The Official Joyce Update Blog

Craig called Dusty ~8:56 a.m. to confirm who is providing morning care for Joyce as no one was present at farmhouse when he arrived. Dusty confirmed he was on his way out after having to administer migraine treatments to Jess and clear his Jeep of snowfall. 9:34 a.m. - Dusty arrived to farmhouse, found Joyce awake in her recliner without oxygen line in place. Joyce had foraged for breakfast and was working on eating her way through 2 cinnamon rolls, a banana, chocolate peanut clusters (peanuts spat out) and gummy orange slices. Morning medication administered by Dusty. Joyce began napping after breakfast completed ~10 a.m. 12:40 p.m. - Joyce woke herself up from napping. 12:46 p.m. - Bathroom trip. Urinary incontinence. Diaper pad insert replaced. Remainder of urine passed. Preparation H applied to treat hemorrhoid. PT walk to living room - Joyce lost balance while using walker but was able to recover after falling into hallway door frame. Joyce stated that she lost her balance because...

Craig arrived to farmhouse to provide morning care for Joyce while Dusty and Jess went to medical appointments. Craig provided Joyce with morning medication and nutritional shake. 9:20 a.m. - BP 184/73, pulse 76. Cup of Earl Grey tea. Breakfast (scrambled eggs, cinnamon roll, banana). Joyce ate everything she was given. Craig reported that Joyce had a bowel movement in the morning hours. 12:45 p.m. - Jess and Dusty arrived to provide afternoon care for Joyce. Found Joyce in bathroom passing a bowel movement (constipation, clay-like and sandy texture). Preparation H applied to treat hemorrhoids. PT walk to living room before returning to recliner. Pain reported in left knee and right shin. 1 p.m. - Lunch (Dairy Queen cheeseburger and fries with ketchup). 2 Tylenol. 2:45 p.m. - Bathroom trip. Urinary incontinence. New diaper pad insert. Remainder of urine passed. Preparation H applied. PT walk to living room before returning to recliner. 3 p.m. - Carole (Kindred) arrived to check Joyce....

9:15 a.m. - Dusty and Jess arrived to farmhouse. Found Joyce awake and sitting upright in her recliner without oxygen line in place. Evidence found she had taken herself to the bathroom, had a bowel movement, and attempted to self-clean. 9:20 a.m. - Lancet cartridge replaced. BP 163/84, pulse 72. BGL @ 141. 9:25 a.m. - Morning medication with nutritional shake. 9:30 a.m. - Breakfast (cinnamon twist donut, large serving of scrambled eggs). All food consumed.  Joyce began napping after breakfast. ~20 minutes of coloring done after she self-woke, then Joyce resumed napping. 10:56 a.m. - Scam phone call to farmhouse intercepted by Dusty ("Police Officer's Defense Alliance" asking for donations).  Houseplants watered by Jess. Joyce woke herself up from napping ~12:19 p.m. 12:21 p.m. - Bathroom trip. Urinary incontinence. Diaper and diaper pad insert replaced. Remainder of bowel movement from earlier unsupervised trip to bathroom cleaned up by Dusty. Preparation H applied. PT w...

Dusty and Jess arrived to farmhouse ~8:35 a.m., finding Joyce asleep in her recliner without her oxygen line in place.  Evidence Joyce had taken herself to the bathroom at least twice since Dusty departed farmhouse last night. Joyce reported that she did not sleep well - she was "unable to fall asleep." 8:36 a.m. - Lancet cartridge replaced. BP 183/96, pulse 83. BGL @151. 8:39 a.m. - Bathroom trip. Urinary incontinence, diaper pad replaced. Remainder of urine passed. Preparation H applied. PT walk to living room - Joyce had difficulty walking to/from bathroom, reporting pain in both legs. Returned to recliner by 8:50 a.m. 8:55 a.m. - Morning medication with nutritional shake. 9 a.m. - Breakfast (McDonald's hash brown and sausage biscuit). Joyce began napping after breakfast.  11:06 a.m. - Bathroom. Urinary incontinence. Diaper pad replaced. Remainder of urine passed. Preparation H applied. PT walk to living room. Joyce's calves swollen, ankles fine. Joyce returned to ...

