February 21 daytime update

• 6:30AM - Maureen is awake. Maya will give her very small sips of water via a mouth swab every 20-30 minutes as long as she remains fully awake.

• 6:45AM - Diaper is dry.

• Maureen began her day @ 8:05AM. She is fairly alert and engaged—a little less than normal. First oder of business was for Maya to apply Tolcylen to both big toes. Diaper was light wet. We performed a clean & change using all of three of the 3M Cavilon products where appropriate. Maya then cleaned all areas of focus on Maureen's upper body with Aloe Vesta Cleansing Foam and warmed wipes from the purple packet. We did not observe any redness. It was not necessary to apply any Nystatin Ointment.

• Breakfast service commenced @ 8:40AM. Post in the geri chair is decent. Maureen is tilting a bit to the left. Energy is slightly less than normal. Her eyes are almost completely wide open. She is engaging Maya while eating. Maya first gave Maureen a teaspoon of Manuka Honey followed immediately by the thyroid pill with a smattering of applesauce.

• Maureen will consume 4 ounces of prune juice this morning.

• Daily MiraLAX dosage: None.

• General observations @ 8:55AM> Maureen is already starting to loose energy. She is chewing very deliberately. Her eyes are now partially closed. She is experiencing difficulty at times chewing and swallowing this morning.

• General observations @ 9:24AM> Maureen is dosing off frequently during breakfast service. She is also not keeping her eyes open very often. Chewing and swallowing food was more difficult at times for her. Swallowing liquids (prune juice and water) did not cause any problems.

• 9:35AM - Maya administered the blood pressure

• 9:45AM - Maureen began to pick up a bit more energy.

• 9:52AM - Morning oral care routine

• 9:55AM - We tilted Maureen's geri chair back one level to relieve the pressure on her back and to make her more comfortable.

• 10:09AM - Morning facial including hands and arms

• General observation @10:29AM> Maureen continues to have a little more energy. She is not her normal self but is better than earlier this morning. Her brow is a bit furrowed. Eyes are slightly shut.

• 10:50AM - Organic fruit smoothie

• 11:16AM - We headed to the bedroom to prepare for Rest Break #1. Diaper was light wet. After completing a clean & change, Maya and I placed Maureen on her right side.

• 11:28AM - Rest Break #1 begins.

• 12:20PM - Rest Break #1 concludes. Diaper was medium wet. Maureen had a medium formed bowel movement. We completed a clean and change and headed to the kitchen for lunch.

• 12:41PM - Lunch | Maya prepared 1/2 a ham and Swiss cheese sandwich on toasted whole wheat, 1/2 a bowl of organic vegetable soup, a small serving of beets and a very small helping of pasta. Maureen will also consume one 12-ounce bottle of Harmless Harvest Organic Coconut Water.

• General observations @ 12:48PM> Maureen is engaged and fully awake while eating lunch. She is chatty and in good spirits. Things are so much more normal now than what we saw this morning.

• 1:20PM - Afternoon oral care routine

• 1:55PM - It was time for Rest Break #2. Diaper was very light wet. After Maya and I completed a clean & change, we placed Maureen on her left side.

• 2:06PM - Rest Break #2 begins.

• 3:02PM - Rest Break #2 concludes. Diaper is medium wet. Maureen also had a medium formed bowel movement. After completing a thorough clean & change, we headed to the front room for the latest episode of TPIR and a slew of Maureen's other favorite game shows.

• 3:25PM - Fruit snack

• Daytime recap> Today was definitely a tale of two cities. Maureen was very lethargic in the morning during breakfast. Her eyes were closed while eating—nodded off on several occasions. Coughing during breakfast service was worse than normal. She perked up significantly after Rest Break #1—was very engaged and chatty throughout lunch. Maureen had two medium formed bowel movements today. She continued to have a good amount of energy and engagement after getting up from Rest Break #2. All in all, this was a good day. Maureen came on strong as the day progressed.

Daily Cough Count

​Breakfast	Smoothie	​Lunch	​Fruit Snack	​Other	Red Face
5	2	1	3	1	3