General Update #207 - Friday, November 6, 2020

9:07 p.m. - Jess arrived to farmhouse, found Joyce awake but without oxygen in place. Joyce reported that she had already taken herself to the bathroom earlier in the morning. Joyce stated that Craig had given Joyce a banana earlier "but took it away for some reason."

9:10 a.m. - Bathroom. Urinary incontinence. Leftover fecal matter in diaper from previous bathroom trip. New diaper and diaper pad insert. Urine and small bowel movement (type 6) passed. Returned to recliner by 9:35 a.m. Joyce reported that her left leg was hurting bad today.

9:48 a.m. - BP 147/73, pulse 81, BGL 105.

9:58 a.m. - Morning medication and nutritional shake given to Joyce. Shake finished at 10:07 a.m.

10:04 a.m. - Lidocaine patch applied to Joyce's back. Tiger Balm patch applied to Joyce's left knee.

10:14 a.m. - Whole banana given to Joyce (the one Craig had tried to give her). Jess negotiated with Joyce to eat all of her banana and all her lunch today. Banana finished ~10:55 a.m., Joyce kept falling asleep while trying to eat it. 

11:05 a.m. - Bathroom. Urinary incontinence requiring new diaper pad insert. Urine passed. Joyce was very unstable walking and still in pain. Returned to chair by 11:17 p.m. Joyce opting to nap until Dusty arrives.

Dusty arrived ~12:17 p.m., spent entire time attempting to get Joyce to eat meal from yesterday's lunch she had declined. Joyce became quite agitated and hostile toward Dusty. Joyce flipped her food tray, spilling food onto floor. Dusty cleaned up mess. Joyce demanded to be left to sleep and not eat. Joyce refused all alternatives to food. Joyce refused nutritional shake. Joyce refused soup Dusty had started to prepare and so Dusty placed it into refrigerator to make later when she was more receptive to eating. Joyce allowed to sleep in hopes it reset her brain and attitude.  

~2:05 p.m. - Bathroom. Urinary incontinence. Joyce released bladder early while moving to sit on toilet riser. Urine passed. Dusty cleaned and sterilized toilet seat riser, bathroom floor, and sink. Dusty departed farmhouse shortly afterward to return to work.

Dusty returned to farmhouse ~6 p.m., finding Joyce asleep. Oxygen line was in place but Joyce was difficult to rouse.

6:14 p.m. - Bathroom. Joyce was dry until she released her bladder early while moving to lower herself onto the toilet riser. Dusty cleaned and sterilized toilet riser, floor, and sink. Joyce passed urine and was returned to her recliner ~6:24 p.m.

6:26 p.m. - BGL @ 93, BP 162/88, pulse 81.

6:29 p.m. - Dinner served (teriyaki chicken and rice microwave meal). Joyce refused to eat. Efforts/arguments made to get Joyce to eat from this time until ~8 p.m. but all failed. Joyce continued to be hostile toward Dusty. Joyce flipped her food tray and dumped it onto the floor. Joyce claimed it was accidental (loss of motor control) but it was done while being irritated at Dusty and so suspecting it was done purposefully. Joyce demanded to be left alone to sleep. Medication given to Joyce ~7:52 p.m. with 1/2 banana (which was consumed under protest and lethargic movements).

Joyce slept, declining bathroom trips until 11:25 p.m. Bathroom trip without incident, urine passed. Joyce returned to recliner and settled in for the night. Dusty departing farmhouse ~12:19 a.m.

Jess arriving to farmhouse tomorrow morning to provide care for Joyce. Dusty arriving in afternoon to join Jess after participating in the Middle Tennessee Council's College of Commissioner Science online (5 a.m. - 2 p.m.). 

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