Sunday, July 20 Daytime update

• 8:00 am- Maureen is comfortably laying on her left side. She is asleep.

• 8:10 am- Maureen is in and out of sleep.

• 8:20 am- Maureen is awake now.

• 8:30 am- We raised the bed and administered 75 mcg of Levothyroxine with applesauce.

• 8:35 am- We started the day. Maureen’s diaper was medium wet with a large bloody spot on it. Tom and I cleaned and changed her. Applied Cavilon barrier film and Cavilon cream. Next we washed Maureen’s upper body. Dressed and transferred her to the recliner.

• 8:55 am - Nebulizer treatment with saline solution.

• 9:05 am- Maureen had 5 oz of water mixed with apple juice.

• 9:10 am- Breakfast- omelette, half of banana, 5 oz of water, a couple sips of coffee. Maureen coughed twice.

• 9:45 am- Administered 10 mg of Loratadin with applesauce.

• 10:00 am- Morning oral care.

• 10:15 am- Facial and hand care routine.

• 11:15 am- Deacon Andy came in for Sunday service.

• 11:30 am- We transferred Maureen to the bedroom for her first rest break. Diaper was dry. We positioned her on the right side at 11:40 am.

• 12:40 pm- Maureen’s first rest break is over now. Her diaper was medium wet with a bloody spot on it. Tom and I cleaned and changed her . Dressed and transferred to the recliner.

• 12 55 pm- Lunch- chicken and cabbage soup, half of a chocolate chip cookie, 10 oz of sparkling water. Maureen coughed only while drinking the sparkling water, even though she received it with a spoon.

• 1:45 pm- Oral care.

• 2:00 pm- We transferred Maureen to the bedroom for her second rest break. Diaper was dry. She will lay down on her right side for an hour starting at 2:10 pm.

• 3:00 pm- Maureen’s rest break ended. We cleaned and changed a medium wet diaper. Dressed and transferred her to the recliner.

• 3:10 pm- Sister Roberta arrived for Maureen’s treatment.

• 3:45 pm- Fresh fruit snack- watermelon, apple and banana, 5 oz of coconut water. Maureen had an episode of coughing and sneezing a lot.

• 4:40 pm- Nebulizer treatment with saline solution.

• 5:00 pm- Maureen’s diaper is dry.

• 5:05 pm- Dinner- Meatball, mushed potatoes, asparagus, 10 oz of lemon water. Maureen coughed and sneezed a few times.

• 5:50 pm- Administered 12.5 ml of Vimpat and 5 mg of Olanzapine with applesauce.

• 6:10 pm- Evening oral care.

• 6:30 pm- We transferred Maureen to the bedroom for the night. Diaper was medium wet. There was a bloody spot on it again. Tom and I cleaned and changed it. Applied Cavilon cream. Cleaned her face and applied Cetaphil lotion to her face, hands, legs and feet. Positioned Maureen on her left side.

• Vitals:

  T-98.4

  O2-96

  P-74

• Maureen had 35 oz of liquids today. She was alert throughout the day. Most of the day her hands were relaxed and down. She was sitting very well and straight.