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Service Notes

Service Note Details
Frederick (Tom) Walker, Jr.
jaiken09@gmail.com
2022-04-19
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 standing in the kitchen. Tom took his medication and then drank a chaboni drink and ate some cake for breakfast. Tom watched the news and then went to lay down in his bed. Tom got back up and had lunch and played a game on his tablet for a few hours. Tom then went to use the bathroom and shower and was still in the shower at my shifts end.
07:00 AM
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GvTLtk6NnRl6DDYdcmWN3jwSy2JQKX9NImpnakzjjQ8r7SFarsgoG4xGUEeKDInapzWhgz3Q7jBPAsd2xGITgD0CeXWs/5iOvaiJsB1eIo3+1wwWx2r8Q1xx+G/MS2mPbEqoJhGyi+RZVZyu66gzDx8GI00incsl6pOAJ9yzq3Ivic9m7d7k5ZddqHEdf1U560Wv5NCm5PpSVoKHy8Y2dMy86yIOFXM850yqnbsfbPhxx/3wNPulAHRlgazmgeBWs70/zucoNTX/dUT6d9HPGxXCqEKdER9zM0XtrPY+uYSNv24ZgMK2AL8d8LfClYly/NfwHkpoFbRbqwz6BkMS1x1oE92r4s/2RVKxxpnuyRdpaSN68fgbQLfbv5xRsL/TJy1m2jMUMKZMzBlLP/08C6LCH+BUjDzqyVtANKpUG4JJJSZs18nnds5id6OaIf7YTrcml/rw10qOk8+a5xEEMu+WKilWGMrtsxMRmXYgs7I35DayfwyWBtf6if9cOyd4LcN/Sb3GCcDsSzKsntnLJk3biPdaI2ixfyMxl1UFx7uRp0Hc8rV3VhbeyIeMH1OPC/wNrWPH7uO20H7uzAyoL7AOOadnNwlcQr9jPBZ4B9NugwXhLUz6H+x5Au5gMAmBcN8YpFGq6xbTzv7djaNIjskLgPejD4AXAajr3C70Na7j0NB7eeCFoIcZl0fYYgT9E4CnAJ+DswQXwOzKUV94omgddOnp+CS9oCzGloGcecV0EPj5F51SCUzoLg/uB/hibouBz3QPjD8hHr9kFfRENhvNPD2bQQ2+Bf5KFGdyzyYod0FDj0tybmXQfPeWD+7v4M1uXBo5GLwEYI+G+kLLayIWTZeDziVxdhc4MReD0k03DlDDc24jaE2Mv9mDqJ+0eLwJJ/L/dyyHKg3AC8NNioAAIcBeaAe4FeZ7xvZJoKG08Cnw0+ADwabNQ/Ag8hqa9Ouf8RG02EQdpWdq510DRkovP1+W+FzK7gcXUY1IY8fD/uPOXiOphLNS4BOQrwCD+L7kfkReC7wXwXins/ZC7z1gBzSszw28DXgrcFs6NJI444/0mLtPBSEHg/tPzIo+kVhK0AfsET11QQ2/MV4HclBqwP957EX4XDz+/wcOX0DOU/Qdwx4DsyZCyqZgQ4ai0H7nf0YroLwb5RSMJacRMWZYyZVoZxgrfPLTrAlV32fRJ7OWgdUbZypY/bHdxr5WDqw+VchK8CNmohAjy5S1tSSGOwyq+n4vn2gGDuc+uxIiwXzsLFRh58LBWWLFiKs/VPgyUP1+VMactgbSY4kAhwufcE2K18/TxxIEs2mEbPy6iLFyMr0svK1q1KtI3LOHY+ug1q/ycQZwNmiYDHqmolGKanzM/jWTcE+jeO1fiW2uWe3B6Lckqd/COiMp+m7LqxJLu4fM26yc3TQc72jTqAADfXudnKxs/7Kp9P/PJjoLsh2Kh+BHQdzED2+rl+a5bMcT3HppFLiuQO2dHRqcvMTqvs5WNuAy1BfQhw3S7T8/PhZ0ekGwT9U8BGzSBwArKV+pis/AxrmjjLEdvozi5oEO8iaX3a/23E9XvoU9AsS94UAocgYzaCp8AcmVZMnnXDmIAwo+YQ4ObwLPCmiQm6bpqz6v8583i/DHu4vXC5o0v03oRwXqcx6hACHPnOBksj4OkIp80PqjDG8W6UUVwISJ3RbZLcwayfy49rogB3gXktQZeLfl6qjO27VjDJqGoE2DndAJYGsV+S4adUGOMG4dMYiemdcqTe6DZJP0XmYgvvzOWhERD+DVjSa/dqhPfT2eXJ32QjRYA3j3Vj2DOxk0sIhnMk+wOY1w2M4kTglzBL6pBH8E0QO5iXwGLH8jmMOEClk/R0edN7kxx6TLRlCHBU0g1i76R826lw7gNwhmUULwLfgGlSj6s2ZKa24ahAG0Yru8V+canPTuYCgWyj2JudxsEZE2k6WBoJR2aj+BGYBBOvB3+lIVN5jUDaDN2xPezgydsCJ41OP71HeotuOQIzncbx7qS8m6vwv8P/hiTcHEMgC4EjESkdzL0ZguyYPqdkJY12R2Wkt6gOILCb00CmJWXmKKwbip2WdKAxlFRE3W4+AZ1vAXMv80DwsWB+eeEWsJZz/Zch3qjjCMxB+XXDkM5pohM+Hs9GhkAoArpN9eNfNzQjk2svAh9D0XTj2SwpKu+d6HC+62VkCORBwHdnSbepNP/WeTIx2fYisDeKphuJdEK8ravD7dMU7W0DVZaMH8rT7SjL/wPIcsZuZAgsRkBeXZFGMyHBxb31O8fwMgT6RGA80kn7SnPPhQwHRCND4FUE9oJPN5i1khh+WVOH7/9qCvMYAoaAIVADAh9EHroT4l4TiTfCdfhJi0PtjyFgCBgCNSEwF/noTkguzvEteB2+oCZ7LBtDwBAwBBYj4HZO/Mg+ia+r6M5p0eJQ+2MIGAKGQE0IfAT5SCf0JPx8BUHoEXgk7rcSaK4hYAgYAnUgoN8I53dz9IuWv8ezdE6/rsMYy8MQMAQMASLAfaVLwOyAeGHuKjCXc0I/hkc6p4USaK4hYAgYAlUjMAIZPA2WDuhG+HXndIaKuw5+I0PAEDAEakGAd5qkYxJXf33gMBV/US0WWSaGgCFgCACBt4GlUxKXX8YU2hkeCT9TAs01BAwBQ6BqBD6DDKTzEVe/QrC9iufrBUaGgCFgCNSCgO+j8nIJkwbwZV/ptObXYpFlYggYAp1HgF8ilI5Hu6srZNZRMoeqcPMaAoaAIVAZArzPpDsl8csNcWbMr1++mMh9nAFGhoAhYAhUjYD77px0TvxUihC/4fw4+E9gmzkJKuYaAoZApQjwPpN0SNplhyQ0Bh7+cwPGHyKB5hoChoAhUDUCnBXpjol+3Tnpr2EeXrUxpt8QMAQMAUHgUnjczkkv67g5LvFHSyJzDQFDwBCoAwHpfMTVG+J65nRhHcZYHoaAIWAIaASkY6Irn+llPJd4Enc//PqLBXg0MgQMAUOgegSkE5qqsuKLwRJOlyd8RoaAIWAI1I4AO6BdVK7ud8T5Tw+MDAFDwBBoBIEjVK78QoGeOenNciVmXkPAEDAE6kVgOLLTndNq9WZvuRkChoAh4EfAXdaN84tZqCFgCBgC9SIwGtnZzKlezC03Q8AQCERAd076cyqByU3MEDAEDIFqEPgfwc4ai5uyGrsAAAAASUVORK5CYII=
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