
Active