There have not been any changes either good or bad in Vickie’s condition.

This afternoon Vickie visited at a sister’s home before returning to her current residence.

Vickie entertained family and friends who came to wish her a happy birthday this evening.

Vickie will return to her home Saturday evening. An informal birthday event with no set time is planned. Everyone is welcome.

Vickie spent Saturday afternoon visiting at a sister’s home. All went as well as could be expected.

Vickie has not shown any improvement for several weeks.

The new medication Vickie started on in August was to help her memory. It doesn’t seem to be giving any positive results.

Vickie visited at a sister’s home this afternoon. She was able to eat a cheeseburger for dinner, something she doesn’t get to do at her current residence.

Vickie’s condition has not improved noticeably for some time now. Despite new medications she is exhibiting the same behaviors she had several months ago.

The operators of the home where Vickie is now staying have installed closed circuit television cameras in the resident’s rooms. The cameras are to monitor the residents and activities in the rooms. Visitors should be aware of the surveillance. For privacy the cameras can be temporarily covered.

Vickie’s infection will be treated with another anti-biotic. She still seems, as much as can be expected, to be in good spirits.

We are still waiting for the lab results to see if Vickie has another infection. She doesn’t show any overt signs of distress so it’s hard to tell.

Vickie showed no change today.

Vickie was quiet today, she may have another infection. We should know in a few days.

Vickie visited at a sister’s home this afternoon.

There have been no changes or improvements in Vickie’s condition during the last few days.

Vickie did well today. There may be a slight improvement in her memory but it’s difficult to be sure.
We are having some problems with her meals and feeding but hopefully they can be resolved.

This evening Vickie wanted to know what year it was and how long she had been where she is now. She wasn’t able to resolve the difference in the last years in relationship to what she could remember.

Vickie’s foster home caregiver is an ardent believer in organic healthy food. She eschews processed and junk food. Caregiver probably would have disapproved of Vickie eating a Burger King hamburger and French fries this evening while staying at home overnight. Dessert was a chocolate pie brought by Vickie’s brother-in-law.

Vickie’s behavior has taken a new but somewhat negative turn. At times she believes she hears voices telling her to do non-sensible things. Otherwise there are no significant changes.

Vickie had a fairly good day. With some cooperation, menu wise, from the caregiver her appetite was better.

Vickie kept her Dr. appointment this afternoon. The Neurologist was impressed with Vickie’s improved demeanor. She will start a new medication for the purpose of increasing her cognitive ability.

This morning Daughter-in-law gave Vickie a spiffy hair trim.
The overnight stay went well. We will probably do more home visits since there were no problems.
Vickie returned to her residence after noon.

Vickie was able to attend a family gathering at a niece’s this evening. She liked the cake and homemade ice-cream.
After the get-together Vickie returned to her home for the first time in a month. She will stay over night before returning to her foster-care residence in the morning.

There were no apparent changes in Vickie’s behavior today.

No improvements today for Vickie.

After spending some time at a sister’s this afternoon Vickie returned to her current residence.
This evening she had a visit with a nurse for the purpose of a quick physical check up. Vickie was cooperative and very responsive with appropriate answers to the questions posed by the nurse.

There were no new developments in Vickie’s condition today.

Vickie has a slight fever this evening, possibly an infection returning. Tests tomorrow will help determine the cause.

Vickie visited at a sister’s this afternoon for the first time since she has been in her new home.

Although Vickie still exhibits obsessive habits as she has in the past, she will acknowledge anyone in the room and engage in a rudimentary conversation.

No change in Vickie’s condition or behavior today.

Vickie’s demeanor has become calmer in the last two weeks. She seems more aware and responsive.

It appears Vickie is receiving excellent care in the adult foster home. The decision has been made to have her stay there permanently. If her condition or other circumstances change then the situation will be reevaluated.

There were no significant changes in Vickie’s condition today.

Since Vickie has spent almost all of her time indoors the last two years, her pale complexion was no match for the summer sun. She now has her first sunburn in several years after being outside for a short period of time this afternoon.

Vickie is still maintaining her new improved condition. She is more alert and will comment on things going on around her.

Vickie’s appetite is still very good although the East European style food that is often served is not always to her liking. There also is an emphasis on health food that she is not used to.

While Vickie still exhibits some of the negative behaviors from before last week there is definitely a difference. Mostly it’s in her ability to converse while doing the obsessive motions she has displayed so often in the past.

Vickie’s condition seems to have stabilized. She continues to eat her meals and will interact with others on a limited basis.
She appears to be comfortable in her new surroundings and cooperates with her new caregiver.

Vickie had plenty of visitors today to entertain.
She is maintaining her overall improved condition. Still eating her meals and staying somewhat alert to others.

Vickie was discharged from the hospital this morning. Instead of returning to her home she went to a private foster care home a short distance away. She will stay there for several weeks.
It’s difficult to determine the reason but Vickie’s demeanor seems to have improved in the last two days. Her appetite has improved along with an increase in her sense of self-awareness. She is talking more and remarking on her own situation.

Vickie remains at LM.H.MC. Friday night. A change in medication seems to already be producing positive results. This evening she was talkative and calmer than she has been for some time. She ate her hospital dinner and would have eaten more if it were available.

