Wednesday July 24, 2024 Daytime update

• 8:00am Maureen is awake with Tom giving her sips of water. He tells, she woke calmly few minutes ago.

• 8:25am Maureen’s awake, we raised the bed to administer 75mcg Levothyroxine with apple sauce.

• 8:30am Joanna and I started the day by giving Maureen a full body bath using dampened washcloth and Cetaphil cleanser, no redness observed. Clean/change a dry diaper, applied Cavilon barrier film to sacrum, barrier cream to inner thighs area. Small vaginal discharge observed. Dressed and continued to wash her hair with ketoconazole shampoo, then transferred to the kitchen afterward.

• 9:00am Breakfast stars with coffee, pear and 6oz prune juice.

• 9:10am Administered 2-50mg Senna plus pills (crushed) with apple sauce.

• Reclined Geri chair one notch for comfort.

• 9:20am Blow/dry and styled Maureen’s hair.

• 9:35am Breakfast cont. with an oatmeal/fruit smoothie with a spoonful of yogurt and a cup of lemon water. Coughed three times and sneezed twice.

• 9:40am Administered 500mg CIPROFLOXACIN and 10mg Loratadine with smoothie.

• Daily Miralax dosage: None, Senna plus instead.

• 9:55am Oral care.

• 10:05am Saline and albuterol Neb treatment.

• 10:30am Facial routine performed.

• Carolyn is here to be present during the nurse visit..

• 11:10am Kelsea, RN arrives for Maureen’s weekly visit:

              Lungs are clear

              Temp: 99

               Pulse: 84

               BP: 102/68

Thigh circumference: 33.5 cm

Arm circumference: 24 cm

Upon discussing Maureen’s latest bowel movements, the nurse recommended increasing intake of Senna to 2 pills twice a day if needed.

11:40am Transferred to the bedroom for Maureen’s first resting break. Diaper it’s dry, positioned on her left (hoping for a BM).

12:35pm First break ends. Clean/change a medium wet diaper, no vaginal discharge observed. Dressed and headed to the kitchen.

12:50pm Lunch: Broccoli soup, chicken salad, fresh beets, full cup of coconut water and rice pudding for dessert. Coughed twice.

Reclined Geri chair during meal, Maureen was leaning forward.

1:45pm Oral care.

2:00pm Maureen is sitting with relaxed arms and alert while watching a Disney movie.

2:30pm Transferred to the bedroom for Maureen’s second resting break. Clean/change a heavy wet diaper with a Small-soft (almost firm) BM, then positioned on her left side. No vaginal discharge observed.

3:30pm Second break ends. Diaper it’s dry, dressed and headed to the living room.

3:45pm Maureen is enjoying her fruit snack (melon/pear/kiwi) and 1/3 cup of lemon water.