Another up and down day for Vickie. She ate her meals with little prompting.

Vickie’s status remains unchanged.

Despite the ongoing periods of distress, Vickie's day was good.

It was somewhat better today for Vickie. She ate her breakfast and dinner. She still had pain and anxiety episodes during the day.

Vickie was unable to eat her meals so she received nourishment thru the tube today.

Vickie was a little better today. Her pain episodes are for shorter time periods and are less intense.

Vickie’s condition didn’t seem to improve today. The shoulder pain is still apparent when she is moved.

Yesterday’s x-rays showed that Vickie has a fracture in her shoulder. To prevent further injury extra care will be needed when moving her.

Because of her repeated complaints of severe pain, Vickie had tests and x-ray work this afternoon. A drastic change will be made concerning her medications until a cause of the pain is determined.

Vickie's day started well. In the afternoon she lapsed into her anxiety mode and was not a very good guest at her sister's home.

One year ago today, Vickie returned to her home for a single night stay for the purpose of determining if her caregivers would be able to take care of her away from the hospital setting.

Another typical day for Vickie. Sometimes up and other times no so much.

Vickie was treated to a nice dinner at a friend’s home this evening. She was in a good mood during the meal.

Vickie had what has become a normal day with some lucid moments and times when things were not so good.

Vickie was in fairly good spirits today. On several occasions she lapsed in to her anxious state but not for long periods of time. Sometimes a distraction can bring her back around.

Vickie continues in her up and down condition. No noticeable improvement today.

For the last two weeks or so Vickie’s behavior has been, at best erratic. Times of unusual coherency interspersed with episodes of anxiety, in which she refuses to eat or relate appropriately to those around her. This morning followed the regular pattern in that she wasn’t able to eat breakfast. This evening Vickie was talkative, much more than normal, had a good dinner and made remarks that indicated she was beginning to be more aware of her situation.

Vickie’s appetite increased a little today but not enough to eliminate the tube feeding.
She spent the afternoon of both weekend days at her sisters’ homes.

Vickie continues to experience repeated agitation episodes. She is unable to feed herself enough to maintain proper nourishment; so she is being fed liquid food thru her gastro tube.

Vickie’s condition remains the same. There were no improvements today.

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

Vickie’s condition changed very little today other than the negative episodes were less intense than in previous days.

Today Vickie seems to be cycling between an unusually high level of alertness and then to a subdued frenzy where she repeats the some complaints for hours at a time. The change in her behavior happens suddenly and without an apparent reason.

All went well with the tube procedure this afternoon. Vickie probably won’t notice much difference but her caregivers will find the new improved one makes it easier to dress and move her without the tube hanging out and getting in the way.
Vickie is having more times when she is very alert and responsive. She can regress at other times, which can be disheartening for those around her.

This afternoon Vickie went with one sister to visit another sister who had surgery last week.
In the morning Vickie will travel to MHMC to have her gastro tube replaced.
She has the same one since her original hospitalization in June of 2004. It is suspected to be a possible site of infection.

After spending the afternoon at a sister’s home Vickie was treated to a nice dinner. She was good company this evening.

This evening, for the first time in a while, Vickie was able to dine out with old friends.
The Dr. believes Vickie has another infection, so a new anti-biotic was prescribed. It never ends.

A good day for Vickie.

A visit from a grandson brightened Vickie’s day. A sister brought dinner this evening.