I went in to the Centre at mid-day. Isobel had a shower this morning and has not been at all good since. She only ate a quarter of her porridge this morning and was sick soon after. She did manage to eat a pot of balanced supplement later. She was very soundly asleep when I arrived.

I had great difficulty waking her for lunch, in fact despite forty five minutes effort she was never fully awake. I got her to eat a quarter of the first course of lunch but it was a real struggle and I gave up when she retched several times. She fell very soundly asleep half a dozen times while I was trying to feed her.

Isobel did not speak at all today. When she was half awake her eyes stared blankly and did not focus on anything. There was some drooling. She was not at all responsive. It may be that she was simply exhausted by the shower. I know that the staff have had periods in the middle of some days when I have not been present when they have not been able to rouse her at all - then when I have come in about half four she has been rested an responded much better. It may that the main problem today was that Isobel was exhausted.

When I gave up trying to feed her Isobel fell very deeply asleep. I went home at a quarter past one.