General Update #161

Joyce requested Dusty remove the Lidocaine patch from her back, stating that it had been on for 24 hours. Dusty reminded Joyce they just put it on at 8 a.m. Joyce then stated that she had thought it has been on 24 hours and then changed her mind when Dusty asked if it was bothering her and if she wanted it removed. She stated that it could be left if they just put it on at 8 a.m. today.

---

Bathroom trip made ~2:15 p.m. Joyce had an issue with urinary incontinence, insert pad appeared to have caught it all. Joyce requested to leave diaper on and only replace the soiled pad with a new one. Joyce able to clean herself and make all transitions unassisted. Joyce declined application of barrier cream on this trip.

---

Joyce requested Lidocaine patch be removed at 2:29 p.m. when Dusty changed her shirt. Dusty removed it as she stated she was "done with it."

Dusty trimmed Joyce's fingernails, vacuumed the kitchen carpet, took out the bathroom trash, placed a prescription re-order for Metformin with the Walmart pharmacy, and worked through half of the OT plan for today with Joyce (pulley based exercises). Dusty set evening medications out evening medication for Joyce in Dixie cup next to her banana stand on the kitchen counter for Connie to give to Joyce with evening meal. 

---

Joyce's blood pressure was 160/91, pulse 77 at 3:17 p.m.

---

Joyce requested to go to the bathroom at ~3:31 p.m. Minor urinary incontinence, caught entirely by her insert pad in the diaper. Switched pads out. Applied fresh barrier cream to afflicted areas on buttocks and inner thigh region. Joyce had no issues seating/standing from toilet riser and moved around using walker extremely well compared to last few days (even earlier today). Joyce returned to recliner fine and settled her oxygen lines with minor reminders from Dusty. 

Dusty departing farmhouse ~4 p.m. for the day and will return ~8 a.m. tomorrow.

Comments

Post a Comment

Popular posts from this blog

General Update #92

07/24/2020 Dusty missed calling Joyce due to personal schedule conflicts. 07/25/2020 Dusty called in to check with Joyce at 1 p.m. following a training session he attended for Scouts BSA. Lunch today was spaghetti "with a delicious meat sauce," a side of veggies and dessert was vanilla pudding. Joyce confessed that she might not have remembered it had the tray not still been sitting beside her with the remnants of the meal. She had today off from physical therapy but did have speech/mental therapy. She said that some of the questions that the speech therapists ask her are "laughable" because they ask her if she has lived in rural areas and then ask her about what she thinks living in the rural areas are like after already verifying she lives in the country. Dusty suggested that the therapists are trying to use something basic, like knowledge of Joyce living in the country, to then ask questions about living in the country to see how Joyce recalls information or rela...
Read more

General Update #95

07/27/2020 Dusty called Joyce to check in and wish her a good night while he was preparing dinner for Jess. Joyce was alert and quite talkative. Dusty reviewed the plan for the telehealth appointment scheduled for tomorrow and Joyce stated that no one had told her that was occurring. Dusty suggested to Joyce that they were going to visit with her tomorrow morning ahead of the appointment based on what Rachael had told him and Joyce concurred. Dusty questioned Joyce about her decline of participating in the urinary incontinence therapy as well as her reported lack of performance with physical therapy. Joyce stated that she had been looking forward to the urinary incontinence therapy work but according to her they only spoke to her once about it and then never again approached her about it.  Joyce felt like they don't do enough PT with her even though she wants to do more PT. She cited today that they only had her walk back and forth using parallel bars for a few minutes before givin...
Read more

General Update #85

Dusty and Jess called Joyce in the evening on July 4 to wish her a happy Independence Day.  Joyce reported that her pain levels were fairly low, even after doing upper body physical therapy work earlier in the day. She was a little disappointed with her meals served. She had been hoping that they would serve hot dogs and potato salad for lunch or dinner but none were to be had. Joyce could not recall what she ate for any of her three meals she was served. At the time of the phone call Joyce had not seen any fireworks out her north facing window but she could hear several concussive blasts of fireworks being set off near Dusty and Jess' apartment.  Joyce said that she did not see or hear the Let Freedom Ring Tour (a B-25 Mitchell, a F-7F Tigercat, a P-47 Thunderbolt, a P40N Warhawk, and a P51D Mustang), which was sponsored by Hangar180 , fly overhead around 5:45 p.m. but she might've missed it most likely owing to having been napping at the time. She stated that she was excited...
Read more