I went in to see Isobel at a quarter past five. She had eaten all her breakfast and a pot of balanced supplement after. She had eaten half her lunch and all of a pot of balanced supplement after. When I arrived a carer was already trying, with limited success, to feed Isobel her tea. The carer was trying to use alternate spoonfuls of yogurt, which Isobel strongly likes, to encourage her to eat alternate spoonfuls of the main course. This is an approach I can understand, although I have not used it for more than a couple of mouthfuls - it seems dishonest to treat Isobel like a child.

I took over feeding and Isobel ate all her main course although she was very tired. Isobel was again not able to respond to conversation. Her eyes were shut almost all the time and when open stared blankly. After an interval she finished her yogurt, very slowly. After another interval she drank a beaker of orange squash, very slowly, with teeth clenched together for long periods.

Isobel seems to be comfortable, but it is very difficult not being able to get any spoken communication from her. I read a couple of pages from her book to her, but she soon fell deeply asleep. I left soon after 8pm.