Turn on bedroom lights
Turn off power to pressure relieving mattress)
Open curtains
Pull back blanket and top sheet
Remove splits from Alan’s hands
Remove supports from Alan’s feet
Do leg exercises
Take off ventilator mask
Turn off ventilator and humidifier machines
Give Oramorph (under tongue)
Remove pyjama bottoms
Apply waterproof dressing to PEG on tummy (only necessary for first 2 months after having peg fitted)
Bring blue shower chair to bedroom from wet room
Put sling under Alan
Hoist Alan into shower chair
Put towel on bed (ready for drying Alan later)

Move Alan to kitchen and administer morning medicines (see separate list)
Move Alan to wet room and place him over commode pan
Remove underpants
Put folded towel behand Alans back and allow Alan time for toileting
Empty commode pan, clean and disinfect
Clean
Alan’s teeth and give mouthwash
Remove t shirt/pyjama top
Turn on shower (pull chord)
Wash hair and body wash (carefully clean around PEG site – with effect from 2 months from operation)
Dry Alan as much as possible and cover with towels
Brush his hair
Shave Alan’s face
Moisturise face
Moisturise body (if necessary)

Move Alan to bedroom – collect day clothes along the way
Apply deodorant and put on shirt/top
Put sling under Alan
Hoist Alan onto bed
Complete drying
Apply proshield to elbows/areas vulnerable to bed sores
Put on surgical stockings (if evidence of fluid retention), start putting on underpants/pad, trousers
Roll Alan in both directions and apply proshield to buttocks
Complete putting on underpants/pad, trousers
Clean PEG site (removing waterproof dressing if applied earlier)
Raise head part of bed
Flush PEG using 50mil water in a large syringe
Put shower chair back in wet room
Remove charger cables from power chair and ventilation machine (at back of power chair in kitchen)
Move power chair to bedroom
Hoist Alan into power chair
Remove sling and adjust Alan’s seating position as required

Move Alan to kitchen
Prepare breakfast (list on fridge door)
Prepare Nutrician (Milk) drink in special container, with flavouring as per Alans request, and put in fridge
Put apron on Alan
Feed Alan breakfast and drinks
Remove apron
Nebulising – put saline in Nebuliser chamber and attach it between Ventilation tube and mask tube
Turn on ventilator and nebuliser and put ventilation mask on Alan
After 20 minutes remove ventilation mask and turn off nebuliser and ventilation machines
Turn on Cough Assist Machine and do a minimum of 3 cycles to clear chest of mucus
Remove Nebuliser chamber and re connect ventilation tube to mask tube and put mask on Alan
Ensure drinks bottle is full of water and put on back of power chair, with tube attached to shirt/top
Move Alan to lounge and turn on TV
Make bed (FRIDAYS – strip bed and put on new linen)
Mop wet room floor and tidy up wet room
Clean up breakfast dishes, etc.

NOTE – when Alan became fully dependent on ventilator, he would be moved to the wet room with it still attached to him. The ventilator would be put onto a trolly table just outstide the wet room, covered with a suitable waterproof cover, and Alan was showered still attached to the ventilator.