Tuesday, July 18, 2017

I woke to whistling at 7 am, much nicer than an alarm clock! Rose slept very well last night, stayed on her back (and on her side of the bed) all night.  She fell back to sleep during my many calls/texts, Home Instead and family wanting info on Dr. Vesper’s condition.  Also, a call from Ann Heile’s brother, letting us know she had passed away.  Rose woke up the second time at 10:15, ready to get up.

ARRIVED: Stayed over last night

BATH: Shower/shampoo

DENTAL HYGIENE: Brushed & Flossed (partial) AM & PM

BREAKFAST: Scrambled eggs, bacon, flax & grain toast w/ orange marmalade & OJ

LUNCH: Greek yogurt w/ berries & chocolate protein milk.b

DINNER: Salad, chicken & noodle casserole & kefir milk NOTE: Dr. Vesper wasn’t hungry, had sandwich before leaving the hospital, he did make room for ice cream

DESSERT: Ice cream

EXERCISE: ROM

NAP: Yes

MEDS: (RV) Levothyroxine, morning meds & eye drops @ 10:30a, Miralax in OJ, (1) Tum & (2) multi-vitamins w/ 2p meds, 10p meds & eye drops at bedtime (LJV) a.m. meds at hospital, p.m. meds & eye drops at bedtime.

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

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

CHORES: Cleaned out refrigerator, emptied all trash, Stephanie dropped off garbage cans, sanitized counters/phones/door-knobs/remotes, watered plants, cleaned glass doors, swept front entrance, vacuumed, made bed, laundry (sheets & soiled clothes from hospital), prepared meals & washed dishes

VISITORS/WORKERS:
Jeannie – Bkkpr
Stephanie – Brought Dr. Vesper home from hospital

COMMENTS:
Rose was alert and responsive today, she ate well, she had a nice nap after her shower. Dr. Vesper was released from the hospital today, arriving home around 6:30 p.m.  His gaite was slow but steady, he didn’t need the use of the wheelchair, but Stephanie did hold onto him from the car to the sofa. At bedtime, he pushed the wheelchair to the bathroom and the bedroom. After dessert, they watched a little TV before starting bedtime routine.  After p.m. meds were given, I got Rose ready for bed and tucked in, then  assisted Dr. Vesper  with his usual routine. He was tucked in and sound asleep before I left.

NOTE:
Aspirin (81mg) has been removed from Dr. Vesper’s list of meds until further notice. The neurosurgeon will advise further when Dr. Vesper sees him in August.

Monday, July 17, 2017 / 10a-5p 9p-Overnite

ARRIVED: 10:00 AM

BATH: Sponge bath

DENTAL HYGIENE: Brushed & Flossed AM

BREAKFAST: Oatmeal, bacon, cinnamon-raisin toast & OJ

LUNCH: Cottage cheese & tomato salad & chocolate protein milk

DINNER: Left @ 5p

DESSERT:         ”

EXERCISE: ROM

NAP: Yes

MEDS: Levothyroxine, morning meds & eye drops @ 10:30a, Miralax in OJ, (1) Tum & (2) multi-vitamins w/ 2p meds, (LJV) A.m. meds & eye drops before leaving for the hospital

FLUID INTAKE: (32) Water, (8) juice & (8) milk – 49 oz approximately

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

CHORES: Touched up bathrooms, swept front entrance, cleaned glass doors, made bed, vacuumed, Laundry (Dr. Vesper’s fav PJs & robe) sanitized kitchen countertops, prepared meals & washed dishes

VISITORS/WORKERS:
Stephanie – Took Dr. Vesper to hospital, came again in the evening to visit with Rose
Lily, Mackenzie & Sophie  – Swim

COMMENTS:
Rose ate well, was relaxed, had a nice afternoon nap. I had to wake Rose for her 4:30 bathroom break, she was startng to drift off again by the time Susan arrived @ 5p.  There was a small amount of blood on the pillow case and sheets from Dr. Vesper’s incision, I helped Susan change the sheets before I left.

NOTE:
I was scheduled off today and planned to call Dr. Wilson to report Dr. Vesper’s fall this past Friday.  The plan was I could take him in if Dr. Wilson wanted to see him, since another caregiver would be with Rose. However, that all changed when the scheduled caregiver called off and I received a call to come in.  My call to Dr. Wilson resulted in a trip to the ER for Dr. Vesper, Dr. Wilson thought he should have a CT scan.  Stephanie came home from work to take her dad to Anderson Mercy, while I stayed home with Rose.  The CT scan revealed some bleeding, which resulted in an overnight stay for observation.  When Susan relieved me at 5p, I packed a small overnight bag for him and dropped it off at the hospital.  I took him a pizza and a salad for dinner, he hadn’t had anything to eat all day, didn’t know he had to “call” his order in to the kitchen. I talked to the nurse about that and she promised to note he needed assistance with placing his order in the future. I spent a little time visiting with him and sharing his pizza before returning to relive Susan.  Susan had all the work done and Rose tucked in for the night.  Stephanie and the girls were still here, stopped in for a visit and a swim. Rose was snoring when I snuggled in next to her, no slumber party tonight!

