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Service Note Details
Client
Frederick (Tom) Walker, Jr.
Created By
jaiken09@gmail.com
Created
2022-05-03
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 asleep when I arrived. Tom woke up took his medication and then started making phone calls. After some time Tom was able to schedule a doctors appointment with his PCP. Tom also made a few other calls and then had a late lunch. Tom then went to his room to relax. After relaxing Tom started to get ready for his doctors appointment. Tom went to his appointment at 2:30pm and returned back to the house after a few hours. Tom ate and then relaxed and watched tv the rest of the day.
Start Time
07:00 AM
End Time
Time Duration
Signature
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
Geolocation
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Signature
Record Status
Active