9:15 a.m. - Dusty and Jess arrived to farmhouse, finding Joyce asleep in her recliner without oxygen line in place. Hallways lights had been turned off. Evidence found that Joyce had taken herself to the bathroom at least twice since Jess and Dusty departed the night before (had used up 2 diapers and diaper pad inserts). 9:26 a.m. - BP 165/77, pulse 69. BGL @122. 9:29 a.m. - Breakfast (2 small cinnamon rolls, 1 small Cutie orange, nutritional shake). Morning medication. Joyce unable to eat the orange due to toughness of membrane and poor condition of her teeth. Dutch Bros. (12 oz. Christmas Morning beverage Jess brought out for her).  10:16 a.m. - Craig arrived to the farmhouse to read the newspaper and visit Joyce. 10:17 a.m. - Bathroom trip. Urinary incontinence. Remainder of urine passed. Hemorrhoids treated. PT walk to living room.  Dusty and Craig began a discussion related to a Daily News article title. Craig departed farmhouse ~10:50 a.m. Joyce expressed dissatisfaction...

~8:10 a.m. - Jess and Dusty arrived to farmhouse, finding Joyce awake without her oxygen line in place. 8:30 a.m. - Morning medication administered with nutritional shake.  8:32 a.m. - Breakfast (Eggo waffle with syrup & butter, 1/2 banana). Breakfast finished by 8:50 a.m. 9:32 a.m. - Bathroom trip. Bowel incontinence. New diaper and diaper pad insert. Hemorrhoids treated with Preparation H to aid with healing. 11:13 a.m. - Brunch (1 cinnamon roll, scrambled eggs, 1/2 banana). 2:58 p.m. - Bathroom trip. Urinary incontinence, early bladder release. Mess cleaned up. New diaper and diaper pad insert. Preparation H applied.  3:30 p.m. - Dinner (turkey, potato salad, Jell-O fruit salad, Lays potato chips). Second helping of potato salad and chips. 4:38 p.m. - Bathroom trip. Urine and bowel movement passed (type 5). Preparation H applied. 5:30 p.m. - Joyce requested a roll with butter to eat, citing that her stomach was either upset or hungry. 7:23 p.m. - Bathroom trip. Uri...

Dusty arrived to farmhouse ~9:30 a.m. after picking up Christmas Eve dinner supplies and remaining Christmas morning meal components from Moscow. Found Joyce awake and sitting in her recliner without oxygen line in place. Dusty asked Joyce if she had eaten anything and she said she did not. Evidence that Joyce had taken herself to the bathroom and had a bowel movement. Joyce declined shower, Dusty informed her it would happen later today as she had refused so strongly yesterday. Joyce reported that she "had been cleaning and putting things away" around the house to prepare for Christmas. Joyce reported that she had slept in her bedroom last night, moving herself there after Carol departed for the night. Joyce given newspaper to read while Dusty prepared breakfast. 9:55 a.m. - BP 141/75, pulse 76. BGL @ 204. Dusty asked if Joyce she had eaten anything again, citing it is important to know for her health log because they have to explain the high blood sugar level spike if she h...

Dusty arrived to farmhouse ~8:50 a.m., found Joyce asleep, hunched over in her recliner. Oxygen line was in place this time. All lights in the hallway had been turned off, kitchen lights were all on. Joyce given the day's newspaper and and a Christmas card from her sister Kathy and brother-in-law Bob to read to "help wake her up." Joyce reported that Craig had been in earlier in the morning to have breakfast. 9:10 a.m. - BP 157/80, pulse 75. BGL @ 141. Joyce informed Dusty that she was not feeling very hungry this morning. Negotiations over food began. 9:22 a.m. - Breakfast (1 slice whole wheat toast with peanut butter, 1/2 banana, nutritional shake). Morning medication. Breakfast finished by 9:48 a.m. Joyce requested Earl Grey tea for a post-breakfast treat for herself. 10:10 a.m. - Craig stopped by to visit. Kitchen's electric space heater filter cleaned. Dusty updated Craig on Joyce's medication and the appointment with Dr. Collins back on December 16. 10:23 a....

