No changes in medication. Baclofen, loperamide when necessary, ranitidine, clexane. Eurothromycine has been restarted by Dr McLusky for her acne. They won't take off hyocine patches because her secretions may become too much for her to handle.
No MDT/CCG meetings arranged at present. CCG is the Clinical Commissioning Group in charge of deciding whether they are going to fund care or not, what care they will fund or whether they move someone.
Report sent off to CCG but no reply yet. No changes expected to funding.
Talked about cranioplasty with Judi. She agrees with putting it back in but we need to be aware of rejection and infection causing damage.
Judi says Helen is looking much better today than she has since the hot weather came.
Discussed some of Helen's goals and progress.
Trachy weaning - Liz(?) wants to speak with me at some point about where they are at with weaning. They have occluded it briefly and Helen made a noise but not sure how much more progress has been made.
Sitting out has increased to 6 hours now.
Social outings - has another one arranged for next week. It may be possible for me to drive the minibus and we can take her out in the future.
We talked about future placements for Helen. She won't move from here unless we want her to and it wouldn't be without input from Holy Cross. She wouldn't move off the rehab package for sometime yet, until all possibilities have been explored.
Pressure areas are intact. Heel is gradually getting better.
Need to speak to Rasheed about hydrotherapy - he is the boss.
New clothes brought and left in room. Nothing else needed at present.