I went in to see Isobel at 5pm. She was again very soundly asleep when I arrived. She had eaten Weetabix for breakfast, and the nurse who fed her spoke enthusiastically about how well she ate. She had a pot of balanced supplement later in the morning. She could not be woken at all at lunchtime. When she could be woken in the afternoon she had two pots of balanced supplement.

I fed Isobel the main course of her tea, she partly woke up but was very unresponsive apart from eating well. There were two occasions when she coughed and spluttered, on the second of these she sprayed me and the chair with the equivalent to about two teaspoonfuls of food. She was not able to make any reply to questions. There was no change to her arms. She ate her yogurt dessert fairly well. She was becoming tired and it took a long time and some difficulty to give her a beaker of juice with high energy supplement. When she had finished this she at once fell deeply asleep. After washing her face I left at almost half past seven.

The Speech and Language Therapist is coming to see Isobel at lunchtime tomorrow, it will be interesting to see if she can be woken.