9 a.m. - Dusty arrived to farmhouse after purchasing supplies in Moscow. Joyce found awake in her recliner without her oxygen line in place. Joyce was fairly alert and responsive. 9:20 a.m. - BP 151/79, pulse 70. BGL @ 138. 9:24 a.m. - Breakfast (2 Eggo waffles with butter and syrup). Nutritional shake with morning medication. Breakfast finished by 9:50 a.m.  10:07 a.m. - Bathroom. Joyce released her bladder early while moving to sit onto toilet seat riser. Mess cleaned up, new diaper and diaper pad insert. Joyce passed remaining urine and small bowel movement (type 3/4) with flatus. Joyce remained in bathroom for a length of time longer than normal, citing feeling of constipation. PT walk to living room. Joyce was returned to recliner by 10:46 a.m. Joyce began napping. 1 p.m. - Lunch (turkey sandwich with Colby cheese and mustard on whole wheat bread).  1:36 p.m. - Carole (Kindred) arrived to farmhouse.  Vitals taken. 90% oxygen (Joyce reminded to use her oxygen), pulse ...

9:10 a.m. - Craig called Dusty to notify him that he had been called by the Life Alert system and notified that Joyce had activated her call button but the operator told him that Joyce did not need assistance and that no emergency response units were being dispatched to the farmhouse. Craig asked if Jess was on her way out at the farmhouse to check on Joyce as he was off-site in Dusty, WA at the moment and would not get back to the farm for several hours. Dusty updated Craig that he was covering Jess' morning shift at the farm today after his morning meeting concluded with his director.  9:16 a.m. - Life Alert system called Dusty to notify him that Joyce had activated her assistance call button but did not require assistance and no response units were being dispatched to farmhouse. Dusty let Craig know that they finally called him. Dusty departed for farmhouse to cover Jess' morning shift for Joyce. Dusty arrived to farmhouse ~9:30 a.m. after his morning meeting concluded to pr...

Jess and Dusty arrived to farmhouse ~9 a.m. after picking up breakfast for her in town, finding Joyce awake in her recliner without oxygen line in place. 9:05 a.m. - BP 178/103, pulse 78. BGL @ 118. 9:10 a.m. - Breakfast (McDonald's sausage biscuit and hashbrown). Leftovers put into fridge for tomorrow. 9:35 a.m. - Morning medication. 11 a.m. - Dusty took Jess back to farmhouse as she was not feeling well. Joyce left with enrichment activity (laundry folding). 12:45 p.m. - Lunch (cheese tortellini).  12:50 p.m. - Dusty departed farmhouse for event at Craig and Carol's house with Loyal. 5:20 p.m. - Dusty returned to farmhouse. Discovered Joyce awake and that she had made herself a peanut butter graham cracker and taken a jar of Nutella from the cupboard. Joyce had been eating from the Nutella jar with a spoon. Unknown how much she ate or when. Evidence Joyce had taken herself to the bathroom at least once with the most recent trip involving a bowel movement she attempted to clea...

Jess and Dusty arrived to farmhouse ~9:15 a.m. after picking up supplies from town for preparing Christmas cookies for Joyce to give out to family members. Joyce found sleeping in her recliner without her oxygen line in place. Evidence that Joyce had taken herself to the bathroom at least twice on her own since 11 p.m. last night when Dusty departed. 9:19 a.m. - BP 150/83, pulse 69. BGL @ 124. 9:23 a.m. - Breakfast (Rosauers donut, morning medication, nutritional shake).  Kitchen cleaned and food moved to pantry shelves. Houseplants watered. 9:54 a.m. - Bathroom trip without incident. Urine and bowel movement (type 5) passed. PT walk into living room. Lower extremity PT exercises (seated) conducted with Joyce after getting her settled onto recliner.   Joyce expressed concerns over the farmhouse not being ready for Christmas. Jess and Dusty assured her that they would finish cleaning and setting up the decorations this weekend. 11 a.m. - Joyce expressed a desire for coffee...

8:45 a.m. - Jess arrived to farmhouse, finding Joyce awake with oxygen line in place and watching a movie. Jess brought out the tins and containers for cookies that she picked up in town yesterday for making Joyce's Christmas gifts for the family. Joyce's mind seemed eased and she was excited to make cookies with Jess and Dusty tomorrow. 9:10 a.m. - Bathroom trip. Urinary incontinence. New diaper and diaper pad insert. Remaining urine passed. Barrier cream applied. 9:20 a.m. - BP 180/95, pulse 76. BGL @ 141. 9:50 a.m. - Breakfast (egg in toast with syrup). Breakfast finished by 10:15 a.m. 10:20 a.m. - Bathroom trip. Urinary incontinence. New diaper and diaper pad insert. Remainder of urine passed. 10:30 a.m. - Joyce stretched out for nap in her recliner.  12:45 p.m. - Dusty arrived to farmhouse to find Joyce awake in her recliner without oxygen, "tired from cleaning." Joyce informed Dusty that she had been "cleaning up around the house" this morning but all ...

