General Update #332 - Wednesday, March 10, 2021

8:21 a.m. - Jess arrived to farmhouse. Joyce was awake and reading her newspaper. No oxygen line in place. Joyce in good mood, reports that her head is not hurting today. Joyce says she slept good even though she had a few nightmares. Joyce reported that her mouth is hurting worse today. 

8:23 a.m. - BP 164/79, pulse 70. BGL 163.

8:40 a.m. - Morning medication with nutritional shake.

8:45 a.m. - Breakfast (2 scrambled eggs, whole banana, cup of peaches). Joyce ate very slowly and paused her eating often due to pain in her mouth. Jess kept encouraging Joyce to eat. Joyce finished her breakfast by 9:40 a.m.

9:43 a.m. - Bathroom trip. Urinary incontinence. Remainder of urine passed. Joyce very constipated. Jess gave Joyce Miralax at 9:55 a.m. Joyce tried multiple times to pull stool out of her anus by hand even though Jess instructed her not to do this. Jess had to constantly coach Joyce how to push and breathe to pass her stool. Jess had Joyce stand at one point and shift Joyce's hips about in attempt to aid with passing stool. This technique appeared to help in getting bowels moving again. Hemorrhoidal and barrier cream applied. New diaper and pad. Joyce returned to recliner by 11:05 a.m.

Clean blankets given to Joyce.

12:46 p.m. - Dusty arrived to farmhouse, finding Joyce awake in recliner with oxygen line in place. Treated Joyce with Orajel for mouth pain. Joyce reported that she had no headache. Joyce declined lunch when offered. Bathroom trip declined.

1:01 p.m. - BP 163/82, pulse 69. BGL @ 130.

1:05 p.m. - Lunch (cottage cheese, peaches & cream, pineapple/banana/orange juice). 2 Tylenol and cranberry supplement. Joyce kept falling asleep while eating lunch, even with Dusty prompting her to remain awake and eat. Joyce became frustrated.

1:50 p.m. - Joyce declined bathroom trip. Joyce prevented Dusty from removing her lunch tray, stating that she wanted to continue working on eating her food. Dusty departed soon after to return to work on campus.

6:30 p.m. - Dinner (salmon, angel hair pasta, green beans). Evening medication.

7:30 p.m. - Bathroom trip. Diaper and diaper pad insert changed.

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