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Service Note Details
Client
Frederick (Tom) Walker, Jr.
Created By
jaiken09@gmail.com
Created
2022-05-14
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 watched a movie until about 1:00am and then went to bed. Tom was still asleep at my shifts end.
Start Time
10:00 PM
End Time
Time Duration
Signature
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