General Update #343 - Sunday, March 21, 2021

8:23 a.m. - Dusty arrived to farmhouse. Joyce asleep in her recliner, hunched forward over her knees without oxygen line in place. Joyce could not recall if she had any nightmares. Joyce informed Dusty that she took off her oxygen line to get up and go to the bathroom but could not recall when that was - she did recall that she didn't make it to the bathroom yet. 

8:24 a.m. - BP 141/73, pulse 78.

8:26 a.m. - Bathroom. Urinary incontinence - severe. Remainder of urine passed. Diaper, diaper pad, skirt replaced. High volume of flatus discharged while Joyce seated on toilet. Disposable pad on recliner replaced. Carpet cleaned. Joyce declined to be showered. PT walk into living room, returning to recliner by 8:36 a.m.

8:37 a.m. - BGL @ 159.

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

8:45 a.m. - Breakfast (omelet, Baby Bell cheese, whole banana, applesauce). Joyce ate very slowly - kept zoning out or falling asleep. Breakfast finished by 1:54 p.m.

Joyce refused bathroom trips throughout the late morning and into afternoon.

4:38 p.m. - Bathroom. Urinary incontinence - severe. Early bladder release. Remainder of urine passed. High volume of flatus passed while seated on toilet. Diaper, pad, skirt, and disposable chair pad on recliner replaced. Shower declined. PT walk to living room, returned to recliner by 4:51 p.m.

Joyce began switching from napping, reading newspaper, watching NCIS, "reading" cook books, sorting/rummaging among the shelves next to her recliner, and coloring.

7:26 p.m. - Dinner refused. Joyce continued coloring.

8 p.m. - Dinner refused. Bathroom trip refused. Joyce continued coloring.

8:30 p.m. - Dinner refused. Bathroom trip refused. Joyce continued coloring.

8:50 p.m. - Joyce paused coloring and began "reading" weekend newspaper again. BP 142/75, pulse 84. BGL @ 133. Small snack negotiated. 

8:57 p.m. - Evening medication with nutritional shake. 

8:58 p.m. - Joyce given applesauce and Baby Bell cheese wheel. Joyce refused to focus on eating - kept playing with silverware (using utensils and fingertips to beat out rhythms in a drum-like manner). Snack finished by 9:40 p.m.

9:41 p.m. - Bathroom trip. Large discharge of flatus while standing up from recliner. Urinary incontinence. Remainder of urine passed along with large discharge of flatus once seated on toilet seat riser. Diaper and diaper pad replaced. PT walk to living room, returned to recliner by 9:50 p.m. Joyce continued expelling flatus. Joyce declined returning to bathroom, insisting it was only air being passed and that she didn't feel like she had an upset stomach.

9:52 p.m. - Joyce setup for bed, legs elevated. Joyce insisted she was not tired but that she would "probably sleep some more eventually." 

Dusty departing farmhouse ~10 p.m.

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In the morning, Joyce expressed confusion to Dusty about "the visitors" and "strangers" who were present yesterday (Steve, Colleen, Jess). Joyce was worried that they "were still around on the property somewhere" and they "could be getting into something."  Dusty explained who they were and Joyce relaxed. This line of discussion recurred again later on in the evening hours.

Joyce did recall that the Jeep was worked on in the back yard yesterday but she could not recall what she had been told had been done or who had helped. 

Craig stopped by to visit in the early afternoon hours. Joyce semi-faked her way through conversation with him. After Craig departed, Joyce wanted to know who Craig had been asking about (Skip, Cathy, June) during the course of their conversation.

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