General Update #288 - Monday, January 25, 2021

8:05 a.m. - Craig entered into logbook that Joyce had taken herself to the bathroom and "was successful." 

8:13 a.m. - Jess arrived to farmhouse and found Joyce awake in her recliner with her oxygen line in place. Joyce informed Jess that she had just set herself back into the recliner before Jess arrived.

8:15 a.m. - BP 148/81, pulse 72. BGL @ 162.

8:36 a.m. - Wendy called Dusty's cellphone to follow up about Joyce's confusion and pain mitigation - curious if Tramadol has helped or hindered Joyce with daily living. Dusty confirmed that the remaining doses of Tramadol were given to Joyce with each meal and there seems to have been improvement on Joyce's ability to walk and reduction of pain overall - no increase in Joyce's confusion noted by family caregivers. Wendy confirmed that the anti-inflammatory medication must have exacerbated Joyce's dementia/confusion and noted for it not to be prescribed again. Wendy will report to Dr. Collins and have prescription for Tramadol refilled and Dusty can pick it up from the pharmacy. 

8:45 a.m. - Morning medication with nutritional shake.

8:55 a.m. - Breakfast (4 pancakes with banana). Breakfast finished by 9:25 a.m.

9:50 a.m. - Bathroom trip. Urinary incontinence and early bladder release. Remainder of urine passed along with type 5 bowel movement. Diaper and diaper pad insert replaced. Jess had to prompt Joyce to focus on toileting to prevent Joyce from remaining in bathroom on idle mode. Barrier cream and hemorrhoidal cream applied. Joyce was returned to recliner by 10:15 a.m.

Joyce very sleepy, reporting that she didn't feel to be in as much pain today compared to previous days.

12:20 p.m. - Dusty arrived to farmhouse and found Joyce stretched out and asleep in her recliner with oxygen line in place.

12:22 p.m. - BP 124/62, pulse 74. BGL @ 240. Joyce declined lunch, stated she was not hungry. Lunch negotiations began. 

12:32 p.m.. - Bathroom trip. Urinary incontinence. Diaper pad insert replaced. Remainder of urine passed. Returned to recliner by 12:39 p.m. following PT walk into living room.

12:40 p.m. - Lunch (turkey sandwich with mayo, mustard, and cheddar cheese, V8 juice). 2 Tylenol. Lunch finished by 1:21 p.m.

6 p.m. - Bathroom trip. Diaper pad insert replaced.

6:20 p.m. - Dinner (minestrone soup, grilled cheese sandwich). Evening medication administered.

7:15 p.m. - Carole (Kindred) called Dusty's cellphone and left voicemail message while he was in Kenworthy board of directors meeting. Carole planning to arrive for weekly checkup on Joyce tomorrow afternoon between 2 p.m. and 3 p.m. but will call Dusty back if her planned timeline changes due to weather or other appointments scheduled in her day.

8:10 p.m. - Bathroom trip. Diaper pad insert replaced.

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

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