WEDNESDAY, MARCH 12, 2014

March 12, 2014, Wednesday. Brooks walked to the NH this morning about 10 AM. Suzy came in and I met them at the NH and we went to lunch. We returned to the facility and Suzy left for home. C.N.A. Sandra and Adam changed Mom in her bed. Sandra said no more bed pads for Mom with the new air mattress. Brooks said that Regina told him that the triangle pillow hadn’t come yet. I went home about 2:15 PM and returned afoot about 2:45 PM and Brooks and I went to the Care Plan meeting. Riley showed up and came, too. Nurse Rose, the Hospice social worker, the facility social worker Rebecca, Hospice nurse Regina, Donna from Recreation all attended also.

1. The prognosis for Mom’s general decline is not good over the next 12 months. Mom may recover from fracture but not to previous state of wellness.

2.  Mom is on methadone for pain.

3.  The reason for no bed pads is the aeration is inhibited by bed pads.

4. Nursing will try to put her own clothes on her instead of the NH gowns.

5. Signs to watch for are unproductive cough, congestion, flushed face and expressions of distress or discomfort.

6. She gets nebulizer treatment 2 or 3 x daily.

7. Scheduled eye exam will be postponed until Mom can sit in a wheelchair.

8. Mom gets Boost as much as 3 x daily (450 calories each Boost) Mom has gained weight.

9. Watch for signs of bed sores on back side.

Brooks and I returned to Mom’s room. I gave her a drink. Brooks fed Mom some banana. We left the NH about 4 PM. Brooks was able to sketch Mom today and spent a lot of time with Mom.