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"Mum's care at the end of her life"

About: Community Nursing Services / Nottingham West Community Nursing Nottingham University Hospitals NHS Trust - Queen's Medical Centre Campus / Older people's healthcare

(as a carer),

When I found out my mum was dying, every moment spent together really mattered for both of us and my family. From the minute we were told this heartbreaking news, the district nursing team from Nottinghamshire Healthcare Trust (Borough of Broxtowe Community) started to visit and it felt like a nightmare.

Nurses would sometimes just turn up without warning to check on mum and would just walk into our home, look at mum, and walk out again, or I would call them because mum was in pain and then they would come to provide medication. Sometimes medication wouldn't be administered because a nurse couldn't determine if mum was feeling sick or in pain and so they would just leave. Within 10 minutes, I had to call them back again.

I had to fetch and chase up the anticipatory medicines with the GP and the pharmacist, which often meant I was away from mum, when every moment of us being together mattered. Also, the nurses didn't work together with the staff from the care agency and my role as mum's unpaid and main carer, wasn't recognised or valued.

At one point, mum was in so much pain that I contacted her Parkinson's consultant at the Queens Medical Centre. They visited mum and spoke with me. The consultant could see my mum was in pain and that my mum's life was nearing the end and so they increased the morphine dosage and regularity. A syringe driver was put in and mum died peacefully at home, which was heartbreaking but a relief. After the day mum died, I have never spoken to a nurse from the community team since and I feel lost and all alone.

In my opinion, more needs to be done to improve the end of life care currently provided by the Notts Healthcare Trust and nurses need to gain knowledge and confidence in providing person-centred care and identifying and valuing family members who are carers. Anticipatory medicines should be put in place and delivered by the nurses and family members need to be listened to and their comments understood.

I knew my mum better than anyone and because she and I were ignored meant my mum suffered 5 weeks of pain, stiffness, aching, burning, sickness, anxiety and constant worry. Every moment mattered to me and mum and we needed practical support, empathy and compassion, which we never received. My mum wanted to die at home surrounded by the people and things she loved but she shouldn't have had to suffer to do this.

Every moment mattered to us.

Staff skills

Staff skills


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Responses

Response from Nicola Zurawliw, Head of Adult Services, Nottingham West, Nottinghamshire Healthcare NHS Foundation Trust 13 months ago
Nicola Zurawliw
Head of Adult Services, Nottingham West,
Nottinghamshire Healthcare NHS Foundation Trust

Lead Community Health Services

Submitted on 11/06/2024 at 07:49
Published on Care Opinion at 07:49


picture of Nicola Zurawliw

Dear Candice

Thank you for taking the time to leave feedback on your recent experience with the community nursing team in Nottingham West, feedback is important to us as a service.

I am very sorry to hear that you have recently had a difficult experience from our service, as end of life care is very important to us and agree person centrered care is critical to this type of situation.

It appears from your feedback our services did not offer joined up care, or work in partnership with the carers, and yourself and I apologise if the team did not value or recognised the paid or unpaid roles you played in your mum’s care.

I am sorry to hear that your mum’s pain was not recognised or addressed in a timely manner to ensure she was kept as comfortable as possible. I will take this forward with teams regarding recognising, asking the right questions, observing symptoms appropriately and medication administration.

I recognise this situation for you has been upsetting, as you have described areas of improvement needed for the team, which I will act upon. If you wish to discuss this in more detail with, please do not hesitate to contact me Nicola.zurawliw@nottshc.nhs.uk/07747476507

Kind regards

Nicola Zurawliw

Head of adult service- community Nursing

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Response from Kelly Morley, Patient Experience Officer, Patient Experience and engagement, Nottingham university hospitals 13 months ago
Kelly Morley
Patient Experience Officer, Patient Experience and engagement,
Nottingham university hospitals
Submitted on 11/06/2024 at 10:11
Published on Care Opinion at 10:11


Dear Candace

Thank you for sharing your personal experience of NHS services during what must have been an extremely difficult time for you and your family.

Although we are glad to hear that you were able to reach out to us at Nottingham University Hospitals, and that the Parkinson’s consultant responded and visited your mother at home to offer much needed support and pain relief, we are sorry to hear that her care prior to this led to you feeling this was needed.

We are pleased to see that the Community Nursing Service have responded to your feedback, and that they have reached out to you to discuss your experience and concerns further.

Best wishes,

Kelly – patient experience officer

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