General Update #240 - Wednesday, December 9, 2020

7:45 a.m. - Dusty arrived to farmhouse to find Joyce asleep, doubled over in recliner but had her oxygen line in place.

7:55 a.m. - BP 152/83, pulse 83. BGL @ 120.

8:20 a.m. - Breakfast (6 mini pancakes with peanut butter, banana slices, and syrup; small cup of apple juice). 

8:50 a.m. - morning medication with nutritional shake.

2:49 p.m. - Carole (Kindred Nurse) arrived for weekly visit to Joyce. 

Temperature taken (98.4 degrees Fahrenheit), pulse 76, blood oxygen level @ 90%, BP 140/82.

Sore throat reported to Carole, no body pain reported while resting (only while moving). Pressure sore checked, determined to be healing well. Leg swelling noted, elevation of legs and use of compression stockings recommended - confirmed that these were being done. Joyce did not self-report issues with urinary or bowel incontinence when asked - Dusty confirmed these were still ongoing issues with Carole. Health log for Joyce was reviewed, blood sugar levels were deemed good. Confirmed that antihistamine was added to Joyce's evening medications on an ad-hoc basis to help alleviate Joyce's dust allergies when symptoms occur.

Confirmed that Joyce will be seeing Dr. Collins for her follow up appointment on December 16. Carole recommends that Dr. Collins is asked to add an antihistamine to Joyce's prescriptions so insurance covers its cost.

Joyce's heart, lungs, and stomach were checked with stethoscope - all sounded good.

3:10 p.m. - BGL @ 115.

3:11 p.m. - Lunch (peanut butter and apricot jam sandwich, 1 banana, 1 cup apple juice). 2 Tylenol.

3:41 p.m. - Bathroom. Urinary incontinence. Diaper and diaper pad insert replaced. Urine passed. Wound cleaned and fresh barrier cream applied. PT walk to living room. Dusty departing farmhouse ~3:45 p.m. to return to work. Carol arriving to provide evening care for Joyce.

6 p.m. - Dinner (KFC Famous Chicken Bowl). Evening medication administered.

9 p.m. - Bed time.

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