4:00-7:00     When I arrived, Dr. Vesper was in his recliner watching TV.  While he perused his mail, Mossy brought me up to speed on the day’s events.  She had the table set and all of the prep work done for dinner making it a very easy start to my day.  After she left, I sat with Dr. Vesper and chatted until it was time to start cooking.  When it was dinner time, he ate fairly well, but did not complete his entire meal.  His blood glucose level prior to eating was 119.

7:00-9:00     After dinner, Dr. Vesper returned to the living room while I cleaned the kitchen, washed the dishes, set out breakfast items and morning medications, and took out the trash.  At bedtime, I gave Doctor his evening medications, then helped him to the bathroom for his night time toilette.  He refused to use the commode earlier, but fortunately there were no leaks.  Once in bed, I tucked him in and said good night.  As always, he expressed his appreciation for us caregivers.

Dinner:     Salad, pan seared cod, steamed fresh vegetables (carrots, broccoli, and cauliflower), wild rice, dinner roll, and diet cherry 7up.

Visitors:     Stephanie and Andrew stopped by for a brief visit and to borrow the van.

3:00-6:00     When I arrived, Dr. Vesper was napping in his chair.  He woke long enough to say hello, but fell back to sleep.  Michele and I discussed the day’s events before she left.  It was a very quiet start to my shift as Dr. Vesper continued to nap nearly till dinner time.  Whenever he did stir, I would encourage him to come to the bathroom, but he declined.  He stated he was very tired and had no appetite, but felt fine.  He requested that I turn the TV off.  In the meantime I ran the sweeper, fed Kemper (including his pill), and began cooking.  When it was time for dinner, Dr. Vesper seemed rested and stated he was getting hungry.  Prior to coming to the table, we went to the bathroom for a pajama change.  The chair cover was also wet, so I began a load of laundry.  Doctor was able to ambulate to the bathroom and back to the dining room and continued to do so the entire shift.  Once at the table he ate well and I was able to engage him in some good conversation.

6:00-9:00     After dinner, Dr. Vesper returned to the living room to watch TV while I cleaned the kitchen, washed the dishes, and set out breakfast items and morning medications.  I finished the laundry, and at bedtime gave Dr. Vesper his evening medications.  I assisted him in the bathroom with his night time toilette, then helped him into bed.  I tucked him in and said good night.

Dinner:     Salad, chicken pot pie, and diet cherry 7up.

Visitors:     None

5:00-7:00     When I arrived, Dr. Vesper was napping in his recliner, but woke to say a quick hello.  There was some confusion as to the time of day and that persisted until dinner time.  Michele updated me on the day’s events before leaving.  Dr. Vesper alternated between napping and watching TV until dinner was served.  When he got up from the recliner, it was evident he needed a pajama change, so we went to the bathroom first.  He was unsteady and elected to use the wheelchair.  Once at the kitchen table he was more oriented and enjoyed a hearty appetite.  His blood glucose level prior to eating was 136.

7:00-9:00     The remainder of my shift ran in quiet, routine fashion.  After dinner Dr. Vesper returned to the living room while I cleaned the kitchen and microwave, washed the dishes, and set out breakfast items and morning medications.  I also did a load of laundry as the chair cover had gotten wet.  Kemper behaved normally, but laid down on his bed in the laundry room fairly early (8:00) and did not get back up.  At bedtime I gave Dr. Vesper his evening medication, then accompanied him to the bathroom for his night time toilette.  He did use his walker the entire time after dinner.  When he was ready I helped him into bed, tucked him in, and said good night.

Dinner:     Salad, sweet and sour chicken, wild rice, toaster corn bread round, and diet cherry 7 up.  No dessert.

Visitors:     None

5:00-7:00     When I arrived, Dr. Vesper was in the living room relaxing in his recliner.  After Stephanie left, we chatted for a few minutes, I took his dinner order, and began cooking.  He was very fatigued after his outing and slept soundly until dinner was ready.  He ate fairly well, but did not have the appetite I anticipated given his light lunch.  His blood glucose level prior to eating was 145.

