Thursday, Nov. 2, 2023 - Daytime Update

8:00AM - Arrived with Dalia sitting at bedside with Maureen. Dalia informed Maureen was waking up when she arrived at 6:30am - stayed awake for atleast 30mins and has been sleeping in and out since.

8:30AM - We raised the bed and in upright position, we administered 75mcg of Levothyroxine with apple sauce.

8:50AM - We started Maureen's day by washing her upper body with warmed purple wipes. The red spot on Maureen's right underarm is almost non-visible, we still applied thin layer of Nystatin. Diaper was dry, we cleaned and changed her. Applied Cavilon barrier film on sacrum and Cavilon cream on folds. Finished dressing then transferred to the kitchen.

***Maureen coughed while on bed, used suction machine to aid.

9:05AM - Breakfast started with 8oz of prune juice with 1/2 cap MiraLAX, healthy muffin from Nurse Patty with coffee, yogurt mixed with 1tsp flaxseed. Maureen liked the muffin with coffee very much. Finished half a cup if lemon water.

MiraLAX daily dose - 1/2 cap

***Coughed 3x, used suction machine 2x. Maureen able to cough up phlegm. Reclined geri chair for Maureen's comfort.

9:50AM - Oral care.

10:05AM - Eye care and eye drops routine. Facial and hand care routine followed.

10:20AM - Maureen started snoozing on the geri chair.

11:05AM - Transferred Maureen to the bedroom for her 1st rest break. Diaper was heavy wet with medium soft bowel movement. We cleaned thoroughly and changed her. Positioned to face her right side starting at 11:15am.

12:15PM - 2nd rest break ended. Diaper was dry. Finished dressing then headed to the kitchen.

12:23PM - BP: 110/68, 64bpm

12:26PM - Lunch is tuna salad, fresh tomato, 12oz sparkling water and yogurt. Coughed once.

12:55PM - Reclined geri chair one notch for comfort. Oral care.

1:30PM - Maureen had another 1/2 cup of lemon water. She's comfortably sitting on the recliner - awake.

2:10PM - Maureen drank 1/4 cup of lemon water.

2:15PM - Transferred Maureen to the bedroom for her 2nd rest break. Diaper was medium wet with very small formed bowel movement. Cleaned and changed. Positioned to face her left side at 2:20pm.

2:20PM - 2nd rest break ended. Diaper was medium wet, we cleaned and changed Maureen. Then, headed to the front room.

3:30PM - Fruit snack (kiwi, pear & melon). No coughs.

4:15PM - Maureen comfortably sitting on the recliner watching her fave game shows.

5:00PM - BP: 100/65, 84bpm

5:10PM - Dinner was salmon, cauliflower and key lime pie for dessert. Maureen finished her 1 cup of lemon water. Coughed once.

6:00PM - Administered 5mg Olanzapine with the pie and 12.5ml Vimpat.

6:20PM - Oral care.

6:35PM - We transferred Maureen to the bedroom. Diaper was heavy wet with very small formed bowel movement, we cleaned and changed. Applied Cavilon cream on folds. Redness on right underarm almost gone. Applied Cetaphil lotion on both arms and legs. Positioned Maureen on her left side.

6:55PM - Maureen is sleeping.

V/S:

T - 97.1

O2 - 97

P - 82