I went in to see Isobel just after 5pm. She was awake and a nurse was trying to feed her a pot of balanced supplement, having had no success at trying to feed her the main puréed course. I took over and spent a minute ensuring she was fully awake. She was clearly very tired. She managed to eat the main course fairly quickly without any problem and moved on to finish the pot of balanced supplement. Although Isobel ate moderately quickly without any problem she was very tired and fell deeply asleep as soon as she finished eating. Isobel had ate her breakfast and then a pot of balanced supplement but had missed lunch as she could not be woken.

I woke Isobel after a quarter of an hour, she drank a beaker of blackcurrant squash fairly quickly and without any real difficulty. I asked her if she would like me to read to her, she replied "no" and immediately fell fast asleep again; frustrating attempts at further conversation. She had drunk very little during the day and I was keen to get her to drink some more. I had foreseen this situation might arise and occupied myself for the next hour with some correspondence I had brought with me, while Isobel slept very soundly. I also manipulated and massaged Isobel's right arm; I worry about it being completely immobile, although it looked fine today.

I woke Isobel after an hour and helped her to start drinking a beaker of orange squash. A nurse arrived and gave Isobel some medication, and adding the paracetemol solution to the beaker of orange. Isobel drank the rest of the orange without any problem. She listened to me talking for a few minutes but made little response before falling asleep again. I left at twenty past eight.