General Update #250 - Saturday, December 19, 2020

Jess and Dusty arrived to farmhouse ~9:15 a.m. after picking up supplies from town for preparing Christmas cookies for Joyce to give out to family members. Joyce found sleeping in her recliner without her oxygen line in place. Evidence that Joyce had taken herself to the bathroom at least twice on her own since 11 p.m. last night when Dusty departed.

9:19 a.m. - BP 150/83, pulse 69. BGL @ 124.

9:23 a.m. - Breakfast (Rosauers donut, morning medication, nutritional shake). 

Kitchen cleaned and food moved to pantry shelves. Houseplants watered.

9:54 a.m. - Bathroom trip without incident. Urine and bowel movement (type 5) passed. PT walk into living room. Lower extremity PT exercises (seated) conducted with Joyce after getting her settled onto recliner.  

Joyce expressed concerns over the farmhouse not being ready for Christmas. Jess and Dusty assured her that they would finish cleaning and setting up the decorations this weekend.

11 a.m. - Joyce expressed a desire for coffee, had to be reminded that it upsets her stomach. Joyce marveled at the fact she cannot recall saying some of the things she is "being accused of saying." Earl Grey tea for Joyce brewed at her request as an alternative. Joyce began napping.

12:26 p.m. - Bathroom trip without incident. Urine passed. Wound cleaned and fresh barrier cream applied. PT walk to living room. Lower extremity PT exercises (standing) conducted with Joyce. Joyce returned to recliner by 12:42 p.m.

2:30 p.m. - Lunch (turkey pot pie).

4:20 p.m. - Bathroom. Urinary incontinence. Joyce released her bladder early while seating herself onto toilet seat riser. Mess cleaned up, new diaper and diaper pad insert. Remainder of urine passed. PT walk declined, returned to recliner.

5:50 p.m. - Bathroom trip without incident. Urine passed. PT walk.

6:09 p.m. - BP 172/88, pulse 73. BGL @ 120.

6:15 p.m. - Dinner (butternut squash ravioli). Evening medications.

8:46 p.m. - Bathroom. Joyce was initially dry but released her bladder early as she moved to sit down onto toilet seat riser. Mess cleaned up, diaper and diaper pad insert replaced. Remainder of urine passed. PT walk to living room and returned to recliner.

Joyce expressed concerns about getting Christmas gifts ready to give to everyone. Jess worked on assuring Joyce that she and Dusty had worked today to prepare cookie tins and bins for giving out to the family on Christmas when they are out at the farmhouse. Joyce concerned about adding money to the gifts that Jess and Dusty prepared. Jess worked at calming Joyce and reminding her that the family isn't coming for her money but to spend the holiday with her. Joyce took some convincing and Jess worked at steering Joyce to focus onto alternate topics and prepare for bedtime. 

Jess and Dusty departing farmhouse ~9:15 p.m.

+++

Joyce's nose began running again in the last afternoon/early evening. Claritin provided to Joyce to help control dust allergy reaction.


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