Sunday, July 26 Daytime update

• From Tom:

• 6:00AM Vitals are …

  
  

  Temperature 98.8°

  Pulse is 88 BPM

  Oxygen level is 93%

  
  

  Maureen is awake and I am swabbing her lips to keep them moist, I got her to accept two

  sips from the swab.

  
  

  She has started moaning and kicking her legs, I am going to administer.25 mL of morphine.

  
  

  7:30 AM Carolyn came over, we just repositioned Maureen to the right side  …

  vitals are as follows,

  temperature 98.5°

  pulse 94 BPM

  oxygen level is 89%

  
  

  I called JOURNEYCARE to get some added direction, a nurse will call back.

  
  

  7:45 AM Ania called me and we discussed that .25ml of LORAZEPAM can be given every 4 hours for agitation/restlessness, she has put in orders for the on-call nurse to visit us today.

  
  

  8:00 AM I administered .25ml of LORAZEPAM to calm her down.

  
  

  9:00 AM

  
  

  Temperature is 98.3°

  Pulse is now 89 BPM

  Oxygen level 93%

  
  

  Maureen still appeared to be in pain, we chose to give her another .25 ML of LORAZEPAM at 9:10 AM

• 9:30 am- Maureen is awake, laying on her right side, with Carolyn and Tom by her side.

  She is moaning and moving her legs at times.

• 9:45 am- Michael came to visit Maureen.

• 10:15 am- Maureen is drifting off to sleep.

• 10:40 am- We repositioned Maureen and she opened her eyes.

• 10:45 am- We started changing Maureen. Her diaper was medium wet. We cleaned, applied Sureprep barrier film and Prevent silicone cream. There was a very small brownish VD spot on the diaper. We washed Maureen’s upper body. Dressed her up and transferred to the recliner.

• Vitals are:

  T-98.1

  P-80

  O2-94

• 11:15 am- Nebulizer treatment with Albuterol.

  Maureen closed her eyes.

• 11,30 am- Maureen is sleeping now. She is very calm and doesn’t show any signs of discomfort.