Sachin's Daily Program: An Autistic Man's Journey
Sachin's Daily Program: An Autistic Man's Journey
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Sachins summer routine initiated.

30/11/2021

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​Support worker:- James.
Seizure risk level:- Risk level- Minimal
Previous night Sleep:- 9:19 hours sleep.
Resting heart rate:- 62 resting bpm.
 
ACTIVITIES.
Walking
Jigsaw puzzle work.
Drive to Brooklyn fields.
 
WEATHER:
29 degrees, warm sunny day.
 
Mood:
Sachin appeared calm and content, he appeared to not be bothered with the change in routine tonight.
Sachin was his calm self and did not display any negative behaviours to mention.
 
NOTES:
Sachin used the toilet (large urine) and was assisted with brushing his teeth.
Summer time routine initiated tonight so we acquired cups of tea and took them to the programs room for  jigsaw puzzle work.
Medication dispensed at 1830 hours by his father.
Sachin was very focused on his Jigsaw tonight, he finished one and started another, he got so far as to finish the edges of the new one.
At 1900 hours we finished in the programs room and went to the lounge and got ready for an evening walk.
Sachin and I walked in Brooklyn fields, Sachin did 3069 steps in 29 minutes.
Shift ceased at 2000 hours.
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Happy but heavy

29/11/2021

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​Support Worker Steve

10hrs 20minutes sleep Risk level minimum

Weather 27°clear

Toileted at 5.50pm medium output


Activities:
Long walk up Table top road to second bridge and back 3826 steps avg hr 118bpm
Teeth brushed when we got back then into program room to work on his jigsaw puzzle


Progress notes:
Arrived at 5pm to start shift with Sachin who was assisting Praveena in the kitchen with the dishes attempted to toilet Sachin but wasn't interested so got him ready for his walk which was up Table top road to second bridge and back, Sachin was extremely heavy tonight but St maintained a good pace completing 3826 steps straight to the toilet when we got back medium amount then brushed his teeth grabbed our teas and headed into activities room to work on his jigsaw very focussed tonight hr was at times quite high at 101bpm and remained higher than normal at about 88bpm could have been due to the fact that he's nearly finished his puzzle Lavender oil on his top lip every half hour music on as well as difuzer finished up at 7.30pm making his way into lounge room to relax and unwind but decided to go for a wander out the back having a look in the outside fridge then wandering through the kitchen before eventually settling on the couch to relax hr still higher than normal at 80bpm.
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High heart rate, low sleep

26/11/2021

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​Support worker Maddy 




Sleep 4hours risk level max


Weather 18 degrees- raining
Toileted before shower. Toileted after program room. Medium urine output. 
Activities: 
Walked up and down Cambridge drive. 714 steps completed in 11 minutes. 


Progress notes: 
Greeted Sachin’s family at 1700. Sachin was in the kitchen helping out when I arrived. I assisted him in brushing his teeth and then we headed off on a very short 11 minute walk up and down Cambridge drive. 714 steps completed. Sachin was very heavy on my arm tonight. We arrived home and got our cups of tea and headed into the puzzle room, diffuser on and extra lavender oil applied to under the nose approx. every 20 minutes. Sachins heart rate was quite high tonight, he seemed to be stuck on his puzzle but wouldn’t allow help. Meds administered at 1830. Once the piece was found, Sachin was happy. His heart rate was fluctuating quite a lot tonight. Sachin kept putting a lot of his puzzle together but then taking it apart again. After some reassurance that the puzzle was doing well Sachin left the pieces where they were meant to be and made really good progress. Sachin was very vocal tonight. Extra Epilim 200 administered at 1930. Heart rate was still jumping between 65 and 90. Toileted after puzzle time with a medium urine output. Sachin was very loud tonight and was jumping around laughing. While this was happening Sachin’s heart rate was at 90. Headed into the family room at 1930 for a head massage. Sachins heart rate went down whilst getting the massage. Sachin enjoyed a bowl of corn chips and his sleep tea. Shift ended at 2100. 
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Successful week of sleep

25/11/2021

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​Author: Jarrett Polkinghorne.

• Sleep: 
9 hours 28 minutes. Risk level minimal

• Resting heat rate:
61 bpm.

• Activities:
Worked on new puzzle. Drive to Thurgoona plaza. Organised weekly medication.

• Mood:
Well rested and relaxed.

• Weather:
20c Showers.

