Sunday, March 30, 2008

Weekend Jennifer

Arrived Friday, Bill and Jean both still hanging on to their colds. Jean had me give a shower I made it really steamy and she sat in there and took deep breaths, she seemed to be better after. Bill sounds really 'wet" I listened to his lung sounds this morning, and they are clear at the bases, but his upper lobes of his lungs are crackling, very gurgle around his bronchi, good news is that they clear out when he gives a few good coughs. I think its residual mucous from their colds. I have noticed Bill hasn't had an appetite, so if we could really watch this, as we may need to adjust his diabetes medication, since hes not been eating as much. Melissa gave him a variety of choices, then she would make the one he picked, and he didn't eat it. Same with my experience, he ate a lot of yogurt this weekend though. I want him to go to the doctor, if anyone can call during the week and make a Farooqui appt, I want to discuss with Farooqui:

Lung sounds (wet)
Decreased Appetite
Increased shakiness, he motor control is terrible, maybe he needs to increase his sinemet.

also has anyone ordered Jean more Briefs? thanks

Jean has been pretty good all weekend, she tore out about 10 pages from a magazine (evil creatures lol) with pictures of how she wants to re model her kitchen and paint new cabinets, I gave her a gentle reminder about the change in living situation. She then wanted to bring all these 'i want it" ad's shopping after lunch with Cookie, I hid them away in a folder, maybe she will forget, Its all the same exact creams/lotions/potions that she has or had.

Bill has been in a new routine, around 930 bed time, he will call you every 15 to 30 minutes on the nose, I don't know if he fears we are gonna leave or what, I reassure him that Im right downstairs, and I can hear him and come right away. He doesn't really want anything when I get up there, in fact he kinda looks around as to why did I call her? So I try to fill in the mental blanks " did you need water? are you cold/hot? change pillows? etc. But inevitably he will still call about various reasons. I just remind him that I will be here and its okay for him to call, for assistance. It usually peters out around 1am he settles in and is okay. Reminder, please when you go in the room, just remind Bill to change positions, he is getting some redness and soreness on his sacral area, the area lowest on his back and above his rectum. Its from sitting in one place, but it can turn to an open wound fast!. and with his poor circulation, age and diabetes it would be detrimental. So even if he just uses the lever on the side to lay back in the chair or move a little to one hip it will encourage blood flow to that area.

House all cleaned, linens changed, all garbage's emptied, refilled, TP / paper towels, briefs, juices, picked up any mags and flyer's left around etc. aired out the house really good.

That's it
Have a great week!

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