Vickie was transported to the R.I.O. at Good Sam. this morning without problem. She spent the rest of the day getting to know the people who will be working with her while they evaluated Vickie's condition.
The task of helping Vickie become more self sufficient and less dependent on others for her most basic care and needs is the number one priority. It would be best if visitors arrived after 5 pm so as not to interfere with the more intense therapy.

Unless there is a sudden setback Vickie will not be at Rest Harbor after Monday morning. R.I.O. is where she will be for at least one week participating in a therapy regimen that will help her make the transition to going home.

Another day without serious problems. Vickie's appetite has returned, so no more meals using the stomach tube.
Vickie is becoming more aware of her environment each day now. She sometimes notices and makes remarks about what's on the television or things on the wall.

Vickie was in good form today. Ate her meals[almost all]and interacted well with her visitors.
While the RIO situation has been scaled back from the original plan, everyone is still excited about next week.

The patch was replaced and there was no repeat of the nausea from last night. Vickie had a good day although she was a little more sleepy than normal, probably one of the side effects of the anti-nausea medication she was given. As usual, the cure for one problem causes another.

A pleasant day for Vickie. She resumed eating her own meals and lost the feeding tube for now.
When she was being transferred back to bed this evening the nausea returned. The last patch has been off for several days, a possible related cause.
Barring any serious setbacks R.I.O. is on for next week. It will be an abbreviated version due to the same $$$$ issues that have always been there.

For reasons unknown Vickie seems to have lost her appetite. She is now dependent on tube feeding for nourishment. We don't know if this is a phase or if there is a problem that's not apparent. Otherwise she appears to be well.

Vickie had a good day, one without any new or serious problems.

Vickie is eating more of her meals but not enough to avoid the tube feeding procedure.
The rash and the pneumonia seem to be clearing up, chalk another one up for modern pharmaceuticals.
Vickie was in a good mood today, a little entertaining with her off-the-wall comments.

Vickie was awake and fairly alert today. She ate a portion of her meals and interacted with visitors well. The congestion persists but the rash is going away.
She is definitely able to move and feel her left leg.

Vickie slept much of the time today. She was given benadryl for the severe rash, benadryl can cause drowsiness.
Vickie didn't have much of an appetite this evening so the tube feeding will continue.
Staff was reprimanded by the supervisor today for lack of care regarding the infection Vickie is experiencing. We'll see if there is any positive change.

We reluctantly brought Vickie back to Rest Harbor this afternoon. She didn't show any negative effects from the trip.
We were informed earlier today that Vickie couldn't go to R.I.O. due to lack of bed space.
Vickie still has a lot of congestion from the pneumonia, she also has a serious rash, probably from the anti-biotic.
She didn't have any appetite this evening so she will be tube fed.

Vickie was feeling a little better today. This evening she had a small amount of food.
She still has a serious congestion problem, but it appears to be under control.
Vickie will probably be discharged from Mt. Hood tomorrow if there are no further problems.

While Vickie is still enduring the annoying side effects of the anti-biotics, she seems to be improving. She is not eating now, but is receiving nourishment thru IV and tube feeding. Tomorrow she may resume with regular food if the progress continues.
She is having some therapy at Mt. Hood, it's a little different from what was available at Rest Harbor. It was reported that she moved her left leg on command today, that would be remarkable.

Vickie was feeling better today despite some unpleasant side effects from the medication. She will remain at Mt Hood Med center at least one more day.
She had a new patch put on this afternoon so she was a chatty cathy this evening, wide awake when everyone else wanted to get some sleep.

Vickie was transported by ambulance after noon to Mt. Hood Med. Center to be treated for a serious case of pneumonia. She was admitted as an inpatient and she will be there at least one more day. They will administer a powerful anti-biotic and she is on oxygen.
No one said it would be easy.

A lab test determined Vickie is suffering from a urinary infection. Staff was alerted to the possibility by an experienced aide a week ago but they disregarded the suggestion.
Vickie was started on anti-biotics this morning and she seems to be responding positively today.

After midnight things took a turn for the worse. Vickie has experienced severe nausea for nearly 24 hours. She has not been able to retain any nourishment or fluids. She has been sleeping almost constantly. This evening she had a temperature of 101 degrees.
It appears there might be a connection between the a-ms patch being removed and the nausea, but we can't be sure yet.

Just another day without any significant problems for Vickie.

The trip to the R.I.O. evaluation went well for Vickie despite a transportation snafu.
The evaluation itself is the cause of cautious optimism that Vickie's situation will take a significant turn for the better soon.
We now can start thinking about the real possibility of Vickie returning to her home in the near future.

The staff has decided Vickie has lost too much weight, so they will begin tube feeding again. They refuse to eat the same food that is served to her, but they can't understand why she doesn't finish her meals.

The staff put a new anti-motion sickness patch on Vickie today. It's to insure a trouble free trip to Good Sam on Wednesday. She seemed a little anxious tonight, possibly caused by the patch medication.

Today, Vickie got her first professional hairtrim since early summer. She likes it, even though it's quite different from the pre-June 16th look.

At last, a day without any problems. Vickie made it thru breakfast, her Saturday bath, both meals and several transfers without the troublesome nausea reccuring.

Transferring from her bed to her chair, or back to bed ,causes Vickie bouts of nausea. This is new problem, possibly the anti-carsickness patch is the culprit.
The patch is necessary, Vickie will travel again to Good Sam next week for the important R.I.O. evaluation.

Despite a minor medical problem probably caused by a staff miscue, Vickie was able to eat a lite dinner and maintain her good attitude thru it all.

Now that Vickie is eating normal food and feeding herself, she is getting home cooked meals smuggled in occasionally. She seems to prefer them to the institutional fare.
She's even asking for Burgerville now[no onions, sauce with the french fries].

Vickie had inhouse therapy this morning, she did well. This evening she was talkative and somewhat clever with her quips. The increased level of interaction with others is quite noticable.

Vickie made the trip to Good Sam without any difficulties. The not so good news ,the evaluation didn't happen due to a miscommunication concerning the time. The appointment has been rescheduled to next week.

Two days into 2005 and no problems.
The evening shift nurse, who returned from a three day break said she thought Vickie's eyes were tracking noticeably better than they were before the holiday weekend.
R.I.O. evaluation tomorrow, hopefully it will be a positive experience for Vickie.

The new year started fine for Vickie. She continues her slow but steady improvement.