6:30 am- Maureen is sleeping.
7:00 am- Maureen is deeply asleep.
7:30 am- Maureen Is still sleeping.
8:00 am- No change- Maureen is asleep.
8:30 am- Maureen is sound asleep.
8:45 am- Maureen opened her eyes. She is calm, still looks sleepy.
8:50 am- Maureen fell asleep again.
9:10 am- Maureen is waking up.
9:20 am- Maureen is awake. We raised the bed and administered Levothyroxine with apple sauce.
9:30 am- We started the day. Maureen's diaper was medium wet and she had a very small formed bowel movement. Dalia and I cleaned and changed her. We washed Maureen's upper body. Dressed and headed to the kitchen.
9:50 am- Breakfast- Smoothies, 6 oz of prune juice with 1/4 cup of Miralax. No coughs.
Daily Miralax dosage- 1/4 cup.
10:15 am- Morning oral care.
10:20 am- Facial routine.
Maureen is sleeping in the chair.
10:40 - Video call with Dr. Purinson.
Four topics were reviewed, specifically to address getting Maureen more energy - blood work, BP, meds, dandruff.
The report from June 16 shows Thyroid and potassium are inline. Liver/ Kidney are OK. Plan to do another draw 9/16.
The changes in the Blood pressure from Ann visits from morning to evening were reviewed. Dr. Purinson suggests eliminating Lisinopril. First log blood pressure for three days at three different points of the day. If blood pressure stays below 140/80 , eliminate Lisinopril. If over, give half. Report back to her . This drug also has a side effect of increasing potassium levels. we may see a decrease as a result.
She believes managing thyroid has a relationship to lower number of episodes.
The blood work will see how the thyroid is doing. We should continue to log episodes.
Because olanzapine is calming, we should consider that next.
Wash hair with the soap every three days. No sooner. Assure you leave it on for 3 to 5 minutes.
11:15 am- Maureen is still sound asleep in the chair.
11:35 am- We transferred Maureen to the bedroom for her first rest break. Diaper was dry. She will lie on her right side for an hour starting at 11:45 am.
12:45 pm- First rest break en. Maureen's diaper was medium wet and she had a small formed bowel movement. Dalia and I cleaned and changed her. Dressed and headed to the kitchen.
1:00 pm- Lunch- lentils s, steamed red beets, parm crisps with hummus. Half a yogurt for dessert, cup of lemon water. Three coughs.
1:40 pm- Oral care.
2:00 pm- Maureen is resting in the chair, sipping on some water.
2:30 pm- We transferred Maureen to bed. Her diaper was dry. We positioned Maureen on her left side at 2:45 pm.
3:45 pm- Second rest break is over. Maureen's diaper was dry. We dressed and headed to the front room.
4:00 pm- Blood pressure- 117/65.
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