General Update #206 - November 5, 2020

9:10 a.m. - Jess arrived to farmhouse and discovered Joyce just waking herself up, no oxygen line in place. Joyce had not been into the bathroom at that point. 

9:12 a.m. - Bathroom. Urinary incontinence. Diaper and pad insert replaced. Joyce returned to her recliner by 9:20 a.m.

9:25 a.m. - Joyce reported lidocaine patch from yesterday was still on her back. Jess confirmed and removed it. Breakfast was discussed with minimal deviations in conversation.

9:40 a.m. - BP 151/93, pulse 83, BGL @ 117.

9:50 a.m. - Morning medication and nutritional shake. 

10 a.m. - Joyce requested to watch western films today, starting with Hondo. 

10:15 a.m. - Breakfast (3 small cinnamon pancakes with syrup and butter), finished by 10:33 a.m.

10:40 a.m. - Bathroom trip without incident. Urine and bowel movement (type 6) passed. Returned to recliner by 10:50 a.m. Joyce was changed into a fresh shirt and sweatshirt and new lidocaine patch applied to her back. 

11:10 a.m. - Compression stockings put onto Joyce. 

~12:17 p.m. - Dusty arrived to farmhouse. 

12:50 p.m. - Lunch (1/2 hamburger patty with low sodium ketchup, 10 cauliflower tater tots). Lunch abandoned by Joyce after eating only 2 bites (1 tater tot and 1/4 of hamburger patty). Joyce hostile toward Dusty about eating. Dusty put food into refrigerator.

1 p.m. - Joyce continued to refuse alternate food options.

1:30 p.m. - Bathroom trip declined.

1:45 p.m. - Bathroom trip declined.

1:58 p.m. - Bathroom. Minor urinary incontinence requiring diaper pad insert change. Returned to chair ~2:08 p.m. Dusty departed farmhouse to return to work shortly afterward. 

Connie arriving ~4 p.m. to cover evening care for Joyce.

6 p.m. - Dinner (tomato soup with macaroni) and evening medication.

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Joyce reporting that her right shoulder and upper back are hurting today.

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