Sunday, 6 June 2010

I went in to see Isobel just before half five. She did not have a good final part of the day yesterday and had virtually nothing to eat or drink after I left at lunchtime, although numerous attempts were made to give her food and drink in the evening. She drank this morning but did not eat any of her breakfast. However she ate two pots of balanced supplement during the morning. She had only six spoonfuls of her lunch. Some of her drinks have been the very high energy drinks that compensate to some extent for her failure to eat much; she had drunk half a beaker of this shortly before I arrived.

She had already eaten half of her tea time yogurt before I arrived, having started on this as it was thought she would find it more acceptable than the main course. She quickly finished the second half. I begun to feed her the main course. At first she ate fairly quickly but soon showed signs of tiredness and slowed down considerably. She took a couple of spoonfuls of drink with the meal, but needed a rest before starting on the second half of the high energy drink. Isobel was very slow and tired and eventually finished the drink shortly before half seven. She fell asleep immediately and slept for an hour, waking of her own accord. I then gave her a second beaker of high energy drink: she drank this in two stages with a twenty minute doze in between. Isobel will be given another drink with her medication in an hour or so.

Taking the two days together, Isobel will just about have drunk enough to get by, but it is not a comfortable position. She was able to say a couple of words today and confirmed that she does not have pain. She was seeing some things clearly, but at other times her eyes wandered independently, very disconcerting. I went on to Iona's at a quarter to ten, Isobel had fallen asleep again.

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