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Service Notes

Service Note Details
Frederick (Tom) Walker, Jr.
judie1311@gmail.com
2022-04-30
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.
When I arrived Amanda told me that Tom was at the hospital with Crystal for his rash and his sore ankle.I have been suggesting to Tom for 2 weeks to see a Doctor about this.His answer was,I'm taking care of it.Crystal called me to come and pick Tom up a the hospital.Waited about 2 hours.The nurse had his discharge papers which I reached for them.Tom was very rude.Grabed them out of the nurses hands.He would not give them to me.When we were leaving he would not go out exit where you come in at.He kept walking and we ended up in the security area.A guard escorted us out.Walking out I told Tom we can pick up his prescriptions at CVS.Tom got in the jeep saying he wanted to go home first.get something to eat and we could go tomorrow for the prescription.I told him we were stopping now and as he was getting in the jeep he started to holler at me that he was the boss and he wasn't going to do what I said.He started to walk away from the jeep.I got out and called to him to come back and he just ignored me.I called Crystal and she told me to pick up the prescription and than go back to the parking lot at the hospital.Tom was no where to be seen.Drove back to the house.He was in the shower.Tom came out all dressed to go get his prescription and saw it on the table.Tom was not a happy camper.Started yelling at me for picking it up.Went to his room to call one of his staff about this.Also his Mother called..Was on the phone for 2 hours.Jordon arrived for the nite shift and Tom was still on the phone.I forgot when I was waiting at the hospital,Tom stated that Lawrence was taking over some of our shifts and the new fellow Michael was moving in next week.He just likes stirring trouble with everyone.
03:00 PM
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