11 November 2024
Christina arrives at 11 to take me to the SNF in the rain. I grab a slice of the pizza I made last night and off we go. The pizza will be a good test of joyce's sense of taste.
With a lot of cheerleading and back summersaults, I get Joyce to eat two bites of the pizza, which she says is good but afterwards admits nothing tastes good.
Jayce comes in to give her physical therapy, which she resists but she get to the side of the bed and does the leg exercises we did yesterday. I let him know she did them Sunday with me. He tells her she’ll have to do even more tomorrow. Without me because I'm taking the bus to the clinic for Joyce's 11:30 debridement with Dr. Tong.
When she sat up I saw her bedding was soiled so I rang for the CNA. He finds some stuff and gets a female CNA to help change her. She said she had a bowel movement yesterday but apparently didn’t get cleaned up until now.
The CNA also washes her hair the old fashioned way (no cap). When she combs it, a lot of hair comes out in the comb. But it really hasn't been washed since September.
Julian the transit guy comes by to tell me transport has been arranged by Kaiser and will be paid by them. Rochelle from the clinic and Joan from Kaiser had called to let me know the same thing in the morning.
I ask Julian who the wound nurse is and he says Anne. I tell him I have a question for her (since again I saw the paper bandages on her wound). He promises to get her. She’s just down the hall.
When she comes in I ask about the Mepilex, which they have not been using. "It's in transit," she says. She should have it tomorrow.
Then she tells me the nurse practitioner thought she smelled pseudomonas in the wound and asks if Tong ever takes a culture. Yes and biopsies. She thought I should mention it to her. And get a copy of the 'discharge paper' with the dressing order. She'll call the clinic with the fax number.
Joyce says she's moving next door to Room 114A this afternoon. I get her shoes out of the cabinet for her so they don't get left behind. Shoes don't walk on their own.
Then I get Christina to come say goodbye and off we go.
When I get home, I email Tong about the pseudomonas and discharge paper.
Joyce calls me a few times, worried about the move. She can't find her stuff and can't find the call button. "Just scream for help," I suggest, completely our of ideas.
She calls back later to tell me they moved her night table from the old room to the new room but she couldn't see it because it was behind her head.
I have to tell her again an ambulance will be taking her to the appointment with Dr. Tong tomorrow.