Friday, July 14, 2017

ARRIVED: 10:00a

DENTAL HYGIENE: Brushed & Flossed (partial) AM & PM

BREAKFAST: Oatmeal w/ mango, bacon, toasted raisin cinnamon bread & OJ

LUNCH: PB&J sandwich, apple slices,chocolate protein milk

DINNER: Salad, Big Boy / Buddy Boy, onion rings & kefir milk / chocolate shake

DESSERT: (RV) Ice cream

EXERCISE: ROM

NAP: Yes

MEDS: Levothyroxine, morning meds & eye drops @ 10:30a, Miralax in OJ, (1) Tum & (2) multi-vitamins w/ 2p meds, 10p meds & eye drops (LJV) morning meds with breakfast, eyedrops as directed throughout the day, normal evening meds at bedtime, plus (1) Tylenol 3.

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

URINE/BM OUTPUT: Overnight depends wet, 9:30a urine only, 12:30 urine & small BM in shower, 4:30p urine only, 8:30p urine only

CHORES: Swept front entrance, cleaned glass doors, made bed, vacuumed, touched up bathrooms, sanitized kitchen countertop tops, laundry (towels), prepared meals, did the dishes and cleaned the kitchen

VISITORS/WORKERS:
Alan & Veva – Dropped off Dr. Vesper
Andrew, Lily & Charlotte – Pick up truck
Stephanie – Spent the night

COMMENTS:
Our day started a little rough, starting with a phone call at 6:45a from Veva. Dr. Vesper had fallen down the stairs and the life squad had to be called. She called me for medical history and medication information. The EMTs checked him out and said all was well, no concussion, no broken bones and no bleeding. Since it would probably take another three months to get in to see Dr. Coldiron, we decided to keep the appointment and have Dr. Coldiron check him out and if he thought he should go to the hospital, Veva would take him after his appointment with Dr. Coldiron. Dr. Vesper arrived home at 12:30p, read the WSJ and was in bed by 1:15. I woke him at 6p to get up for dinner. He was very dizzy and had to be brought to the table in Rose’s transport chair. Later he wanted to walk back to the bedroom, but was still too dizzy to walk alone. I had his prescription filled at Berry’s pharmacy, he took one Tylenol 3 with his normal PM meds at bedtime. Rose was much improved over earlier in the week, we had a totally uneventful shower, she ate well and had a nice afternoon nap in the bedroom with her sweetie. Dr. Vesper wanted sandwiches from Frisch’s,which made dinner and cleanup a snap. PM meds, including pain medication all given at bedtime.

NOTE TO CAREGIVERS:
The incision on Dr. Vesper’s right forehead will need to be cleaned and dressed in 48 hours. I have discussed this with Susan Lomboy, who will be responsible for doing this at bedtime. Instructions for pain meds are on pill bottle next to coffee pot. Please note time pain meds are taken. NOTE: Absolutely NO driving while on pain meds.

Thursday, July 13, 2017

ARRIVED: 10:00a

BATH: Sponge bath

DENTAL HYGIENE: Brushed & flossed (partial) AM & PM

BREAKFAST: Veggie & cheese omelette, bacon, flax & grain toast & OJ

LUNCH:(1/2) Ham sandwich, pretzels & chocolate protein milk

DINNER: Salad, fried spaghettini, garlic bread & kefir milk

DESSERT: Ice cream

EXERCISE: ROM

NAP: Yes

MEDS: Levothyroxine, morning meds & eye drops @ 10:00a, Miralax in OJ, (1) Tum & (2) multi-vitamins w/ 2p meds, 10p meds & eye drops (LJV) A.m. meds with breakfast, eyedrops throughout the day as directed, p.m. meds (gave to Veva for later)

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

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

CHORES: Sanitized kitchen countertops, laundry (sheets) prepared meals & washed dishes

VISITORS/WORKERS:
Elena – Cleaning
Alan & Veva – Picked Dr. Vesper up

COMMENTS:
Rose was much improved from yesterday, but still not back to her norm. She ate well and was somewhat responsive, she had a nice long nap in the afternoon. Dr. Vesper had been up, ate and went back to bed, I let him sleep until almost 1p before getting him up. Veva had made an appointment for Dr. Vesper with Dr. Coldiron for tomorrow at 7:30a.  Since his appointment was so early, Veva invited him to spend the night and she would take him for his appointment. I packed an overnight bag for him while he showered and got ready. Alan and Veva picked him up a little before 3p. They all plan to go out to dinner, but Veva decided to make a nice dinner at home due to the bad weather forecast.  I spent the night with Ms Rose, she had her pm meds and was tucked in by 9p.

