ARRIVED: 10:00a

BATH: Sponge bath

DENTAL HYGIENE: Brushed  AM & PM

BREAKFAST: Cereal, mixed berry scone & coffee

LUNCH: Turkey & cheese rollups, kiwi, pear & 7up

DINNER: Steak cordon bleu, roasted asparagus, rice, fruit salad, rolls & 7up

DESSERT: Birthday cake & ice cream

EXERCISE: (LJV) PT

NAP: No

MEDS: (LJV) AM meds with breakfast, PM Meds at bedtime

CHORES:  Cleaned glass doors, swept front entrance, vacuumed, touched up bathrooms, cleaned kitchen counter tops, washed sheets & made bed, washed sheets in guest bedroom and put back n bed, picked up mail, prepared lunch, Stephanie birthday dinner, helped with cleanup

VISITORS/WORKERS:
Mary Schwetschenau
Alan & Veva
Joan
Sandy & Colton (Hayslip)
Jessica & Tyler
Stephanie, Andrew, Sophie

COMMENTS:
Today was our first day without Rose, and it was quite difficult for all, especially Dr. Vespers. I asked him how he felt when he got up, he replied “lonesome.”  In the afternoon his siblings came by, also Sandy and her son stop by for a few minutes.  Visitors kept him busy most the afternoon. Today was Sophie‘s birthday, Stephanie prepare her birthday dinner here and we celebrated with a delicious dinner, cake and ice cream,  followed by cards and gifts.  Dr. Vesper was tired and ready for bed by 10. I put fresh sheets on his bed and gave him his p.m. meds before he went to bed

ARRIVED: 10a

BATH: Light sponge bath

DENTAL HYGIENE: Sponge cleaned & moistened mouth throughout the day

BREAKFAST: (LJV) Cereal, scone & coffee (RV) nothing by mouth

LUNCH: (LJV) Turkey & cheese rollups, kiwi, pear &  7up

DINNER: Salad, pizza & 7up

DESSERT: None

EXERCISE: LJV/PT

NAP: No

MEDS: (RV) Morpphine .25 ml at 12:30a, 4:30a, 8:30a, hospice nurse administered all medications for the remainder of the day. (LJV) AM meds with breakfast, PM Meds at bedtime, BS within normal range – no insulin required

FLUID INTAKE:  Water  / very  small amounts applied with sponge

URINE/BM OUTPUT: Overnight depends dry, no output throughout the day and evening

CHORES: Cleaned glass doors, swept front entrance & cleared away outdoors Thanksgiving decorations, vacuumed, touched up bathrooms & monitored for supplies throughout the day & evening, cleaned kitchen counter tops, cleaned out refrigerator, emptied all trash & dropped cans off, picked up mail, prepared lunch for Dr. Vesper & washed dishes

VISITORS/WORKERS:
Jessica & Tyler
Stephanie, Andrew & Charlotte
Mary Lou
Emily Niehaus
Linda Fraley

COMMENTS: Rose remained in bed today and we did all we could to make her comfortable. She had a very light sponge bath and I put on fesh depends and pajamas. Dr. Vesper woke up when I gave Rose medication at 8:30, but he remained in bed with her. We talked for a while and again had the conversation about why we weren’t taking Rose to the emergency room.  He went back to sleep and slept until about 10:15 before getting up for breakfast and morning meds.  The hospice nurse arrived at 1:30, she explained that Rose was actively dying and called the doctor for orders to increase comfort meds. She also requested continuous care and waited for additional nursing staff to arrive. They stayed with Rose and increased her medication accordingly until she passed at 11:57 PM.  The funeral home arrived at 1:45 AM. Hospice nursing staff completed their paperwork left 3:30 AM. I did the dishes and cleaned  the kitchen, set out breakfast items & morning meds for tomorrow.  Dr. Vesper had taken his p.m. meds earlier and had gotten into bed with Rose for her final few moments. Jessica gave him his rosary and he stayed in bed after the funeral home left.

ARRIVED: 10:00a

BATH: Sponge bath

DENTAL HYGIENE: Brushed AM & PM

BREAKFAST: Oatmeal w/ blueberries, toast & OJ

LUNCH: (LJV) Ham & cheese rollups, pretzels, banana & strawberries, 7up (RV) ham, mixed berries, pudding cup, Ensure

DINNER: (RV) cottage cheese w/ berries, potato-leek soup, saltines & Ensure (LJV) Salad, chicken pot pie & 7up

DESSERT: Ice cream

EXERCISE: RV/ ROM, LJV/ PT

NAP: Yes

MEDS: (RV) Levothyroxine, morning meds & eye drops @ 10:30a, Miralax in OJ with breakfast, (1) Tums & (2) multi-vitamins w/ 2p meds, 10p meds & eye drops at bedtime  (LJV) AM meds with breakfast, PM Meds at bedtime, BS 166 – 2 units insulin /He had fish and NO ice cream yesterday, that’ll teach him!

