March 24 daytime update

• 6:30AM - Maureen is sleeping.

• 7:15AM - Maureen continues to sleep, but she is beginning to lightly stir.

• Maureen began her day @ 8:10AM. She is in a good frame of mind. First order of business was the application of Tolcylen to both big toenails. Diaper was medium wet. We performed a clean & change using all three 3M Cavilon products where appropriate. Maya and I then cleaned all areas of focus on Maureen's upper body with Aloe Vesta Cleansing Foam. There were no areas of redness/irritation.

• Breakfast service kicked off @ 8:43AM. Posture in the geri chair is very good—standard tilt to the left and forward a bit. Maya started the ball rolling with a teaspoon of Manuka Honey. She followed immediately with the administration of the thyroid medication.

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

• Daily MiraLAX dosage: None

• General observations @ 8:53AM> Energy is slightly above normal this morning. Maureen has her eyes wide-open. She is chatty and engaged. Maya and I both are of the opinion that Maureen's congestion is at the low end of the scale.

• General observation @ 9:05AM> Maureen's energy is dissipating rapidly. Eyes are not partially closed. She nods off from time to time. Everything is as if it is in slow motion.

• 9:24AM - Maya administered the blood pressure medication and the Claritin.

• 9:33AM - Morning oral care routine

• 9:50AM - Eyelash cleaning and eye drops

• 9:53AM - We tilted the geri chair back one level to relieve pressure on Maureen's sacrum and to give her a greater level of comfort.

• 9:57AM - Maureen's energy and engagement are staring to come back.

• 10:10AM - Hand, arm, should and leg exercise

• 10:35AM - Morning organic fruit smoothie

• 10:55AM - We headed to the bedroom to prepare for Rest Break #1. Diaper was light wet. Maya and I performed a clean & change and then placed Maureen on her right side.

• 11:08AM - Rest Break #1 begins

• 12:14PM - Rest Break #1 ends. Diaper was light wet. We completed a clean & change and then transported Maureen to the kitchen for lunch.

• 12:30PM - Lunch | Maya prepared 1/2 a turkey and melted Swiss cheese on toasted whole wheat, 1/2 a bowl of homemade organic lentil soup and a medley of broccoli, Brussels sprouts and cauliflower. Maureen will drink one 12-ounce bottle of Harmless Harvest Organic Coconut Water during the lunch service. For dessert, Maureen enjoyed a small serving of rice pudding.

• General observations @ 12:48PM> Maureen had a good amount of energy when we cleaned her up and headed to the kitchen for lunch. We are now almost 20 minutes into lunch. She has lost a good deal of her energy. Eyes are partially closed. Chewing and swallowing are very deliberate. As of the writing of this e-mail, Maureen coughed 7 times—two of which were red-faced. This is a pattern that has become the rule not the exception during the last 6-8 weeks.

• 1:20PM - Barb Cutro arrived for a visit.

• 1:33PM - Afternoon oral care

• General observations @ 2:15PM> Barb's visit to the house gave Maureen a material boost of energy. Engagement and communication increased significantly.

• 3:00PM - We took Maureen to the bedroom for a clean & change. Diaper was heavy wet. Upon completion, we headed to the front room for the remainder of the day.

• 3:25PM - Afternoon fruit snack

Daily Cough Count

​Breakfast	Smoothie	​Lunch	​Fruit Snack	​Other	Red Face
3	4	12	2	1	8