A serious misjudgment by this caregiver concerning Vickie’s medication probably led to the seizure she suffered today. She will stay at L.M.H. MC where she is in stable condition,at least into Friday.

The situation with Vickie has not been going well this last week.

There still is no change in Vickie’s behavior.

Vickie showed little or no improvement today.

Vickie’s condition was unchanged.

Vickie was a little better today. She ate a little in the morning and more later on. She managed to stay alert much of the day.

Another not so good day. Vickie ate some in the afternoon but not later in the evening.

Vickie was quiet during the day and refused to eat. This evening while attending a family event at a sister’s she regained her appetite.

Vickie is again having trouble sleeping at night. She is not active during the day and has no appetite.

Vickie was lethargic again today. The new medication may be responsible.

Vickie was very listless today.

Vickie was withdrawn and not very responsive today.

Vickie was quiet today with little appetite.

There seems to be some subtle improvements in Vickie’s behavior. Some significant changes have been made concerning her medications. It’s probably to soon to be sure if there is a connection.

Vickie’s condition didn’t change today.

A rather good day for Vickie, ate some late lunch and a little dinner. The frantic episodes have diminished, not as often and less intense.

Again today Vickie was very listless during most of the day. In the evening she was more alert and able to have some dinner.

Vickie returned to her regular routine, withdrawn in the early part of the day and more interactive in the evening.

There were no changes in Vickie's situation today.

Today Vickie reversed course, having a relatively early breakfast and later eating lunch. She turned down a home cooked dinner provided by a sister this evening.

Vickie’s condition and behavior continues to evolve. She now sleeps late in the morning, refusing to eat before noon and then making up for it much later in the day.

A sister brought Vickie to her house this evening and provided Chinese food. Vickie couldn’t eat much at the time preferring to talk constantly. Later in the evening after returning home, she relaxed and was able to finish eating her meal.

Vickie had a reasonably good day; she is eating more and showing less anxiety.

Vickie visited at a sister’s this afternoon. She had dinner before returning home in her handicap-adapted van that was recently purchased.

Vickie enjoyed visiting with relatives during a family gathering at a sister’s this afternoon.

No changes for Vickie today.

A sister brought Vickie pizza and salad for dinner.

The pattern of behavior Vickie has exhibited for several weeks now continues. The coherent periods might be getting better, time will tell.

Another typical day for Vickie. Mild anxiety episodes in the morning and more calm as the afternoon progresses. In the evening she will eat all that is provided.

Vickie refuses to eat before the middle of the day now. Six months ago she would almost always have some breakfast.
Later in the day she usually has a good appetite. A sister brought dinner this afternoon and Vickie cleaned her plate and requested more.

Vickie enjoyed a free dinner while visiting at a sister’s home this afternoon.

Vickie was quiet most of the day, finally developing an appetite late in the evening.

Vickie was a little better today.

For reasons unknown Vickie seems to have lost her appetite today.

Another relatively good day for Vickie. Quiet, but with only a few of the troubling moods she has had for months.

Vickie’s episodes are less frequent and less severe now. With more coherent times her appetite is improving.

Vickie continues to do better. She is eating more meals on her own, so the supplement food by tube procedure is needed less often.

Vickie visited at a sister’s home this afternoon. She was treated to a nice early dinner, which she ate heartily.

Vickie accepted an invitation for dinner at a close friend’s this evening. The event was to celebrate the friend’s daughter’s college graduation.
Vickie was in good form, ate well and enjoyed the evening.

Vickie’s appetite was a little better today. We are seeing a slowly improving situation now.

As the intensity of Vickie’s mood changes decrease, her ability to eat is starting to improve.

Although Vickie was quiet today she still managed to eat more of her meals than she usually does.

Vickie’s appetite seems to only be active in the evening now. This creates a problem getting her to take her medication in the morning.

There were no changes in Vickie’s condition today.

Vickie went back to her regular routine, only eating when she is in a calm and alert time, which is not often.

Today is a bittersweet anniversary. Two years ago today Vickie was stricken with the first of the devastating injuries to her brain. Although she has not recovered as much as we hoped she would, she is still making small increments of progress. Sometimes the improvements are so subtle we don’t notice until we take a look back and compare how things were before.

Vickie was quiet this morning. She refused her breakfast but later in the day made up for the missed meal and then some.

Vickie ate her meals today, including dinner and treats brought to celebrate two of her sisters’ birthday later this week. No ready explanation for the change in behavior.

Vickie is refusing to eat during the day but will sometimes have some dinner as she did this evening.

Vickie didn’t have any appetite until the evening when she ate a small portion of her dinner.

Vickie visited at two of her sister’s homes this afternoon. She finagled dinner before returning home.

Vickie was the same today as she has been for some time now.

Vickie is still not eating much of her meals. She continues to rely on dietary supplements for nourishment.

There were no changes in Vickie’s condition today.

Vickie has an appetite when she is in a good mood, which happens briefly and only a few times during the day. Consequently she doesn’t eat very much on her own so she receives nourishment by tube.

No changes today for Vickie.

Vickie was quiet again today, not much appetite until the evening.