8:23 a.m. - Jess arrived to farmhouse, finding Joyce asleep in her chair with her oxygen line in place. Joyce was chatty upon waking. Joyce expressed worries over Christmas gifts. Jess assured Joyce that Jess and Dusty would help her make her gifts for the family. Joyce expressed desire to make more stamped cards. 8:35 a.m. - Bathroom trip. Urinary incontinence. New diaper pad insert. Urine passed, fresh barrier cream applied.  8:49 a.m. - BP 157/88, pulse 78. BGL @ 106. Joyce was having issues with burping. Joyce settled on having one egg and half a banana for her breakfast. 8:55 a.m. - Morning medication (Carvedilol, multivitamin, 2 Tylenol, iron supplement, potassium supplement, Mucinex) with nutritional shake. 9 a.m. - Breakfast, finished by 9:15 a.m. Joyce chatted with Jess about the plan for Christmas gifts to the family members, concerned that cookies "are not enough." Joyce continued to go over this point, Jess worked to assure her that it would be enough and apprecia...

NOTE TO FAMILY CARE PROVIDERS: Starting today, 12/16/2020, Metformin medication no longer being administered to Joyce per Dr. Collins. Dusty has removed it from the dosage cups he prepares. +++ Dusty arrived ~8:30 a.m. to farmhouse, finding Joyce awake. Joyce was visiting with Craig and watching White Christmas. Dusty shoveled snow off back patio and Craig brought Joyce's Subaru around back in preparation for today's travel into Moscow for appointment with Dr. Collins. Found note left yesterday from Connie, Joyce was given a new stress relief blow-up pillow which was recommended to relieve pressure sores and help Joyce sit more comfortably. Blow-up pillow has been deployed to Joyce's recliner under waterproof protector sheet. 8:38 a.m. - Bathroom trip, urinary incontinence. Diaper pad insert replaced. Wound cleaned and fresh barrier cream applied. Possible new pressure sore developing on left buttock. PT walk to living room and returned to recliner by 9 a.m. and prepped for...

8:50 a.m. - Jess arrived to farmhouse. Found Joyce getting tea down from cupboard for herself. Joyce had gotten herself a banana and peeled it for herself. Joyce informed Jess she needed to go to the bathroom. Urinary incontinence, new diaper and diaper pad insert. Urine passed. Wound cleaned and fresh barrier cream applied. 9:09 a.m. - BP 147/88, pulse 81. BGL @ 122. 9:15 a.m. - Morning medication with nutritional shake. Earl Grey tea. 9:20 a.m. - Banana and egg scramble, breakfast completed by 9:58 a.m. 10:05 a.m. - Napping started. 10:25 a.m. - Bathroom trip without incident. Urine passed. Small amount of fecal matter expelled with flatus. 10:35 a.m. - Joyce returned to her recliner, reporting that her legs were hurting. 10:39 a.m. - Lidocaine patch applied to Joyce's back. Tiger Balm patch applied to left knee. 1:45 p.m. - Dusty arrived to farmhouse, finding Joyce awake in her recliner with oxygen line in place. Craig on-site, warming himself up after working outside. BP 127/69...

~8:30 a.m. Carole (Kindred) called Dusty's cell phone and let him know she will be out to see Joyce today around 1 p.m. 8:45 a.m. - Jess arrived to farmhouse to find Joyce awake with her oxygen line in place. Joyce had been in the laundry room at some point since Jess and Dusty left last night, pulling out fabric "to make pillow cases." Jess spoke with Joyce about going into laundry room unsupervised, the hazards of her moving around in the clutter in there with her walker and the dangers to her in lifting and moving heavy items without help. Joyce agreed with Jess. 8:54 a.m. - BP 143/86, pulse 80. BGL @ 121. 9:20 a.m. - Morning medication taken with nutritional shake. 9:25 a.m. - Breakfast (1 slice of toast with egg). Breakfast finished by 9:40 a.m. 10:15 a.m. - Bathroom trip. Urinary incontinence. Joyce passed remaining urine and bowel movement (type 6). Wound cleaned and fresh barrier cream applied. 10:30 a.m. - Jess vacuumed kitchen carpeting to help settle Joyce'...