FLUID INTAKE: (18) Water, (6) juice & (16) milk – 40 oz approximately

URINE/BM OUTPUT: Overnight depends wet & trace BM, 10:30a urine only, 12:30p no output, 8:30p urine & med BM

CHORES: Cleaned glass doors, swept front entrance, vacuumed, touched up bathrooms, watered plants, filled bird feeders,  Fed and cleaned up after Hillary a& Kemper, laundry (towels, PJs & robe), cleaned counter tops, made bed, prepared meals & washed dishes

VISITORS/WORKERS:
None

COMMENTS:
I did a few chores before getting Rose up, she ate breakfast and had her am meds. Dr. Vesper got up at noon, had am meds and breakfast.  So much for my fears of him getting up every day at 9 AM!!  After lunch & 2 PM meds, Rose slept until dinner. Dr. Vesper spent the afternoon watching TV and reading, he took a short nap.  I spent most of the afternoon in catch-up mode him yesterday. After dinner, they relaxed & watched TV while I did the dishes and cleaned up the kitchen, set out breakfast items and morning meds for tomorrow. They had their pm meds and followed our routine bedtime schedule.

ARRIVED: 10:30a / Kroger’s

BATH: Shower / shampoo (Hospice bath aide)

DENTAL HYGIENE: Brushed AM & PM

BREAKFAST: Scrambled eggs, bacon, toast & OJ

LUNCH: (RV) Chicken w/ noodles (baby food) & ensure  (LJV) chicken salad sandwich , grapes, 7up

DINNER: Fruit salad (recall on power greens and romaine) cod, mashed potatoes, peas & Ensure  / 7up.

DESSERT: (RV) Ice cream (LJV) NO Ice cream / getting too fat!

EXERCISE: RV/ ROM, LJV/PT

NAP: Yes

MEDS: (RV) Levothyroxine, morning meds & eye drops @ 11:00a, Miralax in OJ with breakfast, (1) Tums & (2) multi-vitamins w/ 2p meds, 10p meds & eye drops at bedtime, changed dressing (LJV) AM meds with breakfast, PM Meds at bedtime, BS within normal range – no insulin required

FLUID INTAKE: (16) Water, (6) juice & (16) milk – 38 oz approximately

URINE/BM OUTPUT: Overnight depends wet & a trace BM, 10:30a urine only, 12:30p very small BM in shower, 4:30p depends damp, 8:30p urine & small BM

CHORES:  Grocery shopped, stored food and supplies, laundry (PJs & robe)), picked up mail, prepared meals & washed dishes

VISITORS/WORKERS:
Elena – Cleaned
Hospice – Bath Aide
Home Instead Senior Care – Michelle / Client check / Also Received a phone call from Tim Vasconcellos HISC expressing his concern for Ms Rose

COMMENTS: Elena  arrived at her normal time of 9:30 to find Dr. Vesper sitting at the table, waiting for breakfast and asking “Where is Mossy?” It’s  a rare occasion to find him up at that hour, she called me out of concern.  I was just finishing up at Kroger‘s and rushed to get home. Elena filled in nicely, as always, made this coffee and retrieve the newspaper for him.  I asked him why he got up so early, said he had been up since 9 AM, just decided he was sleeping too much and would be getting up earlier in the future. This could have been an issue had Elena not been there.  I delayed getting Rose up  because the bath aide was due any minute and I wanted her to see the whole process.  She had tried to call, turned out we an a phone issues.  I had given up and started to prepare without her, when she arrived.  I trained and assisted her through showering & shampooing, Rose initiated her with her usual bm in the shower.  Home instead arrived for client check, very busy afternoon. Elena had a lot of obstacles to work around today, surprised she got anything accomplished. We had a nice relaxing dinner, one of Dr. Vesper’s favorites, cod. I set out breakfast items & morning meds for tomorrow, gave pm meds and  completed bedtime routine.  Rose ate fairly well today, she had a combination of regular food and some baby food.

ARRIVED: 10:00a

BATH: Sponge bath

DENTAL HYGIENE: Brushed  AM & PM

BREAKFAST: Cream of wheat w/ mango, bacon, flax & grain toast & OJ

LUNCH: Assorted fruits & chocolate ensure / 7up

DINNER: Salad, baked ham, mashed potatoes, green beans, rolls, Ensure / 7up / Rose had a small portion of cottage cheese instead of  regular salad

DESSERT:  Ice cream

EXERCISE: (RV) ROM (LJV) PT

NAP: Yes

MEDS: Levothyroxine, morning meds & eye drops @ 10:30a, (1) Tums & (2) multi-vitamins w/ 2p meds, 10p meds & eye drops at bedtime,  (LJV) AM meds with breakfast, PM Meds at bedtime, BS within normal range

FLUID INTAKE: (16) Water, (6) juice & (16) milk – 38 oz approximately

URINE/BM OUTPUT: Overnight depends wet, 10:30a nothing additionally, 12:30p depends damp, 4:30p urine only, 9:00p urine & med BM

CHORES: Cleaned glass doors, swept front entrance, vacuumed, touched up bathrooms, cleaned kitchen counter tops, made bed, laundry (white & colored clothes), picked up mail & garbage cans, prepared meals & cleaned up kitchen.

