General Update #164

Connie arrived to farmhouse and found Joyce without her oxygen line in place. Breakfast was had at 8:30 a.m. (oatmeal and 1/3 banana, tea). Morning medications given to Joyce with breakfast (Carvedilol, Metformin, 2 Tylenol, Potassium, Iron, Multivitamin).

Zac, Nichole, and Miranda visited at 10:30 a.m. Joyce given haircut by Nichole after 11 a.m. bathroom use. Joyce held Miranda. 

Dusty texted Connie ~12:49 p.m. to let her know he was running late and she could depart farmhouse if she had not done so already.

1:15 p.m. Connie woke Joyce from napping to feed her lunch (Cougar Country hamburger). 

Connie took Joyce to bathroom ~2 p.m. and departed ~2:35 p.m.

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Dusty arrived to farmhouse ~2:40 p.m. Found Joyce rolled forward and napping on top of some of the magazines Dusty had brought out for her yesterday. Dusty discussed her haircut and what Joyce thought about seeing Miranda in person for the first time. Joyce thought it was wonderful. Expressed that it had happened yesterday, not this morning. Dusty confirmed that Zac, Nichole, and Miranda had just been visiting Joyce this morning and she insisted it was yesterday. Joyce confirmed she was still up for soaking her feet today and potentially taking a shower later in the afternoon. Joyce continued to nap intermittently as she worked on trying to process her new magazines. Joyce told Dusty that Miranda has a wonderful smile.

Derik entered shortly after Dusty arrived to use Joyce's bathroom and update them on what he was doing for car repair on Courtney's old vehicle. Derik departed soon afterward.

Joyce asked if Dusty knew who the woman who had been with Connie was as she did not look like she wanted to be present at the farmhouse while Connie was there. Dusty asked who Joyce was referring to and Joyce said it was a woman who read the newspaper and had arrived with Connie. Dusty asked if it was Alice and Joyce said no. Dusty asked if the woman was Nichole and Joyce said no. Joyce changed the topic of conversation, stating that maybe she "imagined her."

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Diane and Allen stopped by to visit ~3:37 p.m., they had stopped by several times since June trying to see Joyce. Reported on a funeral they had just attended. Provided update on their granddaughter who is currently in her junior year at University of Washington. Visited with Joyce about their health and doctor check ups. Allen joked that they'd keep Diane around another 40 years. Diane provided updates on her daughter's health and that Aaron was now over in Germany for 3 years, no longer in Okinawa, doing mostly office work. He will be done with 30 years of service at the end of the 3 years. Aaron and his wife just got out of quarantine and haven't been in Germany before so it is all a brand new experience for them. Joyce thanked them for the report. 

Diane reported that Jim has finished tearing down Bob and June's old house this year. Jim will most likely rebuild a new home on the site. Scott built a new cabin as a kind of a weekend retreat. 

Joyce shared that she thinks of her sister June every once in a while, "she pops in my head." Diane stated that toward the end June referred to her as a sister instead of her daughter. Allen inquired if Joyce had heard anything from Kathy (her youngest sister), Joyce indicated that she had not. Last Joyce said she had heard from Kathy was the last reunion at Scott's home. 

Joyce asked where Diane and Allen lived. They reported they still live in Warden, same place they've been for about 44 years. They stated that they might not be back over this way again anytime soon. Discussion was had about the smoke and the reduced visibility caused. They said they would be returning home tomorrow. Joyce thanked them for visiting. Dusty collected their mailing address and said he'd send out a letter in the future to keep them updated on Joyce's status.

Diane and Allen departed ~4:15 p.m.

Joyce asked Dusty if he knew who those people were ~4:21 p.m. 

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~3:30 p.m. Joyce traveled to the bathroom. Changed diaper pad insert due to urinary incontinence, diaper clean. Applied fresh barrier cream. Joyce reported pain in her chest. When Dusty asked Joyce to elaborate she stated that she had some pain there, most likely from how she was hunched in her chair. Joyce stated that she has some aches in her back. 

Walked Joyce to living room, to kitchen window and then back to her chair as part of PT exercise. Dusty performed PT posture exercises with Joyce for her back. Lidocaine patch applied to Joyce's back ~4:50 p.m.

Joyce asked Dusty to buy her some frosted mini-wheat cereal when he gets her supplies next. 

Dusty asked Joyce if she would like to have dinner around 6 p.m. and she declined, citing lack of hunger. Joyce napped in her chair until 7:30 p.m., removing oxygen line frequently and needing to be reminded to keep it in place by Dusty.

Took Joyce to bathroom ~7:30 p.m., urinary incontinence. Changed her skirt and provided her with fresh diaper and diaper pad insert. Joyce declined to do PT exercise on this trip. Joyce was frustrated with herself about the incontinence occurring but Dusty helped calm her down. Joyce was returned to her chair ~7:40 p.m. 

Dinner for Joyce at 8 p.m. (1/2 peanut butter sandwich, 1 cup cottage cheese and 3 peach slices). Evening medication administered (2 Tylenol, Metformin and Carvedilol). Dinner finished by ~8:30 p.m.

Joyce napped off and on, frequently removing her oxygen line. She woke once to ask if Dusty was here earlier in the day to see Miranda. Dusty reminded her that Connie was here with Zac, Nichole, and Miranda. 

Joyce traveled to the bathroom ~9:50 p.m. Minor urinary incontinence occurred, replaced her diaper pad insert. Joyce declined fresh barrier cream application stating that she was too tired to remain standing for long. 

10:05 p.m. Administered 1 Tramadol pill to Joyce after she reported her pain levels to be 8 out of 10.

Dusty departing farmhouse ~10:20 p.m. after getting Joyce settled in for the night. Dusty will plan on returning tomorrow ~8 a.m. and depart farmhouse briefly from 4 p..m. to ~7 p.m. for a meeting and then will return in evening to cover Joyce's care through ~9 p.m.

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