• Notes:
1648, Sat down to eat dinner with Sachin, he had homemade fried rice.
1708, Went for a drive with Sachin and Sajit to pick up some groceries from Thurgoona plaza.
1754, Organised weekly medication with Sachin's assistance.
1824, Took Sachin to the toilet.
1828, Assisted in brushing Sachin's teeth.
1830, Medication given to Sachin and he self administered.
1834, Continued on new puzzle today and has made good progress. Camomile and green tea, relaxing music in the background with lavender oil diffuser on. Monitored heart rate on a regular basis with iPad. Lavender oil above upper lip every half an hour to help relaxation and reduce heart rate.
1936, Took Sachin to the toilet.
1940, Moved to family room for sleep tea and videos on the iPad.
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Well Rested

24/11/2021

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Support Worker Steve

9hrs 31 minutes sleep Risk level minimum

Weather 25°showers

Toileted at 5.20pm large urine output

Activities:
Short walk up Cambridge Dr to Harvard St and back as Saj wanted to go for a drive
Teeth brushed when we arrived back Sachin completed 1086 steps at a rather quick pace ,brushed his teeth then into program room to work on his jigsaw

Progress notes:
Sachin was sitting in the lounge room when I arrived today and required several promts to come and use the toilet, large urine output then we got ready and went for a rather short walk along Cambridge Dr to Harvard St and back as Saj wanted to take Sachin for a drive into town which he thoroughly enjoyed, brushed his teeth when we returned grabbed our tea and headed into program room to begin work on his jigsaw Sachin very eager to get started ,music put on Lavender difuzer put on along with some Lavender oil on Sachins top lip, Sachin very focussed and made good steady progress and was again grabbing pieces from the boxes on the book shelf we finished up just after 7.30pm making our way into the lounge, Sachin happy to relax on the couch .

​
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Normal Sachin

23/11/2021

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​Support worker:- James.
Seizure risk level:- Risk level- Minimal
Previous night Sleep:- 10:58 hours sleep.
Resting heart rate:- 61 resting bpm.
 
ACTIVITIES.
Walking
Jigsaw puzzle work.
Drive to Brooklyn fields.
 
WEATHER:
26 degrees, Partly cloudy day.
 
Mood:
Sachin appeared to be his calm well rested self tonight, he did not display any behaviours of concern.
 
NOTES:
Sachin did not use the toilet when I started so we went and brushed teeth and got ready for a walk.
We went to Brooklyn fields and parked up, we walked back to Tabletop road then to the oval at Kinross hotel.
Sachin maintained a medium pace and in the 30 minutes walk he accomplished 3155 steps.
We went to the swings and Sachin had himself 15 minutes free time.
We returned home and acquired cups of tea then took to the jigsaw puzzle, Sachin wasn’t letting me touch any pieces or help tonight.
Medication dispensed at 1830 hours by his father.
Sachin focused on his puzzle very well today, he made good progress.
At 1935 hours we finished in the programs room and went to the kitchen, Sachin prepared his next tea’s bags ready to go, he then used the toilet, large urine.
Sachin sat up on the couch waiting for 8pm cuppa time.
 
 
Shift ceased at 2000 hours.
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Distracted but full of energy

22/11/2021

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​Support Worker Steve

6hrs 27 minutes sleep Risk level 3

Weather 25 mostly cloudy 
Toileted at 5.20pm large urine output

Activities:
Short walk up Cambridge Dr to park and 30 minutes on the swing and walk back very casual completing 1058 steps ,teeth brushed and into program room to work on his jigsaw puzzle

Progress notes:
Sachin was already in the program room working on his puzzle when I arrived tonight and was coaxed out to use the toilet passing a large amount of urine we then got ready for our walk heading up Cambridge Dr to park and let Sachin play on the swing for about half an hour due to Risk level then headed back home, brushed his teeth and grabbed our teas making our way into the program room where Sachin got stuck into his jigsaw music put on and some Lavender oil on his top lip then difuzer put on, Sachins hr was quite high at first jumping above 100bpm and Sachin then began focusing on puzzle pieces that were on the book shelf ,his hr was then bouncing between 75bpm to above 90bpm but slowly started to come down to eventually sit at 70bpm ,Sachin was making good progress but then began stripping pieces from the puzzle and was asked to stop 6.30pm medication given then extra medication given at 7.30pm eventually finished up at 7.40pm making his way into the lounge to  relax but just kept gravitating to the kitchen ,Sachin eventually settled but hr still higher than normal at 71bpm ,Sachin monitored until shift ended at 9pm .
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Focused on puzzle

19/11/2021

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​Support worker Maddy 
Sleep 7hours risk level medium
Weather 22 degrees- mostly cloudy
Toileted before shower. Toileted after program room. Extra large urine output. 
Activities: 
Walked up and down Cambridge drive. 1,815 steps completed in 23 minutes. 


