The Official Joyce Update Blog

 8:20 a.m. Jess arrived. Joyce asleep folded over in chair head over knees. Oxygen line in place. She was a bit fuzzy. She did not think she had any nightmares. Her left arm is still sore but not as bad as yesterday. She thinks her chest doesn't as much as yesterday. Jess asked if Joyce's chest was hurting yesterday and she responded that it had been.  8:29 a.m. Bathroom. Urine incontinence. New pad and diaper. Small bowel movement type 5. Did pretty good and needed minimal coaching. Barrier cream applied. Back in chair 8:55 a.m. Legs really hurting.  8:59 a.m. Small cup of Dutch Brothers coffee (1/2 of it with 2 Tbsps. water added) Joyce super excited. Joyce requested hot cereal again this morning.  9:00 a.m. BP 155/99     Pulse 89      Blood Glucose @ 151 9:25 a.m. Morning medication with Equate nutritional shake after finishing coffee.  9:30 a.m. Breakfast (Two packets of Cream of Wheat with 6 packets Equal and banana) Jess observed...

 8:24 a.m. Jess arrived. Joyce asleep in her chair with oxygen in.  8:35 a.m. Joyce is not as perky as she was yesterday. She had nightmares last night that were "Bad." Joyce is craving coffee but then switched topics in the middle of the conversation. Joyce is scooted down in her chair and is as close to laying down as she can with out laying the chair back.  8:44 a.m. BP 167/92     Pulse 79 8:48 a.m. Joyce rocking back and forth in chair after sitting up. When asked about her chest pain she thought it was better but did not want to take a deep breath because it might hurt. Joyce could not be encouraged to take a deep breath. Requested hot cereal for breakfast.  8:58 a.m. Bathroom. Urine incontinence. New diaper and pad. Remaining urine passed. Back in chair 9:10a.m.  9:15 a.m. Morning medication and Equate nutrition shake. 9:20 a.m. Breakfast (2 packets of Cream of Wheat, 4 equal packets and banana) Finished 10:12 a.m. Joyce's left shoulder hurting d...

 7:47 a.m. Craig arrived Joyce was in the bathroom.  (No data on urine/bowel movement or incontinence issues) 7:56 a.m. Joyce returned to her recliner.  8:15 a.m. Jess arrived giving brief up date on Joyce. Joyce had chest pains on Sunday. Craig also inquired about the bottle of tramadol since it was not with the other medications. Jess updated him about Dusty ordering the refill but since it is a controlled substance it needs to be approved by Dr. Collins before it is refilled. He said that he thinks "they" gave Joyce more Tylenol yesterday. Jess sat and spoke with Joyce about the chest pains and if she was still having them. Craig said she had reported they (chest pains) were "a lot" better. When speaking with Jess she said it (chest pain) was not as bad as yesterday. With prompting she narrowed it down to the center of her upper chest with no specific side. Both arm were not hurting. Joyce reports a minor headache. She also had some pain in her stomach but couldn...

8:10 a.m. - Dusty arrived to farmhouse to cover Jess' shift (Jess down with migraine). Joyce awake in her recliner with oxygen line in place. Joyce reporting that she still has a headache but that it is diminished from yesterday. Joyce reported she was able to sleep during the night but had nightmares.  8:13 a.m. - BP 129/73, pulse 80. BGL @ 131. 8:27 a.m. - Bathroom trip. Urinary incontinence. Diaper and pad insert replaced. Remainder of urine passed. Barrier cream applied to right buttock and left hip/pelvic crease of skin fold (minor spread of sore on hip). Pressure wound on right buttock closing up nicely and scabbing over - some signs Joyce picking/wiping at it which may cause it to reopen if she is not monitored and stopped when using toilet.  PT walk, Joyce gasping for breath as she made her way out to kitchen (Joyce reportedly not in pain, she was holding her breath while walking again).  8:39 a.m. - Morning medication administered with nutritional shake. 8:41 a.m...

8:17 a.m. - Jess arrived to farmhouse, finding Joyce using bathroom. Craig on-site and informed Jess that Joyce had been in there for ~10 minutes already. Joyce had removed her own diaper. Bowel movement (type 4). Jess had to help coach Joyce on how to pass her stool again as Joyce had forgotten what to do. Joyce reported chest pain when breathing while on the toilet. Jess believes the chest pain Joyce experiencing was due to Joyce sitting hunched over her knees while sitting on the toilet for an extended period of time unattended. Joyce also reported experiencing a headache to Jess (like "pressure").  Joyce reported that she had nightmares throughout the night which kept waking her up. Barrier cream applied to Joyce's wounds. New diaper and diaper pad insert.  Joyce returned to recliner by 8:50 a.m. 8:52 a.m. - BP 160/89, pulse 76. BGL @ 149. Joyce states that her headache is really hurting her (holding her head with her hands). 9 a.m. - Morning medication with nutrition...