General Update #260 - Tuesday, December 29, 2020

Craig arrived to farmhouse to provide morning care for Joyce while Dusty and Jess went to medical appointments. Craig provided Joyce with morning medication and nutritional shake.

9:20 a.m. - BP 184/73, pulse 76. Cup of Earl Grey tea. Breakfast (scrambled eggs, cinnamon roll, banana). Joyce ate everything she was given.

Craig reported that Joyce had a bowel movement in the morning hours.

12:45 p.m. - Jess and Dusty arrived to provide afternoon care for Joyce. Found Joyce in bathroom passing a bowel movement (constipation, clay-like and sandy texture). Preparation H applied to treat hemorrhoids. PT walk to living room before returning to recliner. Pain reported in left knee and right shin.

1 p.m. - Lunch (Dairy Queen cheeseburger and fries with ketchup). 2 Tylenol.

2:45 p.m. - Bathroom trip. Urinary incontinence. New diaper pad insert. Remainder of urine passed. Preparation H applied. PT walk to living room before returning to recliner.

3 p.m. - Carole (Kindred) arrived to check Joyce. 

Vitals taken. Temperature @ 97.9 degrees Fahrenheit. BP 164/86. BP noted to be high, Dusty explained that Joyce had just sat down from bathroom trip and PT walk. Health log reviewed - bowel movements, constipation issues. Appetite increase noted. Reviewed BGLs. BGLs noted to be okay and stable without Metformin in her system. Joyce reported no dizziness or ringing in her ears when asked. Bruising on Joyce's leg noted - unable to explain. Reviewed pain in left knee and right shin with Carole, possibly caused by recent unsupervised overexcretions leading up to Christmas performed by Joyce or when Joyce got into/out of bed unsupervised last week.

Carole departed ~3:17 p.m.

Dusty and Jess departed farmhouse ~3:30 p.m. after Joyce declined bathroom trip.

Connie arriving to provide evening care for Joyce.

5 p.m. - Bathroom trip.

5:30 p.m. - Dinner (KFC Famous Potato Bowl without corn, 1 small biscuit with butter and honey).

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