February 25 daytime update

• 6:30AM - Maureen is awake. Maya will give Maureen sips of water using a mouth swab periodically until she gets out of bed.

• 6:50AM - Maureen's diaper remains dry.

• Maureen began her day @ 8:07AM. She is alert and engaged. Maya kicked things off by applying Tolcylen to both big toes. Diaper was light wet. We completed a clean & change using all three 3M Cavilon products where appropriate. Lastly, Maya cleaned all areas of focus on Maureen's upper body with Aloe Vesta Cleansing Foam and warmed wipes from the purple packet. We did notice some slight redness under her right armpit. Click here to view all of the details.

• Breakfast service began @ 8:46AM. Posture in the geri chair is very good. Maureen is sitting almost perfectly erect. Maya began with a teaspoon of Manuka Honey followed immediately by the administration of the thyroid medication with a smattering of applesauce.

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

• Daily MiraLAX dosage: 1/2 cap

• General observations @ 9:01AM> Energy and engagement are better today—slightly less than normal. Communication is more frequent—again almost normal. Maureen's eyes are almost completely wide open. She is chewing and swallowing well. Nasal congestion is greater today.

• General observations @ 9:18AM> As has been the pattern lately, Maureen's energy is dissipating as breakfast concludes. She is now somewhat lethargic. Eyes are half closed. Low moan/groan has begun. Communication is less.

• 9:21AM - Morning oral care routine

• 9:30AM - Eyelash cleaning and eye drops

• 9:43AM - Morning facial including hands and arms

• General observation @ 10:30AM> Maureen fell asleep for several segments of time between 9:30AM to 10:30AM.

• 10:35AM - Organic fruit smoothie

• 11:15AM - Maya and I took Maureen to the bedroom to prepare for Rest Break #1. The diaper was medium wet. After completing the clean & change process, we placed Maureen on her right side.

• 11:23AM - Rest Break #1 begins. This will be the only one of the day due to Sr. Roberta's 2:30PM session. Therefore, Maureen will lay on her right side for 75-90 minutes.

• 12:47PM - Rest Break #1 concludes. Diaper was medium wet. We performed a clean & change and then headed to the kitchen for lunch.

• 1:00PM - Lunch | Maya prepared 1/2 a tuna salad sandwich on toasted whole wheat, 1/2 bowl of meatball and rice soup, serving of green beans and a serving of shredded beets. Maureen also enjoyed one 12-ounce bottle of Harmless Harvest Organic Coconut water.

• General observation @1:30PM> Maureen had a lot more energy since getting up from Rest Break #1. She was engaged and talkative during lunch. It was a material change from what we saw this morning.

• 1:50PM - Afternoon oral care

• 2:20PM - We performed a clean & change in advance of Sr. Roberta's massage therapy session. Diaper was medium wet.

• Daytime recap> The day was good overall. Maureen started out the day well. As breakfast progressed, her energy and engagement quickly dissipated. She fell asleep for several short periods while sitting in the geri chair. After the conclusion of her rest break, Maureen had significantly more energy. She was engaged and chatty. Maureen chewed and swallowed well today. Coughing was below average. Despite taking 1/2 cap of MiraLAX for the second day in a row, she did not have any bowel movements.

Daily Cough Count

​Breakfast	Smoothie	​Lunch	​Fruit Snack	​Other	Red Face
2	4	3	3	1	2