 9:35 a.m. - BP 170/87, pulse 81. BGL @ 124. 9:40 a.m. - Breakfast (2 blueberry Eggo waffles with butter and syrup, apple juice, tea). Morning medication with nutritional shake. 11:30 a.m. - Bathroom trip. Urinary incontinence. Joyce released her bladder early. Remainder of urine passed. New diaper and diaper pad insert. Wound cleaned and fresh barrier cream applied. Dusty sanitized toilet seat riser, floor, and sink. PT walk declined. 2 p.m. - Lunch (turkey pot pie). 2 Tylenol. 3:35 p.m. - Bathroom trip. Urinary incontinence. Joyce released her bladder early. Remainder of urine passed. New diaper and diaper pad insert. Wound cleaned and fresh barrier cream applied. Dusty sanitized toilet seat riser, floor, and sink. PT walk declined.  6:22 p.m. - Dinner (1/2 slice of Red Baron pizza eaten of 1.5 slices).  Joyce refused to eat, stating she was not hungry. Joyce given a whole banana to eat. Evening medications administered then Joyce stretched out to nap. 9:31 p.m. - Bathr...

10 a.m. - Dusty and Jess arrived to farmhouse after picking up supplies for farmhouse and running errands in Moscow. Joyce found awake and alert. Joyce stated she had taken herself to the bathroom already. 10:04 a.m. - Morning medication taken with small glass of grape juice.  11 a.m. - Joyce soiled herself (type 6). Joyce's shoes cleaned. Joyce showered. Joyce changed into fresh clothing. Weight @ 154.6 lbs.  Jess discovered that Joyce had stashed mail and other items along right-hand side of her chair under pillows. Jess found all the missing compression stockings, fuzzy socks, and nice wool socks that Connie had purchased earlier in the fall which had gone missing. Joyce taken for a PT walk after her shower and compression stockings put on. 12:06 p.m. - Bathroom & hallway sanitized by Dusty. Joyce setup to relax in her recliner. 1:47 p.m. - Bathroom trip without incident. Wound cleaned and fresh barrier cream applied. 2 p.m. - Lunch (Lobster ravioli and cheese tortellin...

8:45 a.m. - Jess arrived to farmhouse. Joyce informed Jess that she had just returned to her recliner from using the bathroom. 8:48 a.m. - BP 172/86, pulse 81. Jess attempted to get blood from Joyce 3 times without success, both of Joyce's hands were too cold. 9:10 a.m. - Bathroom trip. Urinary incontinence. New diaper pad insert. Remaining urine passed. PT walk to living room. 9:25 a.m. - Morning medication with nutritional shake. 9:35 a.m. - Breakfast (cinnamon twist donut, 1/2 banana). Breakfast finished by 10:08 a.m. 10:17 a.m. - Bathroom trip. Urinary incontinence. Diaper pad insert replaced. Remainder of urine passed. Fresh barrier cream applied. 10:30 a.m. - Joyce returned to her recliner. Joyce reported that she is feeling chilled today. 1:30 p.m. - Dusty arrived to farmhouse to find Joyce asleep in her recliner. 1:34 p.m. - BP 124/63, pulse 75. BGL @ 146. 1:40 p.m. - Lunch. 2 Tylenol. 2:42 p.m. - Bathroom trip. Urinary incontinence. Remainder of urine passed. Diaper and di...

8:45 a.m. - Jess arrived to farmhouse and found Joyce awake in her recliner, reading through coupons that had come with the newspaper. Joyce stated that she had taken herself to the bathroom ~10-15 minutes before Jess arrived. Joyce was confused about a message on the answering machine that she had listened to - Jess checked the message and found out it was another person that Gritman had given Joyce's number to about scheduling a surgery - Joyce's number must still be appearing on paperwork Gritman is sending out with patients (or patients from earlier in the fall are calling the incorrect number from previous paperwork). Joyce very coherent today and knows who Jess is. 8:51 a.m. - BP 168/99, pulse 82. BGL @ 131. 8:57 a.m. - Morning medication with nutritional shake. 9:05 a.m. - Breakfast (Cinnamon twist donut and 1/2 banana). Breakfast finished by 9:30 a.m. 10:05 a.m. - Tiger Balm patch discovered to be on Joyce's left knee - removed it. 10:08 a.m. - Bathroom trip. Urinar...