VISITORS/WORKERS:
Becky Schnell & Phil – New fabric & blind samples
Jeannie – Bkkpr

COMMENTS:  They were sleeping when I arrived. I got @ 10:30. She ate well and had her a.m. meds with breakfast. Dr. Vesper got up @ 11:00, had his morning meds with breakfast, They had a lite lunch and 2 PM meds just before Becky arrived.  She was here a lot longer than I thought and was actually just leaving when Jeannie arrived.  They both had a short nap before dinner. After dinner, Rose rested and Dr. Vesper watched TV while I did the dishes, cleaned up the kitchen, set out breakfast items and morning meds for tomorrow. They had their p.m. meds and I got ready for bed. Rose slept a lot today, she ate most of her food, but  took a really long time.

ARRIVED: 10:15a /Panera’s

BATH: Bed bath

DENTAL HYGIENE: Brushed AM & PM

BREAKFAST: (1/2) Spinach & artichoke soufflé, bacon & OJ

LUNCH: (RV) (1/2) S&A soufflé (1 tub) apple/peach & squash b-food, (1/2) Ensure, (LJV) Turkey sandwich, pear slices & 7up

DINNER: Salad,  ravioli with marinara sauce, garlic bread  &  7up.  Rose had 2 large raviolis, no salad or garlic bread, she also had one tub turkey W/ peas & carrots and 1/2 Ensure

DESSERT: Ice cream

EXERCISE: RV/ ROM, LJV/PT

NAP: Yes

MEDS: (RV) Levothyroxine, morning meds & eye drops @ 11:00a, Miralax in OJ with breakfast, (1) Tums & (2) multi-vitamins w/ 2p meds, 10p meds & eye drops at bedtime, changed dressing (LJV) AM meds with breakfast, PM Meds at bedtime, BS within normal range – no insulin required

FLUID INTAKE: (16) Water, (6) juice & (12) milk – 34 oz approximately

URINE/BM OUTPUT: Overnight depends wet & trace BM, 10:30a nothing more, 12:30p urine only, 4:30p urine only, 8:30p urine only – no BM today

CHORES: Cleaned glass doors, swept front entrance, vacuumed, touched up bathrooms, cleaned kitchen counter tops, made bed, cleaned out refrigerator, emptied all trash & dropped cans off, picked up mail, prepared meals & washed dishes

VISITORS/WORKERS:
Jessica, Danny & Tyler – Left for airport @ noon
Hospitice – RN & Bath aide (no showers today, will start on Thursday)

COMMENTS: I did most of the routine chores before getting them up for breakfast.  Rose had a bed bath before getting up. After lunch and 2pm meds  Dr. Vesper spents the afternoon watching TV and reading. Rose had a long nap.  After dinner I cleaned up the kitchen and washed the dishes, set out breakfast items & morning meds for tomorrow, gave pm meds and  completed bedtime routine.  Rose ate fairly well today, but as usual, it took a long time.

ARRIVED: 10::15a / Personal appointment

BATH: Sponge bath

DENTAL HYGIENE: Brushed AM & PM

BREAKFAST: Oatmeal w/ diced mango, (1) bacon, 1/2 pc toast & OJ

LUNCH: (RV) Tomato/mozzarella/avocado/basil & chocolate ensure (LJV)  him sandwich, apple slices & 7up

DINNER: (Frisch’s) (1/2 pc) fish, French fries, (1 tub ea.) green beans & apple/peach & squash baby food & small amount of Dr Vespers’s chocolate shake mixed with 1/2 cup chocolate Ensure  (LJV) brawny lad, French fries & chocolate milkshake

DESSERT: None

EXERCISE: (RV) ROM (LJV) PT

NAP: Yes

MEDS: Levothyroxine, morning meds & eye drops @ 10:30a, (1) Tums & (2) multi-vitamins w/ 2p meds, 10p meds & eye drops at bedtime. (LJV) AM meds with breakfast, PM Meds at bedtime, BS within normal range, no insulin required

FLUID INTAKE: (24) Water, (6) juice & (14) milk – 44oz approximately

URINE/BM OUTPUT: Overnight depends and pad wet, 10:30a nothing additionally, 12:30p urine & very small BM, 4:30p urine only, 9:00p urine only

CHORES: Cleaned glass doors, swept front entrance, vacuumed, touched up bathrooms, cleaned counter tops, made bed, prepared meals & washed dishes.

VISITORS/WORKERS:
Jessica, Danny in Tyler
Stephanie
Hospice social worker

COMMENTS: I got Rose up & dressed, Dr. Vesper got up a few minutes later, they ate and had morning meds. Rose has a long nap and Dr. Vesper read and watch TV.  Rose slept a lot, but when she was awake I gave her food, she did eat, just smaller portions. I did routine chores in the afternoon before preparing dinner. I cleaned up the kitchen and did dishes, set out meds and breakfast items for tomorrow and prepared for bedtime routine.