ARRIVED: 10:00a

BATH: Sponge bath

DENTAL HYGIENE: Brushed AM & PM

BREAKFAST: (1pc) French toast w/butter, syrup & berries, bacon & OJ

LUNCH:  (RV) (1) Kiwi,  (1 tub ea) apple/peach/squash & green beans baby food & chocolate ensure (LJV) Ham sandwich, 1/2 apple & 7up

DINNER:  Baked ham, green bean casserole, white cheddar mac & cheese, rolls & 7up, Rose had (1) tub chicken w/ Mac & cheese

DESSERT: Ice cream

EXERCISE: RV-ROM / LJV-PT

NAP: Yes

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

FLUID INTAKE: (16 oz) Water, (6)  juice & (8) Ensure  – 30 oz approximately

URINE/BM OUTPUT: Overnight depends & PJs & pad wet, 10:30a urine only, 12:30 urine only, 4:30p urine & small BM, 8:30p urine only

CHORES: Cleaned glass doors, swept front entrance, vacuumed, sanitized kitchen countertops, made bed, touched up bathrooms, prepared meals, washed dishes & cleaned the kitchen

VISITORS/WORKERS:
Jessica, Danny and Tyler
Stephanie

COMMENTS:
I got Rose up, changed her depends and got her dressed. Dr. Vesper  got up about the same time. They had morning meds with breakfast. After breakfast they relax and Dr. Vesper watched TV while I did chores. They had Lunch and 2p meds, followed by more  napping. After dinner, and a little TV time, they had PM meds and we started our bedtime routine.  Rose slept a lot today, I always seem to be asleep at mealtime, but I fed her whenever she was awake and she did ate fairly well.

ARRIVED: 10:00

BATH: Sponge bath

DENTAL HYGIENE: Brushed AM & PM

BREAKFAST: (1) Scrambled eggs, bacon, flax & grain toast & OJ

LUNCH: (1 tub) Turkey & vegetables, (1) kiwi & chocolate protein milk/ 7up

DINNER:  thanksgiving leftovers, Ensure/ 7up

DESSERT:  Pumpkin pie / Ice cream

EXERCISE: (RV) ROM / (LJV) PT

NAP: Yes

MEDS: Levothyroxine, morning meds & eye drops @ 10:30a, Miralax in OJ with breakfast, (1) Tum & (2) multi-vitamins w/ 2p meds, 10p meds & eye drops @ bedtime (LJV) A.m. meds with breakfast, p.m. meds at bedtime, BS within normal range, no insulin required

FLUID INTAKE: (18) Water, (8) juice & (16) Ensure  –  44 oz approximately

URINE/BM OUTPUT: Overnight depends soaked, but PJs & pad dry, 10:30a urine only, 12:30p urine only, 4:30p , 8:30p urine only

CHORES: Swept front entrance, cleaned glass doors, vacuumed, cleaned up Kemper’s overnight accident on carpet, sanitized kitchen countertops, touched up bathrooms, made bed, made cranberry relish, watered flowers, prepared meals & washed dishes

VISITORS/WORKERS:
Jessica, Danny and Tyler

COMMENTS:
I checked on Rose and Dr. Vesper upon arrival, they were sleeping soundly. They slept another half hour while I started chores. Rose was awake when I checked on her the second time, I got her up, dressed and ready for breakfast, she ate and had her a.m. meds, then went back to sleep. I got Dr. Vesper up, he ate, took his morning meds and read the newspaper. Lunch and 2 PM meds, then Dr. Vesper watched the Ohio/ Michigan football game, Rose took a nap. After dinner they watched TV while I did dishes, cleaned up the kitchen, sat out breakfast items and morning meds. They had p.m. meds before going to bed.

