I went in to see Isobel a few minutes after 5pm. She did not have a good start to the day. She was sick at breakfast time and did not eat her breakfast. She did eat a pot of balanced supplement later in the morning but could not be woken for lunch. She ate another pot of balanced supplement during the afternoon but was still sleepy. Isobel began the course of antibiotics today, she shows no sign at all of discomfort from the infection. As the medication had to be changed from tablets to liquid form, she did not take the first dose until this afternoon.

When I arrived one of the carers was just beginning to get Isobel to eat the first course of her tea, scrambled eggs and baked beans (the beans of course are liquidised). In accordance with yesterday's advice from the Speech and Language therapist, the carer had thickened the dessert of yogurt, but he thought he had rather overdone it as the yogurt had gone beyond custard to the pudding consistency (this is easily done, as each food or drink reacts differently to the thickener and thickening takes some time to take effect). He suggested adding another pot of yogurt to dilute the thickening, and when we did this it produced just the right thickness. I took over feeding and Isobel ate the first course with no problems. She needed a rest before tackling the dessert but ate it completely despite it being twice the normal amount. After a short interval Isobel also ate a pot of balanced supplement before falling asleep for a short while.

When she woke I gave her a beaker of blackcurrant squash and was part way through this when Miranda arrived at a quarter past seven. Isobel finished the squash while Miranda talked to her and arranged some flowers she had brought with her. Miranda left at ten past eight. I cleaned up Isobel's eyes and washed her face. The right arm did not look so wasted today as it had done yesterday, it is difficult to judge. Although Isobel had not been able to say anything to Miranda, she indicated that she would like some of her book read to her and I did this for a quarter of an hour before Isobel fell asleep. I left at half past eight.