Sentence:  It was a state of being cumulatively nurtured by a flawless execution of the protocol rehearsed the evening prior (save for her own out-of-order seating), the forgiving tailoring of the bride's gown that gave away no secrets, the fact Mrs. June Helen Grinbar had seen fit to address her mess of a hairdo, and — last but not at all least — the absence of any inappropriate outbursts from Mrs. Geraldine Fessmire who, on the other hand, appeared especially groggy and inattentive during the whole event, making Elba Rae Van Oaks wonder if anyone ever especially audited Mr. Garland's <WSD>loose-handed</WSD> administration of her medicines. 
Meaning of the word marked with <WSD> tags:  Casual; undisciplined or haphazard.