Thursday, Jan. 4, 2024 - Daytime Update

8:00AM - Arrived with an already awake Maureen, calmly lying on her left side.

8:35AM - We raised the bed up and administered 75mcg of Levothyroxine with apple sauce.

8:50AM - We started Maureen's day - washed her upper body with warmed purple wipes, no redness on skin observed. Diaper was medium wet, cleaned and changed her. Applied Cavilon barrier film on sacrum and Cavilon cream on folds.

9:05AM - Breakfast started with 8oz prune juice with 1/2 cap MiraLAX, oatmeal/fruit smoothie with 2 prunes, and yogurt. Coughed once. Recline geri chair one notch after for Maureen's comfort.

Daily dose of MiraLAX - 1/2 cap

9:25AM - Administered 10mg Loratadine with smoothie.

***Maureen had half a cup of lemon water. Coughed once and able to cough up the phlegm, used suction machine to aid.

9:45AM - Oral care.

9:50AM - Eye care and eye drops routine. Facial and hand care routine followed.

10:40AM - BP: 105/77, P: 71 bpm

11:00AM - We transferred Maureen to the bedroom for her 1st rest break. Diaper was medium wet, cleaned and changed. Positioned Maureen to face

her right side starting at 11:10am.

12:10PM - 1st rest break ended. Diaper was dry. Proceed to dressing Maureen and transferred to the kitchen.

12:20PM - Lunch was shrimp salad,

hummus with sliced carrots, a cup of coconut water and yogurt. Maureen coughed once and coughed up the phlegm.

1:50PM - Oral care. Recline geri chair one notch.

1:00PM - Nebulizer treatment. We decided to give Maureen the treatment since we can still hear a lil bit of crackles in her throat as well as to help cough up phlegm easier.

1:45PM - Maureen looking sleepy while on chair but awake the whole time.

2:20PM - Transferred Maureen to the bedroom for her 2nd rest break. Diaper was medium wet, we cleaned and changed her. Positioned to face her left side starting at 2:30pm.

3:25PM - 2nd rest break ended. Diaper was dry, proceed to the front room.

3:35PM - Fruit snack (kiwi, pear and melon). Maureen enjoyed her fruit snack. No coughs.

4:25PM - Maureen looking relaxed and sleepy sitting on recliner watching her fave game shows.

BP: 108/65, P: 70 bpm

4:45PM - Diaper is dry.

5:05 PM - Dinner was sausage and cheese casserole. Maureen finished a cup of lemon water. Coughed 2x.

5:45PM - Administered 5mg Olanzapine with apple sauce and 12.5ml Vimpat.

6:00PM - Oral care.

6:20PM - Transferred Maureen to the bedroom. Diaper was heavy wet, we cleaned thoroughly and changed her. Applied Cavilon cream on folds. Applied Cetaphil lotion on face, arms and legs. Position to face her left side, pillow in between legs, and 2 wedges on her back.

6:40PM - Maureen is sleeping.

T - 96.5

P - 62 bpm

O2 - 98%