Friday, 12 March 2010

I went in to see Isobel just after five o'clock. She was asleep when I arrived but woke up of her own accord a couple of minutes later when I was watering the plants. She was able to say "yes" and "no" in answer to questions, confirming that she was not in pain and would like a drink. She had eaten breakfast but missed lunch as she could not be roused from sleep. She drank most of a beaker of blackcurrant squash before tea arrived.

Isobel ate the first course, meat and two veg, without any difficulty. She then drank three quarters of a beaker of thickened tea. The last part of the tea was abandoned as it underwent the thinning process that seems to happen to thickened tea as it cools - it becomes difficult for Isobel to drink and has more chance of being misdirected down her windpipe. Instead Isobel finished off the blackcurrant squash and started the yogurt dessert but had only eaten a few spoonfuls when she fell asleep.

About twenty minutes later she showed signs of only dozing lightly so I woke her and she finished the yogurt. I told Isobel that I had heard from her old school friend Viv that she would be seeing two other school friends, Sue Strong (née Noot) and Pat Perkins on her way back from a weeks holiday in Cornwall. She indicated that she understood this but was very sleepy and fell asleep again.

Because she had been so soundly asleep earlier, Isobel had only had one pot of balanced supplement with breakfast, missing the one she should have in the middle of the day in line with the new regime to counter supposed weight loss. I let her sleep on till after half seven and then woke her and fed her a pot of chocolate flavoured supplement. I must admit that the texture and consistency makes this very easy to feed to her. When she had finished this she drank a beaker of orange squash. I massaged and manipulated her right arm, which was not very swollen but had slight reddening where it had been in the same position for a long time. By this time Isobel was tired again, but her final medication of the day arrived and I supported her head while the nurse gave her the medication. Isobel fell asleep almost immediately after. I sat with her until twenty to nine and then came home. This was another visit during which virtually all of Isobel's waking time was spent trying to get food, drink and medicine into her.

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