General Update #357 - Friday April 9, 2021

 6:20 a.m. Craig stopped by to check on Joyce. Joyce awake ( Joyce scale #1.5 *) told Craig about holding her water glass all night. Spilled a little on her blanket. She was perplexed and amused by the fact she held on to it all night. 

6:30 a.m. Craig encouraged Joyce to make a bathroom trip. (No data on urine/bowel movement or incontinence issues)

6:51 a.m. Joyce back in her chair. Took herself on a PT walk. She is in good spirits this morning. Oxygen @ 96%    Pulse 77

8:23 a.m. Dusty arrived. Joyce asleep in her chair with oxygen line in place. BP 137/72    Pulse 72    Blood glucose @ 150    Oxygen @ 96%     Spirometer @ 0 (unable to move disc at all)

8:42 a.m. Jess arrived. Breakfast (Banana, Babybell, and Cinnamon twist donut)

9:15 a.m. Joyce very very here mentally. She knows who Dusty and Jess are. Had a talk with them about how important it is to tell caregivers when she is hurting. Dusty explained how very close that she came to dyeing on Sunday and that being in the hospital is what saved her.

9:44 a.m. Connie stopped by to visit quickly. Dusty showed her how the Oximeter works and spirometer. Joyce's oxygen @ 93%    Pulse 75     Temp 96.8F

9:52 a.m. Breakfast finished. Joyce kept falling asleep while eating. Jess eventually had to pull a chair up next to her and keep "pestering" (Jess's word) Joyce to keep her awake and eating. 

10:00 a.m. Morning medication with Equate nutritional shake. Bathroom trip refused. 

10:04 a.m. Joyce back to sleep. 

1:18 p.m. Joyce woke briefly Oxygen @ 92%      Pulse 73    Blood Glucose 259    BP 103/58     Pulse 68 Bathroom declined. Lunch declined. Resumed sleeping. 

3:48 p.m. - Holly (Kindred PT) called Dusty's cellphone. She will arrive to farmhouse tomorrow between 9 a.m. and 10 a.m. to do initial assessments and begin PT plan for Joyce. Dusty confirmed he will be out all day tomorrow to provide care for Joyce.

6:03 p.m. Oxygen @ 92%    BP 117/65    Pulse 64    Blood Glucose 156    Non-communicative. Can't follow directions verbally, initially but catches on eventually.

8:00 p.m. Woke on her own. Confusion Head shake/ tremors. Thinks Craig & Dusty teasing her for about sleeping all day (in her mind). 

8:26 p.m. Bathroom. Urinary incontinence, early bladder release. Urine & flatus passed. Severe right arm tremors. Diaper, pad skirt and shirt replaced. Floor and seat sanitized. Changed out chair cushion for the new one PRH provided. Changed out disposable chair pad. PT walk and returned to recliner by 8:56 p.m.

9:06 p.m. Dinner (Roast turkey breast, herb dressing, cinnamon apples, and applesauce) finished @ 10:30 p.m.

10:37 p.m. Nutritional Shake and evening medication. 

10:43 p.m. Bathroom. Dry. Changed back chair cushion to the waffle air from the foam cushion from PRH. Joyce found the foam to firm and too thick. Urine and flatus passed. PT walk declined. Returned to recliner by 10:53 p.m.

10:55 p.m. Set up for bed, not sleepy. In good spirits (Mom Prime or # 1 Mom *) Talkative, alert. Dusty gave her 3 magazines to read before heading home for the night. 


Dusty could hear mice in the pantry. Please make sure to sanitize food boxes and cans before use. 


* Ranking system that ranks how foggy Joyce is. Dusty and Jess started this between themselves and told Craig about. 

#1 Mom or Mom Prime is when Joyce is almost her old self. Very talkative and can remember people for the most part and what is going on. 

#2 Mom is "halfway there Joyce." She can talk and interact well but wont remember who you are. She will zone out off and on and lose focus. Needs to be reminded what she is doing. 

#3 Mom is "not there Joyce." She doesn't know who you are or where she is at. She may not talk much at all and zones out a lot. 







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