Day 11 home after her left total knee replacement · 412 Hollis Lane, Asheville
Signed in as Sarah Whitfield-Ruiz
Right now
Eleanor is home, in the living room, and has been up and about since 7:20 this morning.
She woke at 7:20 am — she usually 7:05 – 7:35. Her morning followed her usual rhythm closely; her afternoon has not.
Usual day
78%
match to her pattern
Safety event
Stove — left on for 41 minutes with no motion in the kitchen · Yesterday, 7:12 pm. Auto shut-off worked and you were notified. First time it has happened.
Nine-day streak · both remaining tasks are this evening
✓Morning knee bendsMorning
✓Clean and re-dress the incisionMorning
✓Walk to the front door and back, twiceAfternoon
·Finish the salmon and drink two glasses of waterThis evening
·Evening medicineThis evening
Who's covering what today
Three of you are helping. This is the rota.
Family
Nobody has this yet
Collect the urine sample kit from the pharmacy
Before 5:00 pm · Requested by Tomás Reyes, RN
✓
Sarah · morning check-in call
Phone call · This morning, 9:00 am
?
Unassigned · collect the urine sample kit from the pharmacy
Errand · Before 5:00 pm
D
David · evening call — remind her about dinner and the metformin
Phone call · This evening, 6:00 pm
Next up · David — evening call — remind her about dinner and the metformin, this evening, 6:00 pm.
What needs your attention
5 open
Needs attention todayToday, 6:40 am
Overnight pattern has changed sharply
Bathroom trips between 11pm and 6am have averaged 3.4 per night for six nights, against her learned baseline of 1.4.
Why this matters
This deviation is arriving together with reduced appetite, a 3.1 lb unintentional weight loss, and elevated fasting glucose. In adults over 75 that cluster is a common early presentation of a urinary tract infection — which is treatable, and which is easy to miss because none of the individual signals look like an infection.
Worth a lookToday, 7:15 am
Four dinners skipped in seven days
Kitchen motion is down 59% against baseline and evening meals are going unprepared. Protein intake is averaging 42g against a 68g target.
Worth a lookYesterday, 8:02 pm
Walking pace down 19%, sitting time up
Hallway transit is slower and more hesitant, and time seated in the living room is up 2h 10m per day.
What she's doing
Her effort — the part she controls
A
She is doing everything the plan asks of her.
98% of her plan9-day streak
64 of 65 tasks over 13 days. Adherence this good after 75 is not typical, and it is worth telling her so.
Her effort is an A and her response is a C. That combination is why Tomás asked for a urine sample rather than adjusting her plan.
These measure two different things, and the gap between them is the point. Effort is hers; response is not. When someone is doing everything right and the numbers still fall, that is a medical signal — a reason to look for a cause, not a reason to send her a reminder.