7:45 a.m. - Dusty arrived to farmhouse to find Joyce asleep, doubled over in recliner but had her oxygen line in place. 7:55 a.m. - BP 152/83, pulse 83. BGL @ 120. 8:20 a.m. - Breakfast (6 mini pancakes with peanut butter, banana slices, and syrup; small cup of apple juice).  8:50 a.m. - morning medication with nutritional shake. 2:49 p.m. - Carole (Kindred Nurse) arrived for weekly visit to Joyce.  Temperature taken (98.4 degrees Fahrenheit), pulse 76, blood oxygen level @ 90%, BP 140/82. Sore throat reported to Carole, no body pain reported while resting (only while moving). Pressure sore checked, determined to be healing well. Leg swelling noted, elevation of legs and use of compression stockings recommended - confirmed that these were being done. Joyce did not self-report issues with urinary or bowel incontinence when asked - Dusty confirmed these were still ongoing issues with Carole. Health log for Joyce was reviewed, blood sugar levels were deemed good. Confirmed that a...

8:30 a.m. - Jess arrived to farmhouse, finding Joyce awake. Joyce stated that she had been "up" and "had been playing around." Joyce moved laundry over in laundry room. Joyce confirmed she had started the dryer about 30 minutes prior to Jess' arrival. 8:45 a.m. - BO 160/89, pulse 87. 8:47 a.m. - Bathroom trip. Urinary incontinence. Urine passed. New diaper and diaper pad insert. 8:59 a.m. - Tiger balm and lidocaine patch applied to Joyce while she was in the bathroom. Joyce said her leg was acting up last night when she went to the bathroom.  9 a.m. - BGL @ 118. 9:27 a.m. - Morning medications and nutritional shake.  9:32 a.m. - Breakfast (4 pancakes with butter and syrup). Breakfast finished by 9:48 a.m. 10:15 a.m. - Bathroom trip. Urinary incontinence. New diaper pad insert. Urine and small bowel movement passed. 10:37 a.m. - Joyce settled down for nap. 2 p.m. - Dusty arrived late to farmhouse due to campus work schedule issues, finding Joyce awake. Joyce had ...

8:35 a.m. - Jess arrived to farmhouse. 8:57 a.m. - BP 162/81, pulse 80. BGL @ 137. 9:20 a.m. - Morning medication with nutritional shake. 9:25 a.m. - Breakfast. 10 a.m. - Bathroom trip without incident. Urine passed. 1 p.m. - Dusty arrived to farmhouse, finding Joyce sleeping heavily. Lunch declined. Bathroom trip declined. 1:30 p.m. - Lunch declined, bathroom trip declined. 2:06 p.m. - BGL @ 139. BP130/58, pulse 77. Bathroom trip declined. Lunch declined. 2:10 p.m. - Dusty departed farmhouse, leaving peanut butter & banana sandwich with Joyce in case she gets hungry. 6:30 p.m. - Beef & noodles with peas. Evening medication.

Dusty arrived to farmhouse ~8:30 a.m. 8:40 a.m. - BP 154/88, pulse 76. BGL @ 130. 9:30 a.m. - Bathroom. Urinary incontinence. Diaper pad insert replaced. PT walk to living room. 9:14 a.m. - Morning medication with nutritional shake. Breakfast (6 mini pancakes with peanut butter, banana slices and syrup). Breakfast finished by 9:33 a.m. 9:34 a.m. - Enrichment activity (folding laundry).  10:05 a.m. - Joyce soiled herself in her recliner (type 5 bowel movement). Shoes removed and sterilized. Joyce physically resisted against shower, smearing fecal material onto Dusty. Joyce showered and changed into fresh clothes. Weighed at 157 lbs.  11 a.m. - Carol arrived to visit, informing Dusty of date and time that Christmas with Loyal will occur. Departed soon afterward. 11:13 a.m. - Joyce returned to recliner, setup for Epsom salt foot soak and continued with folding laundry as enrichment activity. Lidocaine patch and Tiger Balm patch applied to Joyce's back and knee respectively. 12:23...

