General Update #162

Dusty arrived to farmhouse ~7:47 a.m., found Joyce rolled forward over her knees in ball position in her recliner with no oxygen line in place. Joyce responsive but slightly delayed in processing verbal interrogatives. Dusty asked Joyce how long she had been like that and she stated that she did not know. Joyce stated she had taken herself to the bathroom at some point during the night or early morning, had a bowel movement (odor strong in house) and doesn't think she cleaned herself up well enough. 

Breakfast served at ~8 a.m. (slice of toast with apricot jam and butter, 1/3 banana, 1/2 KFC biscuit leftover, V8 juice, Earl Grey tea). Joyce threw out the 1/2 KFC biscuit when she didn't think Dusty was looking. When Dusty asked why she did that she stated that it was "too plain" for her to eat. Joyce finished breakfast ~8:35 a.m.

Lidocaine patch applied to Joyce's back ~8:40 a.m. Joyce had minor coughing fit shortly afterward, expelling some mucous. 

Blood pressure was 141/77, pulse 77 at 8:44 a.m.

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Derik stopped by to use the bathroom and then sat to visit briefly with Joyce ~8:50 a.m. and watch Shrek. Craig stopped by to visit ~9 a.m., took phone call. Both headed out shortly afterward to face their day.

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Joyce traveled to bathroom ~9:32 a.m., making transition from standing to toilet riser under her own power, passing urine only. Joyce had urinary incontinence, caught by pad insert. Pad insert changed, Joyce stating that she would continue using the diaper as it was dry. Dusty assisted in cleaning off remains of early morning soiling from bowel movement left on Joyce and applied fresh barrier cream.

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Took Joyce to bathroom ~11 a.m., no issues with urinary incontinence but Joyce wanted her pad insert of the diaper changed anyway. Joyce refused barrier cream. Joyce passed urine only. Transitioned from standing to toilet riser with no difficulty. Joyce nearly fell backward as she caught her walker on the bathroom door frame  and tugged at it to free it but managed to steady herself at the last moment. 

Dusty had Joyce perform occupational therapy exercises using pulley in hallway and then 2 lb. weights while seated in her recliner. 

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~11:30 a.m. Dusty gave Joyce 1/3 of a banana and 2 Tylenol caplets to help abate post-workout aches. 

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~12:10 p.m. - Served Joyce lunch (meatloaf slice and 1 cup no salt added green beans), Earl Grey tea.

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~12:47 p.m. - Took Joyce to bathroom. Slight urinary incontinence as Joyce set down onto toilet riser, Dusty cleaned up. Replaced diaper pad insert, applied fresh barrier cream. Urination and bowel movement (Type 5). Joyce returned to her recliner by 1 p.m.

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1:10 p.m. - Joyce had small coughing fit, coughing up mucous. 

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Joyce napped in her chair from ~1:20 p.m. to ~2:35 p.m. when she was roused for a bathroom trip. Joyce asked for delay, wanting to wake herself up. Joyce traveled to bathroom ~2:47 p.m., making transition from standing to seated position on toilet riser. Passed urine with small amount of bowel movement occurring with flatus, no issues with incontinence. Joyce declined fresh barrier cream.

~2:55 p.m. Dusty walked Joyce to family room and back to recliner as part of her PT plan.

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~3:14 p.m. - Joyce reported that her bottom was where she was feeling the most pain (from the rash/wounds). Dusty attempted to assist Joyce in readjusting herself, some success found. 

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~3:50 p.m.- Took Joyce to the bathroom. Urine passed, no incontinence issues. Joyce reporting some fatigue, assuming from OT/PT exertions today. Settled her into her recliner prior to departing for the day ~4 p.m. 

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