ARRIVED: 10:15a/ Kroger’s

BATH: Bed bath

DENTAL HYGIENE: Brushed AM & PM

BREAKFAST: Oatmeal w/ mango, bacon, cinnamon toast & OJ

LUNCH: (RV) Shaved Turkey, kiwi & chocolate ensure (LJV) Turkey sandwich, pear & 7up

DINNER: Salad, pizza & ensure / 7up  Note: Rose also had Turkey w/ noodles baby food

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 within range, no insulin required

FLUID INTAKE: (24) Water, (6) juice & (16) Ensure  – 46 oz approximately

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

CHORES: Grocery shopped, stored food and supplies, cleaned glass doors, swept front entrance, vacuumed, touched up bathrooms, emptied DW, laundry (towels, whites & colored clothes) cleaned counter tops, made bed, prepared meals & washed dishes

VISITORS/WORKERS:
Jessica, Danny and Tyler
Stephanie, Lily and Charlotte
Hospice of Cincinnati/nurse practitioner and RN – evaluation

COMMENTS:
I made a quick trip to Kroger‘s to pick up a few items and hurried home to get them stored before the nurse practitioner arrived. I feed Kemper & Hillary and got most of the groceries put away before the nurse practitioner arrived. The nurse practitioner was Joe Baron from Dr. Corl’s office @ Ohio Heart, so he was familiar  with Rose and her condition. He  examine her and ask a few questions about recent changes in her condition. I had just a few minutes to finish putting away groceries before the nurse arrived. She did vitals and paperwork.  Scheduling will call on Monday to set everything up. I got Dr. Vesper up and dressed, he had breakfast and morning meds. Rose ate breakfast and had her am meds.  It was a little hectic and things Wete somewhat out of order, but eventually everything was completed. I fed Rose whenever she was awake, not necessarily at scheduled meal times. After lunch & 2 PM meds, I dressed the wound on her tailbone and on her foot, looks much better. Dr. Vesper spent the afternoon watching TV and reading, he also took a short nap. After dinner, they watched TV while I folded laundry and helped with cleaned up, set out breakfast items and morning meds for tomorrow. They had their pm meds and followed our routine bedtime schedule.

 

ARRIVED: 9:00a

BATH: Bed bath & shampoo

DENTAL HYGIENE: Brushed AM & PM

BREAKFAST: Scrambled eggs, bacon, toast & OJ

LUNCH: Greek yogurt w/ blueberries & chocolate Ensure  / Glucerna

DINNER: Turkey, stuffing, gravy, mashed potatoes, green bean casserole, Sweet potato casserole, Baked cinnamon apples & kefir milk / 7up.

DESSERT: Cake & 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 (LJV) AM meds with breakfast, PM Meds at bedtime, BS within normal range – no insulin required

FLUID INTAKE: (32) Water, (8) juice & (16) milk – 56 oz approximately

URINE/BM OUTPUT: Overnight depends saturated & a trace BM, 10:30a urine only, 12:30p urine only, 4:30p urine only, 8:30p urine & med BM

CHORES:  vacuum, swept front entrance and clean the glass doors, disinfected countertops, touched up bathrooms and put a clean hand towels

VISITORS/WORKERS:
Jessica, Danny and Tyler
Stephanie, Andrew, Lily, Sophie & Charlotte
Mary Lou

COMMENTS: They were both sleeping when I arrived, I took care of Kemper & Hillary and spent a little time getting side dishes ready and some routine cleaning. They had morning meds with breakfast and then relaxed while I finished chores.  After @ very lite lunch and pm meds, I gave Dr. Vesper a shower, and helped him get dressed and ready for Thanksgiving dinner. Rose had a complete bed bath before getting up.  Rose had a nap and Dr. Vesper watched TV until dinner was ready. We had a delicious turkey with all the trimmings. Rose had a small serving of everything and ate almost everything, but only a couple of bites of cake. I helped with Leftover storage and clean up. I set out breakfast items & morning meds for tomorrow, gave pm meds and got Rose ready for bed.  Dr. Vesper’s waited his turn and then I assisted him as he completed his routine.

ARRIVED: 10:00a Krogers

BATH: Sponge bath

DENTAL HYGIENE: Brushed  AM & PM

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

LUNCH: Saved turkey, kiwi, 1/2 tub each Mac & cheese and squash baby food & 1/2 chocolate ensure / 7up

DINNER: Salad, wild mushroom stuffed ravioli with marinara sauce (leftovers), Ensure & kefir milk / 7up

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, no insulin required, INR 2.5

FLUID INTAKE: (24) Water, (8) juice & (16) milk – 48 oz approximately

URINE/BM OUTPUT: Overnight depends, PJs & pad wet & trace BM, 10:30a urine only, 12:30p urine only, 4:30p urine only, 9:00p urine & med BM

CHORES:  Grocery shopped, stored food and supplies, cleaned glass doors, swept front entrance, vacuumed, touched up bathrooms, cleaned kitchen counter tops, made bed, picked up mail, prepared meals & cleaned up kitchen.

