General Update #338 - Tuesday, March 16, 2021

7:50 a.m. - Craig on-site at farmhouse. Joyce reported to Craig that she has already been to the bathroom this morning but is thinking of going again. Joyce's nose is still quite runny. Craig administered 3-4 ounces of Elderberry juice from new jar to Joyce.

8:15 a.m. - Jess arrived to farmhouse. Craig updated Jess about Joyce's self-reported status and what he had done for Joyce prior to Jess' arrival. Joyce miserable. 

8:20 a.m. - Bathroom. Urinary incontinence. Remainder of urine passed. New skirt. New diaper and pad. Shoes sanitized. Joyce's legs and feet wiped down/cleaned. New chair pad. Returned to recliner by 8:44 a.m.

8:52 a.m. - Jess contacted Dusty about Joyce's health. Dusty called Moscow Medical to see what cold medications can be used safely with Joyce's current prescription medication regimen to treat Joyce's runny nose and cough. 

Dusty left message with Autumn at Moscow Medical to have Wendy and/or Dr. Collins to follow up with him.

9:15 a.m. - Morning medication (minus Mucinex) administered to Joyce with nutritional shake. 

9:22 a.m. - Breakfast (3 pancakes, whole banana). Joyce ate pancakes very fast but slowed down when working on banana. Breakfast finished by 9:57 a.m.

Joyce reported that she did not have bad dreams that she could remember last night but was "surprised" that she slept all night. 

Joyce still has a slight cough and runny nose which is really bugging her. Not sure where she is at today. 

Sore in Joyce's mouth is not worse but Joyce did not want to have Orajel applied to it. 

Joyce reported that she possibly had a headache but was not sure.

10 a.m. - Joyce setup to nap, Jess departing for work. 

12:46 p.m. - Dusty arrived to farmhouse. Joyce asleep in recliner without oxygen line in place. Joyce woke easily when Dusty checked her. Bathroom trip declined - Joyce adamant she did not want to get up from recliner. House smells of bowel movement. Bathroom messy, Joyce took herself to bathroom and failed at self-cleaning.

12:48 p.m. - BP 148/73, pulse 67. BGL @ 251. 

12:50 p.m. - Lunch (Lasagna turkey soup, corn bread, apple sauce, pineapple banana orange juice). 2 Tylenol, cranberry supplement.

Bathroom cleaned and sanitized, trash bags taken out. Confirmed Joyce had soiled herself prior to Dusty's arrival.

Lunch finished by 2:30 p.m. Joyce attempts to decline bathroom trip.

2:37 p.m. - Bathroom trip. Diaper and pad replaced. Urinary incontinence. Joyce's skin cleaned of urine and and leftover fecal material from earlier soiling incident. Shower refused by Joyce. PT walk. Returned to recliner by 3 p.m. Joyce setup to nap, Dusty departing shortly afterward to return to work.

2:44 p.m. - Wendy (Dr. Collins' nurse at Moscow Medical) returned Dusty's phone call from this morning. After reviewing Joyce's medications and health condition, recommendation is to provide no cold medications containing phenylephrine or pseudoephedrine (any of the Sudafed-type medications) due to Joyce's history of heart issues. Any other cold medications are fine to administer.

5 p.m. - Bathroom. Pad changed.

6:20 p.m. - Dinner (biscuit, sausage country gravy, apple sauce). 

7:15 p.m. - Dinner finished, everything eaten.

7:20 p.m. - Evening medication.

8:45 p.m. - Bathroom. Changed pad and applied cream.

9 p.m. - Ready for bed.

---

Joyce colored in the evening hours for enrichment activity.

Joyce had no runny nose or cough in the evening hours.

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