BM Partial Stat Day:

AM Blood Glucose:     Time:  1501     Reading:  164

Not taken

PM Blood Glucose:     Time:  2211     Reading:  176

Medication Changes:

• 200 mg ibuprofen with breakfast for general purposes, although I used her complaint of temporary lower back pain while she sat on the toilet for bathing (a common complaint in these circumstances) to gain her approval for it
• Although I probably should have noted this over the last three days it became so routine so suddenly that I didn't. I thought it was predicting a new level of Business as Usual: Today I dialed Mom back to 4/lpm while sitting for most of the time from after her breakfast to her nap and she breathed fine and easily. I've had her on 5/lpm almost constantly for the last three days and fairly frequently over the last week when sitting. But, today, her lungs seem to be more relaxed. I'm not sure whether it's because we're exiting a "Bad Cancer Cycle" set of days or because of the AM ibuprofen, but I'm grateful. Her nose isn't irritated nearly as much (when she's on 5/lpm she sneezes a lot, no matter how much KY Jelly I use on her nose) and her nasal membranes were not irritated enough, today, to bleed.

    Bowel Movement:  Occurred during bathing. Good volume; good but somewhat hard consistency; easy elimination; very easy clean-up.
    Dinner:  Double pepperoni pizza with heavy sauce, light cheese and added Bermuda onion slices, chopped sun dried tomatoes and sliced, pimiento stuff olives
    Sleep:

• Awake at 1430
• Down for nap at 2000
• Up from nap at 2200
• Down for night at 0215
• Awake 9.75 hours

Partial Stat Day:

AM Blood Glucose:     Time:  1425     Reading:  167

Not taken

PM Blood Glucose:     Time:  2210     Reading:  135

Medication Changes:

• 200 mg ibuprofen at breakfast as an experiment to see if this keeps her breathing easier
• Peach Detox Tea this evening

    Dinner:  Home made cheeseburger sandwich on onion bun with thick slice of Bermuda onion, dill pickle relish and slice of Jalapeno Jack cheese, about 3/4's cup home pickled (without sugar) beets (ate only about 1/3 cup) and a little less than an ounce of Doritos flavored chips
Sleep:

• Awake at 1400
• Down for nap at 1915
• Up from nap at 2145
• Down for night at 0230
• Awake 10 hours

Full Stat Day:

AM Blood Glucose:     Time:  1402     Reading:  120

AM 60" Dig Temp:     Time:  1412     Reading:  97.2

PM Blood Glucose:     Time:  2205     Reading:  180

Medication Changes:

• 500 mg acetaminophen for back pain, probably not from air hunger but not sure; not incredible pain but fairly significant; before nap
• 500 mg acetaminophen with dinner for unusual (but not incredible) upper back discomfort
• Skipped 4 oz prune juice, as it didn't quite fit in with the Bedside Evening we had

    Miscellaneous Food Note: 1 piece of multi-grain toast with Fleishmann's margarine and cinnamon before nap with her acetaminophen
    Dinner:  One Hot & Spicy Chicken Cup a Soup, ate about half; 1 slice lemon meringue pie
Sleep:

Awake at 1330
• Down for nap at 1845
• Up from nap at 2145
• Down for night at 0045
• Awake 8.25 hours

Full Stat Day:

AM Blood Glucose:     Time:  1250     Reading:  172

AM 60" Dig Temp:     Time:  1313     Reading:  97.1

PM Blood Glucose:     Time:  1952     Reading:  201

Medication Changes:

• 1 brewed cup of Peach Detox Tea in the evening
• 500 mg acetaminophen after nap for yet another cannula dislodging; this time I caught it before the pain started, although after her body began registering distress; since I knew it would take about 20 minutes for the acetaminophen to kick in, I administered the larger dose, just in case the pain started before the analgesic kicked in. Turns out, luckily, we caught the pain before it started.

    Miscellaneous Food Note:  1 piece of multigrain toast with Fleishmann's margarine and cinnamon with acetaminophen mentioned above, just before dinner
    Dinner:  Taco Bell, Mom's choice; dessert was a slice of lemon meringue pie. She ate about 3/4's of her dinner and about 3/4's of her pie.
Sleep:

• Awake at 1230
• Down for nap at 1700
• Up from nap at 1945
• Down for night at 0030
• Awake 9.25 hours

BM Additional Stat Day:

AM Blood Glucose:     Time:  1247     Reading:  110	AM Blood Pressure:     Time:  1355     BP:  126/60     Pulse:  80
Breathing     Resp:  32     BO2:  91 @ 4/lpm	Right Upper Arm Measure:     Today:  11.25"     * Last One:  10.75"

PM Blood Glucose:     Time:  2012     Reading:  158

Medication Change:

• Separated Mom's 2nd breathing treatment into two sessions because she took a nap early but I felt, along with our Hospice RN, who visited today, that, one way or another, she needs at least three treatments a day. First part of second treatment was the Albuterol, administered at 1530.
• 325 mg acetaminophen at 2100 for middle back pain
• Another 325 mg acetaminophen at 2300 for recurrence of problem
• Forgot 4 oz prune juice tonight

    Dinner:  French onion soup and four cheese & veggie puff pastries; lemon meringue pie for dessert
    Bowel Movement:  Occurred just before nap. Very good volume; slightly hard consistency; easy elimination; not so easy clean-up.
Miscellaneous Notes on Additional Stats:

• Regarding Respiration: The RN said it was "up a bit" at 32/pm. I forgot to ask from what it was up.
• * Regarding Right Upper Arm Measurement: The last measurement was taken somewhat over a month ago; I forgot to ask the date. When I mentioned I was surprised because it seemed to me, especially when Mom was sleeping, that she was losing some weight and I found it particularly noticeable in her upper arms, the RN said that, of course, consideration of this type of measurement always "allows for parallax".

Sleep:

• Awake at 1230
• Down for nap at 1545
• Up from nap at 1945
• Down for night at 0030
• Awake 8 hours

Full Stat Day:

AM Blood Glucose:     Time:  1356     Reading:  166

AM 60" Dig Temp:     Time:  1404     Reading:  97.9

PM Blood Glucose:     Time:  1936     Reading:  180

Medication Change:

• Detox tea tonight

    Dinner:  Her choice, a TV dinner, one of her favorites, about which I'd forgotten: Swanson's Hungry Man Mexican Dinner. Unfortunately, they don't make them like they used to. She only ate about 2/3's of it before she gave up on it.
Sleep:

• Awake at 1330
• Down for nap at 1715
• Up from nap at 1900
• Down for night at 0030
• Awake 9 hours

BM Full Stat Day:

AM Blood Glucose:     Time:  1458     Reading:  146

AM 60" Dig Temp:     Time:  1517     Reading:  97.3

PM Blood Glucose:     Time:  2236     Reading:  141

    Bowel Movement:Occurred during bathing. Poor volume; good consistency; very easy elimination; easy clean-up.
Medication Changes:

• 325 mg acetaminophen when she arose from nap; although she had no pain, she asked for it; it occurred to me it might help her breathe with less stress
• No Detox tea tonight

    Dinner:    Three types of left over chicken from Costco: Chicken Parmesan; Chicken Florentine and Chicken Pot Pie; tart for dessert.
Sleep:

• Awake at 1430
• Down for nap at 1915
• Up from nap at 2215
• Down for night at 0230
• Awake 9 hours