Tuesday April 28,2026 Daytime Update

9:30AM - Maureen's on her left side, already awake. No signs of pain or any distress. Tom’s giving her water via swab.

9:40AM-We placed Maureen in an upright position and administered 75mcg of Levothyroxine with apple sauce and she drink 6 oz of thickened cold water

Giving her Neb treatment with albuterol.

10:00AM- Morning care. Wash her upper extremities with warm purple wipes. Diaper was medium wet with medium VD cloudy odorless , Cleaned and changed her. Applied Sureprep barrier film on sacrum and Cavilon cream on her posterior and

inner thighs.

We Shampoo and wash Maureen hair today. We dressed her and moved to the front room.

10:40AM-  Breakfast- scrambled egg with tomatoes and onions ,  and avocado, finished 6oz thickened prune juice  with half a cap Miralax. Maureen ate well.

Coughed once suction

Administered 10mg of Loratadine  and 20ml cough syrup (Geri-Tussin)all with apple sauce.

11:20AM-Oral care

11:25AM- Facial and hand care routine

12:00PM- Maureen close her eyes for a nap.

1:15PM - Maureen took 10oz of thickened coconut water and had melon for as fruit snack.

2:15PM - We transferred her to the bedroom for her rest break. Diaper was dry, we position her to face the right side.

3:30PM- Rest break ended already. Diaper was medium wet and Large loose BM. We cleaned and change. We dressed Maureen and moved to the front room.

3:45PM - Maureen had 10oz of thickened sparkling water.

4:10- Neb treatment with albuterol

4:15PM- diaper checked dry.

4:30PM - Dinner - stuffed peppers. Maureen finished her food and enjoyed eating. She finished 10oz thickened sparkling water. No cough

5:15PM- Administered 5mg of Olanzapine 12.5ml Vimpat and cough syrup 20ml (Gerri-Tussin) all with apple sauce.

5:25 PP - Oral care.

6:10PM - We transferred Maureen to the bedroom. Diaper medium wet, we cleaned and changed, applied Cavilon cream on posterior and inner thighs. Applied Cetaphil lotion on face, arms and legs. Position to face the left side with pillow in between legs and 2 wedges on the back.

6:25PM - Maureen's sleeping.

T - 98.9

P - 91

O2 - 96%

Liquid intake - 42oz

Note: She had less coughing today and her BM is almost loose.