General Update #273 - Sunday, January 10, 2021

Dusty and Jess arrived to farmhouse ~9:40 p.m., found Joyce awake in her recliner without oxygen line in place, reading weekend newspaper. Evidence that Joyce had taken herself to the bathroom at least once (bowel movement) since Dusty left last night. Dusty cleaned up mess Joyce created with fecal matter in the bathroom.

9:50 a.m. - BP 151/80, pulse 71. BGL @ 136.

9:54 a.m. - Morning medication with nutritional shake.

9:57 a.m. - Breakfast (McDonald's sausage biscuit, hash brown, small orange juice). Breakfast finished by 10:45 a.m.

11 a.m. - Enrichment activity (laundry folding) started. Joyce talkative and responsive to interrogatives. 

11:09 a.m.- Craig and Carol arrived to visit. Carol updated Dusty that Kindred contacted her on Friday and would have a nurse arrive to do a blood draw on Joyce "early on Monday." Concern over reported "black" stool Joyce passed is what prompted blood draw to be done. 

11:26 a.m. - Joyce yelped suddenly, reported "ouchie stomach" pain and touched her abdomen. Declined travel to bathroom. Pain appears to have subsided almost immediately after being reported. 

~12:15 p.m. - Enrichment activity (sorting out clothing from her closet) for downsizing.

12:48 p.m. - Bathroom trip. Joyce required assistance to stand up from recliner, power riser feature used. Joyce walked into bathroom under her own power. Urinary incontinence. Joyce released her bladder early while moving to seat herself onto toilet riser. Dusty sanitized bathroom floor, toilet, toilet seat riser, and sink. Joyce's shoes sanitized. 

Remainder of urine and bowel movement (type 1/3) passed - constipation, stool not "black" but dark. Joyce stated several times she was done with bowel movement but upon standing or Dusty assisting with cleaning she would pass more, requiring additional cleanup and sanitization of bathroom surfaces. Twice Joyce was receiving assistance in cleanup from Dusty, would shift, and pass additional bowel movement onto Dusty and floor. Joyce would then be re-seated onto toilet and pass additional bowel movement then repeat cycle of thinking she was done and passing bowel movement while standing again (forcefully or passively) as she shifted about while standing or leaning for Dusty to help with cleaning.

Joyce showered after resistance and several attempts at bargaining to get clothes back onto her. 

Weight 156.2 lbs.

Joyce returned to her recliner by ~2:25 p.m. under her own power with extreme difficulty.

Joyce worked on finishing her orange juice from breakfast.

~3:30 p.m. - Dusty departing farmhouse to return Jess to their apartment due to her migraine. Joyce setup to nap.

Dusty returned to farmhouse ~4:45 p.m., found Joyce awake in her recliner "sorting through papers" she obtained from somewhere. Oxygen line not in place.

4:52 p.m. - Dinner (soft taco, glass of cranberry juice). 

4:55 p.m. - Dinner paused, Joyce insisted she needed to go to bathroom. Urinary incontinence. Remainder of urine passed. Diaper and diaper pad insert replaced. Hemorrhoidal cream applied.

5:09 p.m. - Joyce returned to recliner under her own power with difficulty. Dinner resumed.

Craig arrived to visit, departing ~5:34 p.m.

5:40 p.m. - Dinner finished, evening medication administered.

6:34 p.m. - Debra (Kindred) called Dusty's cellphone, confirmed she will arrive tomorrow ~9 a.m. to perform a recertification on Joyce and obtain bodily fluids for lab work. Dusty confirmed that Jess will be on-site at that time.

6:55 p.m. - Bathroom trip. Joyce unable to stand under her own power. Powered recliner used to get Joyce upright, Joyce then able to shuffle down hallway under her own power. Urinary incontinence. Joyce released bladder early while moving to sit down onto toilet riser. Diaper and diaper pad insert replaced. Remainder of urine passed. Hemorrhoidal cream applied. Shoes sanitized. Bathroom sanitized. 

Joyce returned to recliner by 7:16 p.m. under her own power - more steady walking back to kitchen than into bathroom. Began napping off and on while watching Star Trek: Voyager.

8:05 p.m. - Joyce woke herself up from napping and asked Dusty what he had to wake up for early tomorrow morning. Jess had told Joyce that Dusty had a dental appointment at 8 a.m. and Dusty reminder Joyce of that conversation. Joyce then remembered.

8:06 p.m. - BP 128/69, pulse 72. BGL @ 205.

Joyce began looking through her coloring books.

9:32 p.m. - Bathroom trip. Joyce able to walk to/from under her own power with difficulty. Urinary incontinence, diaper pad insert replaced. Remainder of urine passed. Hemorrhoidal cream applied. Joyce returned to recliner by 9:40 p.m.

10 p.m. - Ready for bed, Dusty departing farmhouse ~10:10 p.m.

Jess arriving tomorrow morning to provide 1st shift of care for Joyce.

---

Christmas decorations taken down and put away.

Dishwasher emptied. Laundry moved into dryer.

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