9 a.m. - Jess arrived to farmhouse after stopping by Rosauers to pickup donuts as a treat for Joyce and Craig, finding Joyce awake and watching TV. Craig already on-site in the kitchen on the phone. Joyce was very excited about the donuts Joyce brought for them all to share. 9:03 a.m. - Bathroom trip without incident. Urine passed. 9:08 a.m. - BP 170/97, pulse 78. BGL @ 110. 9:12 a.m. - Morning medication and nutritional shake. 9:15 a.m. - Breakfast (cinnamon twist donut). Breakfast finished by 9:30 a.m. 11 a.m. - Bathroom trip without incident. Urine passed. PT walk into craft room and back to her recliner by 11:15 a.m.  Joyce began napping off and on throughout the morning. 1:30 p.m. - Bathroom trip without incident. Urine and small amount of flatus passed. 1:35 p.m. - 2 Tylenol. 1:41 p.m. - Lunch (peanut butter & apricot jam sandwich). Lunch finished by 2:12 p.m. Dusty arrived to farmhouse to assist with elder care following conclusion of University of Scouting program earli...

8:50 a.m. - Jess arrived to farmhouse finding Joyce asleep without oxygen line in place (Joyce had the canula around her like a chinstrap). Joyce expressed that she was very worried about money and bills. Jess spent time explaining things, calming Joyce down, and assuring her that everything was fine. Jess reminded Joyce that Carol and Connie were now handling her finances. Joyce claimed that she is not told what is going on and expressed concerns about other people "being into her business." Jess spent time recapping what brought Joyce to this present state of the family caring for her. 9:32 a.m. - BP 161/83, pulse 80. BGL @ 126. 9:42 a.m. - Morning medication given to Joyce with nutritional shake. 9:45 a.m. - Breakfast (1 slice of toast with egg). Joyce finished eating by 9:57 a.m. 10:32 a.m. - Bathroom. Urinary incontinence requiring diaper and diaper pad insert replacement. Remainder of urine passed. 10:46 a.m. - Joyce returned to her recliner. Jess gave Joyce fresh blank...

8:20 a.m. - Jess arrived to farmhouse, finding Joyce asleep in her recliner without oxygen line in place. Joyce informed Jess that she had taken herself to the bathroom around 4 a.m. or so. Joyce stated she is "fuzzy" in her head. Joyce stated she had difficulty in going to sleep. 8:34 a.m. - Bathroom trip without incident. Urine passed. PT walk taken "to wake up."  8:47 a.m. - BP 166/95, pulse 85. BGL @ 132. 9:20 a.m. - Morning medication administered with nutritional shake. 9:23 a.m. - Breakfast (1 slice of toast with egg in it). Breakfast finished by 9:38 a.m. 10:05 a.m. - Bathroom trip without incident. Urine passed. 10:15 a.m. - Joyce stretched out for nap in her recliner. 1:15 p.m. - Dusty arrived to farmhouse, finding Joyce asleep in her recliner. 1:30 p.m. - Lunch (butternut squash ravioli). 2 Tylenol. 2:18 p.m. - Joyce soiled herself in her recliner (type 5). Joyce moved to bathroom, passing remainder of bowel movement. Dusty assisted with cleanup, sanitizi...

8:43 a.m. - Jess arrived to farmhouse, finding Joyce in the bathroom having just finished passing a bowel movement. Jess assisted Joyce with cleanup, Joyce having appeared to have had an episode of bowel incontinence. Joyce returned to her recliner by 8:50 a.m. 9:12 a.m. - BP 152/98, pulse 82. BGL @ 126. Joyce in a very talkative mood. 9:39 a.m. - Joyce given morning medication with nutritional shake. 9:42 a.m. - Breakfast (1 slice of egg in toast with syrup). Breakfast finished by 9:52 a.m. 10:20 a.m. - Bathroom trip without incident. Urine and bowel movement (type 4) passed. Returned to recliner by 10:30 a.m. 12:45 p.m. - Dusty arrived to farmhouse and found Joyce asleep in her recliner without oxygen line in place. 1 p.m. - Bathroom trip without incident. Urine and bowel movement (type 6) passed. PT walk declined. 1:25 p.m. - Lunch (Rosauers chicken tenders & potato sidewinders with ketchup). 2 Tylenol. 7 p.m. - Dinner (mac & cheese, hot dog, beets, apple pie). Evening medic...

