I was late going in to see Isobel today and did not arrive until twenty five past five. One of the carers was feeding Isobel the main course of her tea and she had already eaten about a quarter of it. Isobel had eaten her breakfast but only had a few spoonfuls of her lunch. She had not drunk as much as in the previous couple of days. Isobel was able to say a few rather unclear words when I first arrived but did not speak later on.

I took over feeding Isobel and she finished the main course without any problems. I started to give her yogurt and high energy drink; and Jacquie Martin arrived to see Isobel. As Isobel ate she became progressively slower and more tired. Isobel managed to finish the food and drink, but once again the meal was very slow, taking about an hour and three quarters. Once again Isobel was taking several poorly defined swallows to clear the mouth of one spoonful. Isobel fell asleep almost as soon as she had finished the meal. She had several small coughs and at one point dribbled a significant amount of saliva - it took some time before her bed could be reclined part way to the normal resting position. Isobel remained asleep and Jacquie and I left at about half past eight.