September 20 daytime update

• 6:35AM - Maureen is sleeping.

• 6:55AM - No change.

• 7:25AM - Maureen is starting to stir a bit. She remains asleep.

• 7:37AM - Maureen just began to wake up. Djon went to check on her. As he was checking her impair and resetting the blanket, Maureen closed her eyes and went back to sleep.

• Maureen began her day @ 8:25AM. She is alert and engaged. Nasal congestion is more obvious this morning. The diaper was light wet. Click/tap here to view a detailed overview of the process Djon and I use to get Maureen ready for the day.

• During the clean & change process, Djon and I examined the pressure ulcer on the lower part of Maureen's sacrum. Djon opined that the wound is completely healed at this point. It looks almost completely back to normal. See the attached image.

• 8:48AM - Djon administered a dose of Flonase into each of Maureen's nostrils.

• Breakfast service began @ 8:49AM. Posture in the geri chair is almost perfect. We used the two green wedge pillows and the red couch pillow to set Maureen up perfectly. Click/tap here for detailed overview of the entire breakfast service process Djon and I use each day.

• Daily MiraLAX dosage: None

• We did give Maureen 6 ounces of prune juice.

• Today's Puree Report - Djon pureed the oatmeal for breakfast. He smashed up the banana into a fine puree with a fork. Maureen enjoyed the following pureed items during lunch: mushroom barley soup, zucchini and potato salad.

• General observations @ 9:20AM> We got off to a good star toady. Overall energy was good. Breakfast was completely normal. Maureen chewed and swallowed well. She only coughed three times. There were three sneezes too.

• 9:25AM - Morning oral care routine

• 9:30AM - We tilted the geri chair back one level for Maureen's general comfort and tor reduce the pressure on her sacrum.

• 9:35AM - Morning facial routine including hands and arms.

• 10:05AM - Walk

• 10:49AM - We returned from an absolutely lovely stroll through the neighborhood. Djon and I immediately took Maureen to the bedroom to prepare for Rest Break #1. Diaper was dry. We placed Maureen on her right side.

• 10:57AM - Rest Break #1 begins.

• 12:10PM - Rest Break #1 concludes. Diaper is medium wet. Djon and I cleaned, changed and dressed Maureen. We then headed out to the kitchen for lunch.

• 12:22PM - Lunch | Djon prepared a serving of tuna salad on a piece of toasted sourdough bread, 1/3 of a bowel of pureed mushroom barley soup, a serving of pureed zucchini and a serving of potato salad that Djon will mash up with a fork. Maureen will drink one 12-ounce bottle of Harmless Harvest Organic Coconut Water during the lunch service.

• General observations @ 1:11PM> Lunch went well. Maureen had good energy. Chewed and swallowed well. Coughing was minimal—only two times. Communication and general engagement were satisfactory. Overall, Maureen remains in good form. We are on a good roll here. Let's hope it keep going.

• 1:50PM - Afternoon oral care

• 2:00PM - Djon and I transported Maureen to the bedroom in advance of Rest Break #2. The diaper was heavy wet. We clean, changed and placed Maureen on her left side.

• 2:08PM - Rest Break #2 begins.

• 3:10PM - Rest Break #2 concludes. Diaper was medium wet. Djon and I cleaned and changed Maureen. We then headed to the front room for an afternoon of gameshows, fruit smoothie and hopefully copious amounts of frivolity.

• 3:25PM - Organic fruit smoothie (half normal size).

Daily Cough Count

​Breakfast	Smoothie	​Lunch	​Fruit Snack	​Other	Red Face
3		2	N/A	3	2