 8:30 a.m. - Jess arrived to farmhouse, finding Joyce asleep in he recliner without her oxygen line in place. Joyce was feeling "very fuzzy." 8:50 a.m. - Bathroom. Urinary incontinence, remainder of urine passed. New diaper and diaper pad insert. 8:56 a.m. - BP 168/97, pulse 79. BGL @ 98. 9:25 a.m. - Morning medication with nutritional shake. 9:30 a.m. - Breakfast (5 small pancakes, butter, and syrup). Breakfast finished by 9:45 a.m. Dusty arrived to help prep Joyce for her morning appointment in Moscow. 10 a.m. - Bathroom. Joyce was dry but released her bladder early while sitting down onto toilet riser. Bathroom cleaned.  10:15 a.m. - Jess changed Joyce's clothes. 10:30 a.m. - Jess departed farmhouse, Dusty began loading Joyce into Subaru for trip into Moscow. 11 a.m. - Joyce's appointment with Dr. Capawana at Palouse Foot & Ankle Clinic in Moscow. Toes inspected, toe nails trimmed. No ingrown toenails, Joyce's feet doing good. Praise for new shoes that Conn...

 8:40 a.m. - Jess arrived, found Joyce asleep in her recliner with all lights off in the farmhouse and oxygen line not in place. Jess woke up Joyce and asked about all the lights being off throughout the house. Joyce stated she had been awake earlier and had turned off all the lights at that time - couldn't explain why she decided to do that. 9 a.m. - Jess put away movies spread out on counter and cabinets as the clutter Joyce's line of sight was bothering Joyce. 9:05 a.m. - Bathroom trip. Urinary incontinence, small fecal matter discharge. Wound cleaned and fresh barrier cream applied. PT walk then returned to recliner by 9:15 a.m. 9:27 a.m. - Joyce put on her compression stockings. 9:41 a.m. - Morning medication with nutritional shake. 9:42 a.m. - BP 150/76, pulse 84. BGL @ 123. Breakfast (1 piece egg in toast). Breakfast finished by 10 a.m. 10:20 a.m. - Bathroom trip without incident. Urine passed. PT walk to living room. 10:40 a.m. - Bathroom, Joyce soiled herself (type 6 b...

Dusty arrived ~9:25 a.m. at farmhouse after running errands and refueling Jeep. Joyce found awake and exiting bathroom (urine passed following urinary incontinence issue). Joyce had been awake for a while and been "working in the kitchen" (moving things around and "investigating what had been done in there the last few days"). Joyce expressed concerns over Dusty cleaning her kitchen and items in cupboards. Joyce had been "exploring the kitchen" this morning, looking through old pill box, moving things and "inspecting" things that she had noticed had been moved from where they belong. Joyce expressed concerns over location of items in the kitchen and Dusty explained that much of it was temporary and would be put away as cupboards were restocked with cleaned items or as they were washed.  Joyce declined breakfast and negotiations ensued following her return to her recliner. 9:39 a.m. - Breakfast (1 banana, nutritional shake) and morning medication....

8:15 a.m. - Dusty arrived to find Joyce in the hallway, sitting on her walker. Joyce stated she had gotten up "at some point" to use the bathroom and then could not make her legs work after toileting and sat herself down on the walker, remaining there until Dusty arrived. Evidence Joyce had a bowel movement. Dusty assisted with moving Joyce back to recliner by rolling her on her walker.  8:27 p.m. - BGL @139. BP 165/94, pulse 81. 8:30 a.m. - Breakfast (leftover McDonald's sausage and biscuit from yesterday). Hotcakes were not eaten and put back into refrigerator. Craig arrived to visit ~9:30 a.m. 10:35 a.m. - Joyce soiled herself in her recliner. Remainder of type 5 bowel movement passed in bathroom. Dusty assisted with cleanup, Joyce was showered and put into fresh clothes. Shoes cleaned and sanitized. Weight 157.4 lbs. PT walk to living room before returning to recliner.  Dusty departed to  take out recycling, drop off Good Will donations Joyce sorted out from her dress...