General Update #219 - Wednesday, November 18, 2020 (Updated)

9:10 a.m. - Jess arrived to farmhouse finding Joyce awake and without oxygen line in place. Joyce was very talkative.

9:18 a.m. - BP 155/92, pulse 83. BGL @ 135. As Joyce was very coherent, Jess took time to talk with Joyce about the importance of eating more. Joyce agreed, willing to eat more than toast.

9:41 a.m. - Morning medications (carvedilol, metformin, Mucus DM, 2 Tylenol, potassium, iron, multivitamin) and nutritional shake.

9:50 a.m. - Breakfast (egg in toast with syrup).

10:35 a.m. - Bathroom trip without incident. Urine passed. Barrier cream applied to open wound on buttocks. PT walk to living room and back to recliner.

10:57 a.m. - Lidocaine patch applied. 

11:05 a.m. - Joyce began napping.

1:05 p.m. - Dusty arrived to farmhouse, finding Joyce just getting up to use the bathroom. 

1:08 p.m. - Bathroom. Urinary incontinence requiring change of diaper and diaper pad insert. Urine and small type 5 bowel movement passed. Joyce declined showering. Dusty assisted Joyce with cleanup and applied fresh barrier cream to open wound on buttocks. PT walk to living room and back out to recliner.

1:40 p.m. - Lunch (1/2 banana, leftover elbow noodles in tomato soup). 2 Tylenol for pain relief.

~3:15 p.m. - Craig arrived to visit.

3:44 p.m. - BP 129/72, pulse 76. BGL @ 126.

3:52 p.m. - Bathroom trip. Urinary incontinence requiring change of diaper and diaper pad insert. Fresh barrier cream applied. PT walk to living room and back to recliner. Joyce setup to nap until Connie's arrival

Dusty departing farmhouse ~4:05 p.m.

Connie arriving ~5:30 p.m. to provide evening care for Joyce.

7 p.m. - Dinner (Teriyaki noodles and 1/2 blueberry pie).

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