Judy: II, k.

2. At Home Day
a. These afternoons follow much the same routine as a work day, with the exception of getting into the wheelchair and car. They are usually quite full and often include friends who offer their hands for secretarial work and note taking, purely social visits, keeping up to date with a large correspondence and lecture notes and monthly appointments with the hairdresser, social worker and priest.
1). To help us remain interested in others, we have a very special friend who aids us all in keeping life manageable by listening to us vent our fears and frustrations. She is a social worker from the Family Service of Montgomery County who reinforces our judgements and realistically encourages us to live as normal a life as possible. Fortunately, we already have a very close family relationship, so her talents in helping achieve this goal are not used as fully as they otherwise might be.

Juldy: 1, k.

b. Insert Dulcolax suppository as first step in program, using a well lubricated rubber glove. (We wrap and save the glove for use later in this routine.)
c. Spread underpad (Chux). This is necessary in my case, as I cannot be placed on a bedpan or commode for a variety of reasons 0 the main one being to prevent undue prolonged pressure to critical spots on my skin.
d. Breakfast is fed to me this morning while I am still flat on my back. (Hot coffee stimulates action of the suppository.)
e. Range of motion exercises. These also aid action of the Dulcolax. (See Appendix III)
f. Finish program by using the well lubricated rubber glove for gentle stimulation of the rectum, which pretty well insures two day free from accidents. Using the middle finger for this procedure is also a good way of detecting an impaction. (An enameled porcelain container lined with paper towels is used for collecting refuse and toilet paper which is then flushed into toilet. Lysol is used liberally as a disinfectant during the process of cleaning up this container. Needless to say, all this involves much hand washing - we still use pHisohex.)