General Update #276 - Wednesday, January 13, 2021

8 a.m. - Jess arrived to the farmhouse to find Craig visiting with Joyce.

8:10 a.m. - Joyce reporting pain in her left leg. Joyce could not give a number on the pain scale when asked. Jess attempted to use the visual pain guide chart on her phone instead of numbers to get a reading on Joyce's pain levels - Joyce said the pain was at ~8 out of 10.

8:12 a.m. - Tiger Balm patch applied to Joyce's left knee.

8:19 a.m. - BP 155/86, pulse 68. BGL @ 139.

8:30 a.m. - Morning medication administered with nutritional shake. 

8:35 a.m. - Breakfast (1 slice toast with peanut butter and apricot jam, banana). Joyce stated she did not have much of an appetite due to pain levels being so high. 

9:26 a.m. - Bathroom trip. Urinary incontinence. New diaper and diaper pad insert. Remainder of urine passed. Joyce gassy - expecting bowel movement soon.

9:50 a.m. - Urgent bathroom trip - Joyce suddenly panicky in chair stating "it's coming out!" as she soiled herself. Jess spoke calmly with Joyce, got her loaded into her wheel chair with a disposable mat in place. Major type 6 bowel movement overwhelmed diaper's capacity and covered shirt and skirt. While stripping Joyce's clothing off her LifeLine necklace fell off and triggered a fall alert to go out to the service. Jess got Joyce settled onto the toilet then spoke with the LifeLine operator to confirm that Joyce was fine - calls already went out to family members marked to receive notification of fall alert being triggered.

9:56 a.m. - Lifeline service called Dusty's cell to notify they registered a "fall alert" from Joyce's system, however, they spoke with Jessica and it was determined it was a false alarm due to changing of clothes while Joyce was in the bathroom. Jessica confirmed there was no fall and that all was well as she was with Joyce. Jess confirmed with Dusty via text message that the necklace fell off by accident while they were removing clothing from Joyce in preparation for a shower (Joyce had soiled herself).

When Joyce was done with toileting Jess cleaned her up. Joyce was showered. Shoes were sanitized. Toilet riser and floor sanitized. Joyce returned to her recliner by 10:50 a.m. Jess recommending that family care providers apply barrier cream to Joyce's buttocks as the pressure sores appear to be coming back.

10:55 a.m. - New Tiger Balm patch applied to Joyce's left knee. Joyce complaining that her left knee is really bothering her today.

12:15 p.m. - Dusty arrived to farm to find Joyce asleep, hunched over in her recliner without her oxygen line in place. Joyce kept falling back asleep while Dusty attempted to wake her to ask about lunch and using the bathroom. Joyce declined both.

12:26 p.m. - BP 165/90, pulse 69. BGL @ 184. Lunch negotiated.

12:30 p.m. - Lunch (peanut butter & honey sandwich, Jell-O cup, V8 juice, 1 baby bell cheese round). 2 Tylenol. Lunch finished by 2 p.m., Joyce began sleeping heavily.

2:30 p.m. - Bathroom trip refused.

3 p.m. - Bathroom trip refused.

3:30 p.m. - Bathroom trip refused.

4 p.m. - Bathroom trip refused.

4:30 p.m. - Bathroom trip refused. Dusty prepared to depart to return to campus office. Joyce panicked and decided she wanted to go to the bathroom.

4:37 p.m. - Bathroom trip. Joyce had extreme difficulty in standing up from her recliner and walking into bathroom under her own power. Joyce's right leg inoperative/non-functional. Joyce had difficulty pivoting in place. Urinary incontinence. Diaper and diaper pad insert replaced. Hemorrhoidal cream and barrier cream applied. Dusty used wheel chair to return Joyce to her recliner by 4:58 p.m. - Dusty had to pick up Joyce to get her back onto her recliner.

6:30 p.m. - Dinner (pumpkin spice pancake with butter and syrup, 4 sausage links, 1/2 banana, cranberry juice). Evening medications.

8 p.m. - Bathroom trip. Diaper pad insert changed. Wheel chair had to be used to transport Joyce to/from bathroom.

8:30 p.m. - Ready for bed.

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