General Update #285 - Friday, January 22, 2021

8:20 a.m. - Jess arrived, finding Joyce asleep with oxygen line in place.

8:24 a.m. - BP 143/75, pulse 72. BGL @ 114.

8:28 a.m. - Medication with nutritional shake. Jess applied Tiger Balm patch to Joyce's left knee.

8:30 a.m. - Bathroom trip. Urinary incontinence. Early bladder release. Remainder of urine passed. Barrier cream applied. Returned to recliner by 8:45 a.m.

8:20 a.m. - Breakfast (Sausage, egg, cheese biscuit, orange juice, and hash brown from McDonald's). Breakfast finished by 9:13 a.m.

9:25 a.m. - Enrichment activity (coloring). 

9:50 a.m. - Bathroom trip without incident. Bowel movement (type 6) and urine passed. Joyce returned to her recliner by 10:20 a.m.

10:23 a.m. - Tiger Balm patch kept falling off. Jess replaced it with a lidocaine patch.

10:25 a.m. - Joyce returned to coloring for enrichment activity.

1:49 p.m. - Dusty arrived to farmhouse following meetings on campus, finding Joyce struggling to stand up from her recliner to travel to bathroom. Bathroom trip - urinary incontinence, diaper and diaper pad insert replaced. Remainder of urine passed. Joyce returned to recliner under her own power. 

1:59 p.m. - Lunch (fish, shrimp, fries and tartar sauce from Zip's). 1 cup cranberry juice. Tramadol and 2 Tylenol. Lunch finished by 3 p.m.

3 p.m. - Bathroom trip declined.

3:21 p.m. - Craig arrived to farmhouse to visit, bringing in package from Lincare (resupply stock of nasal cannula and oxygen line tubing). 

3:22 p.m. - Dusty replaced cannula on Joyce's oxygen concentrator.

3:30 p.m. - Bathroom trip declined. Joyce began sleeping heavily.

3:35 p.m. - Dusty departed farmhouse to return to his office on campus.

6:37 p.m. - Dusty returned to farmhouse, finding Joyce sleeping heavily where he left her. 

BP 124/63, pulse 70. BGL @ 192.

6:40 p.m. - Dinner (McDonald's cheese burger and apple pie). Evening medication. Joyce kept falling asleep throughout meal even with Dusty continually waking her to eat. Dinner finished by ~7:45 p.m.

Joyce resumed sleeping heavily and was difficult to wake or get to focus.

10:05 p.m. - Bathroom trip. Urinary incontinence. Diaper and diaper pad insert replaced, remainder of urine passed. 

Joyce was very confused throughout the trip - asked Dusty if he was making appointments for her but could not explain what appointments she thought that needed to be made. Joyce transitioned to asking about the people who were coming, coming to cut her hair again. Dusty explained that Jess just cut her hair last weekend and she did not need a haircut until next month. Joyce had moment of clarity where she knew she was confused and not thinking right before stating that she wanted all the porch lights turned on "for the people who would be arriving." Joyce was not able to articulate who she thought would be arriving in the middle of the night to the farmhouse. 

Lidocaine patch removed, Joyce returned to her recliner by 10:20 p.m.

Dusty departed farmhouse ~10:45 p.m. after getting Joyce settled for sleeping.

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