Wednesday, July 12, 2017

ARRIVED: 10:00 AM

BATH: Sponge bath

DENTAL HYGIENE: Brushed & Flossed AM & PM

BREAKFAST: Cream of wheat w/ , bacon, cinnamon-raisin toast & OJ

LUNCH: Tuna salad sandwich, cantaloupe & chocolate protein milk

DINNER: Salad, tomato soup, grilled ham & cheese sandwich, pretzels & kefir milk / 7up

DESSERT: Ice cream

EXERCISE: ROM

NAP: Yes

MEDS: (RV) Levothyroxine, morning meds & eye drops @ 10:30a, Miralax in OJ, (1) Tum & (2) multi-vitamins w/ 2p meds, 10p meds & eye drops (LJV) a.m. meds with breakfast, eyedrops throughout the day as per schedule, p.m. meds at bedtime

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

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

CHORES: Brought in garbage cans, laundry (white & colored clothes), cleaned glass doors, swept front entrance, vacuumed, cleaned counter tops, made bed, prepared meals & washed dishes

VISITORS/WORKERS:
Sandy – Yard work
Don Marcum Pool Service – Wkly service

COMMENTS:
Rose had a bad day, she was very lethargic. She sat most of the day with her mouth open and her eyes closed, but not asleep. It was slow going, but she did eat most of her breakfast and lunch. Dinner was more difficult, she opened her mouth to receive food, but wouldn’t chew, just held it in her mouth, after much effort, I gave up at about 50%. Right after dinner, she went to sleep and slept very soundly. It was very difficult getting her ready for bed in her extreme sleep state. Hoping for a better day tomorrow. Dr. Vesper had been up, ate breakfast, and went back to bed. I woke him just in time to get ready for church and the gym. On his way home, he went to the village to complain about Short Hill, didn’t get home until 4:30p. He had coffee, but no snack, since it was so close to dinner. After going through his mail and reading the WSJ, he watched TV until dinner. Dinner, clean up and bedtime prep all routine.

Tuesday, July 11, 2017

ARRIVED: 10:15AM / Panera Bread

BATH: Shower/shampoo

DENTAL HYGIENE: Brushed & Flossed (partial) AM & PM

BREAKFAST: Spinach and artichoke soufflé & OJ

LUNCH: Greek yogurt w/ berries & chocolate protein milk

DINNER: Cesar salad, spaghetti with marinara and Italian meatballs, garlic bread and kefir milk / 7up

DESSERT: Birthday cake & Ice cream

EXERCISE: ROM

NAP: Yes

MEDS: (RV) Levothyroxine, morning meds & eye drops @ 10:30a, Miralax in OJ, (1) Tum & (2) multi-vitamins w/ 2p meds, 10p meds & eye drops at bedtime (LJV) a.m. meds with breakfast, eyedrops throughout the day as per schedule, p.m. meds at bedtime.

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

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

CHORES: Cleaned out refrigerator, emptied all trash, dropped off garbage cans, sanitized counters/phones/door-knobs/remotes, watered plants, cleaned glass doors, swept front entrance, vacuumed, touched up bathroom, made bed, prepared meals & washed dishes

VISITORS/WORKERS:
Sandy – Yard work (and) birthday dinner guest w/ children

COMMENTS:
Rose was alert and more responsive in the evening, she ate well and had a nice nap in the afternoon. Dr. Vesper had been up, ate breakfast, and went back to bed. I woke him at 1p to see the beautiful “American Queen” paddle up the mighty Ohio. It made a big show going through NR, the calliope was very clear on our video. Surprisingly, Dr. Vesper went back to bed after viewing the American queen and didn’t get back up until 4:30p. Today was Sandy’s birthday, since she didn’t have any plans to celebrate, we invited her and her children over for dinner. We had birthday cake and ice cream and gave her birthday cards with a VISA and Olive Garden gift cards. Sandy was very appreciative, teared up and gave everyone a hug, such a sweet lady! Dinner was a little late, since we had to work around Soccer and baseball practice, but everyone had a nice time. They watched TV before pm meds and bedtime routine.

PHONE CALLS:
Hank Harrington – On vacation, will call me to schedule repair work as soon as he is back in town.
George Duncan- Stopped to view truck damage, called later with estimate of $3000, he will pick up truck 7/31.
Scherzinger – Made appointment to treat for fleas.

Monday, July 10, 2017

ARRIVED: 10:00 AM

BATH: Sponge bath

DENTAL HYGIENE: Brushed & Flossed AM & PM

BREAKFAST: Oatmeal, bacon, cinnamon-raisin toast & OJ

LUNCH: Avocado and tomato salad & chocolate protein milk

DINNER: Salad, Italian chicken, mashed cauliflower, roasted asparagus, & kefir milk / 7up

DESSERT: Ice cream

EXERCISE: ROM

NAP: Yes

MEDS: Levothyroxine, morning meds & eye drops @ 10:30a, Miralax in OJ, (1) Tum & (2) multi-vitamins w/ 2p meds, 10p meds & eye drops (LJV) A.m. meds with breakfast, eyedrops as directed throughout the day, pm meds at bedtime

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

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

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

VISITORS/WORKERS:
Sandy – Yard work
Andrew & Lily – Returned truck

COMMENTS:
Rose was tired & sleepy most of the day. She was a little better after a long afternoon nap. Dr. Vesper went back to bed after breakfast, but was up in time to leave for church and the gym. He was home by 2:30 today, had a snack and spent the rest of the afternoon reading, napping & watching TV. Dinner, PM meds and bedtime routine all normal.