Keith and Liz came to see Isobel at 1.15pm. She had already eaten her lunch and fallen asleep. They woke her easily and for several minutes she was awake and listened to them but did not speak; then she fell asleep again.

I did not arrive at the Centre today until 5.40pm as I had been teaching in Petts Wood. The carer had already helped her to eat all of the main course of tea and was just starting dessert; I took over the feeding. Isobel ate as easily as yesterday, but fell asleep as soon as she finished eating. Checking the fluid balance record I saw that she had drunk well today and did not need to be awoken straight away for a drink.

I let her sleep on until a quarter past seven then woke her. She drank a beaker of blackcurrant squash fairly easily once she had fully woken up. We spread the drinking over some time as I talked to her. Today Isobel did not say any words in reply. Eventually she drifted off to sleep again. I manipulated and massaged her right arm: she did not wake. I sat with her for a while and then went home at 8.20pm.