My grandma has a habit of making excuses for doing or not doing something so she wouldn't have to do what I had asked her to do? Like for example it's bed time and I make sure she does her routine before she is goes to sleep. Usually she does well on her own, when symptoms show up needs coaching to get motivated. Ok so I ask if she is ready for bed and she said yes just that she needs to brush her teeth. Alright, well I had made sure it was open and accessible for her and she goes in to do her buisness, gave her her kotex aka tena pads. Ten minutes pass and I see the door open and light on. She is on oxygen so I follow the tubing to see her in the fridge, I asked her if she is ok and needed anything. She was just getting cold water (she uses bottled water to rinse her mouth, but I have also seen her use warm temp tap water in a Styrofoam cup) told her ok and she giggled because I had startled her. I go back to my room and have her do her thing. She takes a while so here i go to see if she is ok, I see her in the fridge again opening a starburst. I ask her if she was gonna brush her teeth and she said you scared me again niña! (Obviously spoke to me in spanish) I had advised her its not ok to eat before bed especially if she has trouble sleeping. (She is restless) We both have two appointments coming up and I have a journal of her symptoms since her discharge from the hospital on 06/19/17 she has chf and has been recently treated for dementia (back in march) had mini stroke and fluid backed up in her lungs. We had our last hospital home care nurse visit and she got sad. She hasnt gone out much since her emergency bypass and heart valve replacement about 4 yrs ago. She can no longer take meds on her own and likes to retell stories of her days when she was young and soltera (single) and dating my grandpa and some other gentlemen from the pueblo haha it's been an eye opening experience for me as a care giver and thank you for your time.