January 24 swing shift update

• 4:00pm Maureen is sitting comfortably in the recliner.

• 5:00pm Dinner - chili casserole, cup of water.

• 5:20pm Maureen fell asleep on the recliner shortly after finishing dinner.

• 6:00pm Maureen continues to sleep.

• 6:25pm Maureen is now awake. Administered 5mg Olanzapine with parfait and 12.5mL Vimpat.

• 6:35pm Oral care.

• 6:45pm We headed to the bedroom for the night. Maureen's diaper is heavy wet - Tom and I performed a clean and change and applied 3M Cavilon cream. I next washed Maureen's upper body using warmed wipes from the purple packet, applied Vicks to her throat and chest, and Cetaphil moisturizing lotion to her lower extremities. Night time facial routine followed. Maureen is lying on her left side supported by two green wedge pillows.

• Vitals @ bedtime - temp 97.7, pulse 70, O2 95%.

• Maureen fell asleep almost immediately after finishing her dinner and pretty much throughout the rest of the night. We were lucky that she woke up for a short period of time to take her night time medication. Coughing was minimal during dinner but I was able to once again remove a significant amount of secretions using the suction machine.

Daily Cough Count

Dinner	Other	Red Face
1	6	3