Progress notes: 
Greeted Sachin’s family at 1700. Sachin was in the bedroom fixing Praveena’s clothes after her shower. I had to get Sachin from the program room as he had already started puzzle time. He appeared to be very keen to get stuck into it. Walk up and down Cambridge drive. Sachin became very heavy on my arm, I checked his Fitbit and his heart rate was sitting in the 90’s. I looked at Sachin and he had tears streaming down his face. We continued our walk and I held Sachin’s hand to comfort him. We walked for approx. 23 minutes and completed 1,815 steps in this time. We returned home, brushed Sachin’s teeth then headed into the program room with our cups of tea. Meds given to Sachin and taken at 1830pm. Sachin kept good focus tonight, and made good progress. Heart rate remaining in the 60’s. Sachin began to lose focus at approx 7:10pm. He appeared to be quite content, smiling and laughing at me. He skulled his tea and made his belly wobble to hear the liquid in it. Saj came in and gave Sachin the guitar. Sachin strummed it a few times and then handed it back. Headed into the family room at approx. 1930 where extra 200mg of Epilim was administered and taken. Toileted Sachin and he produced an extra large urine output. He came from the toilet laughed and jumping around. Sachin sat with us on the couch while we watched a movie. His heart rate began to reach the 70’s and he seemed very irritated sitting on the couch not being able to sit still. Sachin then began to become relaxed and his heart rate dropped back down to the mid 50’s-60’s, he was still vocalising a lot looking at Praveena. Sachin was holding Praveena’s hand and his heart rate spiked right up to 97 but soon came back down. Saj made Sachin another cup of tea and Doritos for a snack. Sachin’s heart rate remained in the 60’s whilst he ate. Sachins heart rate jumped to 100 but quickly came back down. His heart rate was sitting at 76 when I left. I said goodbye. Shift ended at 2100. 
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Steady as she goes

18/11/2021

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​Author: Jarrett Polkinghorne.

• Sleep: 
9 hours 47 minutes. Risk level minimal

• Resting heat rate:
63 bpm.

• Activities:
Worked on new puzzle. Drive to Lavington square. Organised weekly medication.

• Mood:
Happy and a little excited.

• Weather:
26c Mostly cloudy.

• Notes:
1628, Went for a drive with Sachin and Sajit to pick up some scripts and dinner from Lavington square.
1737, Organised weekly medication with Sachin's assistance.
1810, Walk up and back Cambridge dr, 1344 steps in 17 minutes, cut short due to medication time. 
1830, Medication given to Sachin and he self administered.
1832, Took Sachin to the toilet.
1836, Assisted in brushing Sachin's teeth.
1840, Continued on new puzzle today and has made good progress. Camomile and green tea, relaxing music in the background with lavender oil diffuser on. Monitored heart rate on a regular basis with iPad. Lavender oil above upper lip every half an hour to help relaxation and reduce heart rate.
1940, Moved to family room for sleep tea and videos on the iPad.
1945, Took Sachin to the toilet.
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Loud sachin

17/11/2021

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​Support worker:- James.
Seizure risk level:- Risk level- Maximum
Previous night Sleep:- 4. hours sleep.
Resting heart rate:- 63 resting bpm.
 
ACTIVITIES.
No Walk today.
Jigsaw puzzle work.
Drive around town.
 
WEATHER:
22 degrees, sunny day.
 
Mood:
Once again Sachin had minimal sleep, Sachin made throat noises, breathing noises. He was very extroverted tonight.
 
NOTES:
Sachin came with his father and myself for a drive to local IGA shop, chemist and around town instead of a walk today, he was well behaved while driving , he paid a lot of attention to the passing scenery.
Sachin did not use the toilet when we returned home at 1740 hours, try again later.
Medication dispensed at 1740 1830 1930 and 2100 hours, by his father.
Sachin had difficulty focusing on his puzzle at first but was then offered more pieces and this increased his attention, he made good progress by the end but did demolish half of his work.
At 2000 hours Sachin and I came out to the lounge room and settled on the couch.
Sachin was very interested in everyone and watched them closely.
Sachin was very vocal, letting go long loud sounds .
Sachin finished off the night with a bowl of dorito’s and a sleep tea.
 
 
Shift ceased at 2100 hours.
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    Author

    Sajit Verma.
    Running a 5 years tertiary program for his son, Sachin, who has severe autism.
    Other collaborators:
    Jarrett Polkinghorne(support worker),
    James Knock​(support worker)
    ​

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