8:00AM - Came in with Tom lying on bed with Maureen, she's facing left side. Dalia updated that around 6:40am Maureen woke up with a slight twitching, pulse rate raised between 110-122bpm for 8mins then went down to 90s & 80s, thereafter. No clenched fist or tight jaw observed.
8:30AM - Maureen looking sleepy. We will give her more time.
8:45AM - In an upright position, we administered 75mcg of Levothyroxine with apple sauce.
**Maureen went to close her eyes after 5mins from taking the medicine and went back to sleep.
9:10AM - Maureen awake again, looking like ready to start her day. We washed her upper body with warmed purple wipes, no redness on skin observed. Diaper was medium wet, we cleaned and changed. Applied Cavilon barrier film on sacrum and Cavilon cream on folds. Finished dressing then transferred to the kitchen.
9:30AM - Started breakfast with sips of coffee, 8 oz prune juice with 1/2 cap MiraLAX, oatmeal/fruit smoothie with 1tsp of flaxseed, and yogurt. Coughed 2x and sneezed 3x.
**Reclined geri chair one notch in the middle of breakfast due to Maureen leaning forward.
Daily dose of MiraLAX - 1/2 cap
10:00AM - Administered 10mg of Loratadine with smoothie.
10:28AM - Oral care.
10:40AM - Eye care and eye drop/s routine.
10:45AM - Facial and hand care routine.
11:00AM - Maureen looking relaxed and sleepy while on geri chair. She's currently snoozing at this time. We can hear loose phlegm that Maureen was trying to cough up, she coughed 3x since this morning and we used suction machine to aid with to get rid of the phlegm.
11:30AM - We transferred Maureen to the bedroom for her 1st rest break. Diaper was lightly wet with small soft bowel movement. We cleaned and changed her thoroughly then positioned to face her right side starting at 11:45am.
12:45PM - 1st rest break ended. Diaper was dry. Finished dressing then transferred to the kitchen.
12:56PM - BP: 117/80, 79bpm
1:00PM - Lunch was 1/2 pc of toasted bread with guacamole, boiled egg and 12oz of root beer, and yogurt. Coughed 2x, sneezed once.
Reclined geri chair one notch after for Maureen's comfort.
1:40PM - Oral care.
2:30PM - 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 2:40pm.
2:45PM - Carolyn dropped by for a quick visit.
3:40PM - 2nd rest break ended. Diaper was dry. We finished dressing then transferred to the front room.
3:50PM - Maureen finished the 1/2cup if cold ginger tea. Fresh fruit snack followed (kiwi, pear and melon).
4:00PM - Maureen sitting comfortably on the recliner while watching her favorite game show/s. No coughs while eating her fruit snack.
4:50PM - Had sips of lemon water.
5:08PM - Dinner was chicken parmigianna and 3/4 cup of lemon water. Coughed once.
5:35PM - BP: 110/70, 71bpm
6:00PM - Administered 5mg Olanzapine with apple sauce and 12.5ml Vimpat.
6:20PM - Oral care.
6:35PM - Transferred Maureen to the bedroom. Diaper was heavy wet with very small soft bowel movement. We cleaned and changed her. Applied Cavilon cream to folds. Applied Cetaphil lotion to armd and legs. Positioned to face Maureen on her left side with wedges on back and pillow in between legs.
6:55PM - Maureen is sleeping.
V/S
T - 97.8
O2 - 96
P - 64
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