7:00-9:00     The remainder of my shift ran in quiet, routine fashion.  After dinner, Dr. Vesper returned to the living room while I cleaned the kitchen, washed the dishes, set out breakfast items and morning medications, and took out trash.  At bedtime I gave him his evening medications, then assisted him in the bathroom with his night time toilette.  He was able to ambulate to his room where I helped him into bed, tucked him in, and said good night.

Dinner:     Salad, lemon pepper baked tilapia, wild rice, peas, toaster corn bread round, and diet cherry 7up.  No dessert.

Visitors:     None

5:00-7:00     When I arrived, Dr. Vesper was relaxing in the living room watching TV.  Stephanie and I spent a few minutes discussing his day before she left.  I chatted with Dr. Vesper, took his dinner order, and began cooking.  When it was time to eat, Dr. Vesper elected to use the bathroom before coming to the table.  I helped him change his brief, but his clothing was dry.  He was able to use his walker there and then back to the table where he enjoyed a fairly healthy appetite.

7:00-9:00     After dinner, Dr. Vesper returned to the living while I cleaned the kitchen, washed the dishes, and set out breakfast items and morning medications.  At bedtime I gave him his evening medications, then assisted him to the bathroom for his night time toilette.  He made it to bed easily where I tucked him and said good night.

Dinner:     Salad, meat loaf, mashed potatoes, peas, garlic bread, and diet cherry 7up.

Visitors:     None

Note:     Dr. Vesper has not worn his lower orthodontic retainer the last two nights.  He has difficulty getting it in and says it’s uncomfortable.  He may need an adjustment due to the recent seating of his new crown.  I wanted to get a better look, but I think he was unaccustomed to me being in my dental hygienist mode.

5:00-7:00     When I arrived, Dr. Vesper was in his recliner watching TV.  As always, Michele brought me up to speed on the day’s events before she left.  It was a quiet start to my shift and that trend continued through the evening.  I chatted with Doctor for a few minutes, took his dinner order, and began cooking.  When it was time to come to the table he elected to use his walker and did so the rest of the time.  He enjoyed a hearty appetite and ate well.  Doctor’s blood glucose level prior to eating was 142.

7:00-9:00     After dinner, Dr. Vesper returned to the living room while I cleaned the kitchen and microwave, washed the dishes, and set out breakfast items and morning medications.  At one point he asked me to turn off the TV.   I was unable to engage him in conversation and offered some reading material.   I am unsure if he was bored or fatigued.  He closed his eyes and dozed lightly.  At bedtime I gave him his night time medication and assisted him in the bathroom with his evening toilette.  He was wet through his pajama bottoms, but clean up was quick and he ambulated well back to the bedroom.  I tucked him in and said good night.

Dinner:     Salad, sweet and sour chicken, wild rice, dinner roll, and diet cherry 7up.

Visitors:     None

5:00-7:00     When I arrived, Dr. Vesper was relaxing in his recliner.  While he perused his mail, Stephanie brought me up to speed on the day’s events.  After she left, I chatted with Dr. Vesper, took his dinner order, and began cooking.  He received a call from his sister, Mary, and enjoyed a nice conversation with her till dinner was served.  His blood glucose level prior to eating was 152.  2 units of insulin were administered.

7:00-9:00     Dr. Vesper ate well at the beginning of his meal, but then slowed down.  He said he enjoyed the food and declined several offers to reheat it.  He repositioned his chair several times and I suggested he might be more comfortable in the living room.  He declined that as well, stating he wanted to finish his meal and remain at the table.  As we approached the end of my shift, I frequently reminded him that it was approaching bed time and there would be no time to watch TV from his recliner.  When he finally finished eating and agreed to get up, I realized he needed a clothing change.  We went to the bathroom, got into his pajamas, and completed his night time toilette.  He was highly fatigued and requested a ride in the wheelchair.  He was unhappy that I was taking him to the bedroom rather than to the living room and I apologized that I could not accommodate his request to stay up. (It was after 9:00)  He was happier when I offered to turn on his bedroom TV.   I then tucked him in and said good night.  I believe I heard him turn the TV off as I was leaving.  He did receive his night time medication prior to getting in bed.

Dinner:     Salad, petite sirloin steak, mashed potatoes, peas, naan bread, and diet cherry 7up.

Visitors:     None