VISITORS/WORKERS: Tom @ Rusk –  Tom was able to get the heat on, but only temporarily, he will  need to schedule service on the geothermal system, thinks there might be a leak.

COMMENTS:   When I arrived here at 10 AM, Tom was already here waiting for me. He spent the entire day here, but was finally able to get heat.  Rose was awake and ready to get up @ 10:30. She ate well and had her a.m. meds with breakfast. Dr. Vesper got up @ 11:30, he had his morning meds with breakfast, They had lunch and 2 PM meds, then a very long nap for Rose. Dr. Vesper watched TV and read. 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 ate  all of her breakfast and lunch and most of her dinner, but  took a really long time.

NOTE:  Hospice called today, they will be out Friday (11/23) for evaluation.

ARRIVED: 10:30a /Panera’s

BATH: Bed bath

DENTAL HYGIENE: Brushed AM & PM

BREAKFAST: Scrambled eggs, (1/2 pc) toast, (1) bacon & OJ

LUNCH: Cottage cheese w/blueberries & chocolate Ensure / 7up

DINNER: Salad, wild mushrooms stuffed ravioli with marinara sauce, baguettes & Chocolate Ensure /chocolate shake

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 on bottom & foot (LJV) AM meds with breakfast, PM Meds at bedtime, BS within normal range – no insulin required

FLUID INTAKE: (24) Water, (8) juice & (16) milk – 48 oz approximately

URINE/BM OUTPUT: Overnight depends wet & trace BM, 10:30a urine only, 12:30p urine only, 4:30p urine only, 8:30p urine & very large BM which took almost 1 hour.

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:
None

COMMENTS: I got Rose up, gave her a bed bath  and got her dressed, she had breakfast & morning meds.  Dr. Vesper was up at 11:30, had breakfast and morning meds. Rose slept most of the day, but ate well when she was awake. In addition to her two large pieces of ravioli for dinner, she ate 2 half tubs of baby food. Lunch was followed by watching TV, reading & napping.  After dinner, I did the dishes and cleaned  the kitchen, set out breakfast items & morning meds for tomorrow, gave pm meds and  completed bedtime routine.

NOTE:  I called Dr. Wilson today and discussed Rose’s decline, he agreed that it is time to call hospice he will place the order tomorrow. I reported same to Home Instead Senior Care.

NOTE 2:  Thermostat on other side set at 65, actual temperature 51. I called Rusk, they will be here tomorrow.

ARRIVED: 10a / Kroger’s

BATH: Bed bath & shampoo at kitchen sink, with Elena’s help

DENTAL HYGIENE: Brushed AM & PM

BREAKFAST: Oatmeal w/ mango, bacon, flax & grain toast & OJ

LUNCH: (Rose) MAC & cheese and mango baby food, several bites of shaved turkey & chocolate ensure (LJV) turkey sandwich, melon & 7up

DINNER: Salad,  Italian chicken w/wild rice, peas, rolls & kefir milk / 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 numbers within range, no insulin required

FLUID INTAKE: (32) Water, (8) juice & (16) milk – 56 oz approximately

URINE/BM OUTPUT: Overnight depends, PJs & pad wet, 10:30a nothing additional , 12:30p urine only, 4:30p urine  & small BM

CHORES: Grocery shopped, put away food & supplies, cleaned glass doors, swept front entrance, laundry (towels), Helped Elena with extra cleaning in preparation of Jennifer’s visit this weekend. prepared meals & washed dishes

VISITORS/WORKERS:
Elena – Cleaned

COMMENTS: I did a few chores, took care of Kemper & Hillary and prepped for breakfast before getting Rose up @ 10:30. Dr. Vesper got up at the same time. They ate breakfast and had their am meds. After lunch, Dr. Vesper spent the afternoon reading while Rose took a long nap. After dinner, they watched TV while I did the dishes and cleaned up the kitchen, set out breakfast items and morning meds for tomorrow. They had their p.m. meds and prepared for bed.

NOTE: Rose had a bad week, slept most days and ate little.  She was much better today, awake all afternoon and eat well. Her medication and supplies came in for her foot  and I changed the dressing, it has already started to improve.