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"Where was the care and compassion my dad deserved?"

About: Royal Infirmary of Edinburgh at Little France / High Dependency Unit & Intensive Care Unit Royal Infirmary of Edinburgh at Little France / Medicine for the Elderly Royal Infirmary of Edinburgh at Little France / Stroke Medicine

(as a relative),

My dad was brought into A&E after having a massive stroke. He had two operations within 24hrs, the first to remove the blood clot and the second to reduce the swelling in his brain. Both operations were thankfully successful.

After his operation he went to ITU. Seeing my dad hooked up to all these machines with wires coming all over him was pretty scary.

The care he received in ITU was outstanding and we cannot fault this. His allocated nurse was so caring and compassionate, not just to my dad but also to his family. The care was outstanding and we will never be able to thank her enough for this.

There was one consultant who only focussed on negatives. They would tell us that my dad would never walk, never talk, never be able to feed himself. We were aware and not naive of how serious the situation was and were clinging on to all the little positive things. They said these things whilst standing at my dad’s bedside which I feel is quite inappropriate and bad practice - it felt inappropriate and unprofessional. Yes, I understand my dad could not communicate at this time, but would still have been able to hear everything.

After about 5 nights he got moved to ward 203 - which is for the elderly.

The care received was shocking! After his first night, I complained to a doctor. After his first night, he seemed to be in the same position as when we left him the night before. I offered to help move him, but was told they would have to wait for a member of staff. We heard multiple times that they were short staffed which I think is actually really unprofessional. His hands were covered in dry blood, dried faeces on his toes, his sheet covered in blood because he had been pulling at his catheter and had also pulled out feeding tubes. I had to raise it when it was pulled out. He also wasn't washed that morning (clearly), though they claimed otherwise.

He needed to be suctioned due to secretions on his chest and needed chest physio done on him but again we were told that they were short staffed - but staff often did not look busy and were chatting about things that were not work-related. It felt like it was too much to ask to help my dad with his simple basic care needs. Privacy and confidentiality was also breached one evening as they had left the handover sheet for the ward in plain sight.

Staff also had to be told that he could not lie on his left side due to having no bone flap on that side of his head, but he was witnessed to be lying on that side. His dignity was compromised due to being exposed when being taken to x-ray. His buzzer was left on the side affected by the stroke. He could not move that side at all, so I don’t know how he was supposed to be able to use this to alert staff if he wanted help.

He then tested positive for covid and got moved into a side room away from everyone. I think he was often forgotten after this. I feel we had to keep asking for things to get done.

He died 2 weeks after getting admitted.

On the day he died the doctor rang his wife stating he had taken unwell and they were doing blood tests. Then 20 mins later they rang back to say he was coming to the end of his life. His wife and my sister got to the hospital within 20 minutes of receiving the phone call. No one greeted them when they arrived even though the staff knew how serious the situation was. I think this is shocking!

Once they had walked onto the ward and looked through his bedroom window, they were the ones who found my dad passed away in the bed. The staff did not know until family alerted them. They thought it was justifiable to say to the family members that they had just seen him 5 minutes before. This was 1 not acceptable and 2 not comforting for the family. When his wife went out into the corridor she was screaming for help, to be ignored by the nursing staff. Nobody seemed to care or be in a rush to see what had happened. When a nurse did eventually attend the room they just said “oh”. When the emergency alarm went off you certainly wouldn’t have thought there was an emergency as there was no urgency from the staff.

It has been very hard to deal with his death because of the way he went and the way that his family members had to find him.

The AMP on that ward was amazing. Very approachable and was very honest with us. Their bedside manner was nice, very caring and nothing seemed to be a bother. Would come and talk to the family and answer any questions we had.

We were told after my dad had passed away, that no one would have been sitting with him anyway. How is this acceptable to say to anyone?

Where was the care and compassion my dad deserved? He certainly had a very undignified death. He must of been so scared.

I feel that the training for end-of-life care could be better, I would hate for anyone to experience what we have as a family.

We also had a delay registering the death because it took three days for them to sign the medical certificate to certify his death. I was told the person responsible was too busy. This was not good enough and delayed the funeral.

I certainly hope that I or any of my family members never have to be admitted, as I feel we would all refuse any treatment or care from this hospital in the future.


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Responses

Response from Michelle Jack, Associate Nurse Director, Royal Infirmary of Edinburgh, NHS Lothian 7 months ago
Michelle Jack
Associate Nurse Director, Royal Infirmary of Edinburgh,
NHS Lothian
Submitted on 05/12/2024 at 13:50
Published on Care Opinion on 06/12/2024 at 09:04


picture of Michelle Jack

Dear Listenyc95,

Thank you so much for taking the time to share the story of your dad’s experience. Firstly, I want to express my sincere condolences for your loss, I hope you and your family are finding some comfort in sharing happy memories of your dad at this time. I was saddened to read about the experience your dad, you and your family experienced at the Royal Infirmary prior to your dad’s death. This falls short of the standards we set out for our patient care.

I was glad to hear that there were some individuals, like the nurse in ITU and the AMP on the ward, who offered the care and compassion to your dad. It was disheartening to read about many of his experiences, like the interactions of staff which focused on the negative and lacked consideration to your dad, times where your dad’s basic care needs were not met, and times where his privacy and dignity were compromised. It also must have been distressing for your mother and sister to find your dad had passed away without them being there, and to not have the comfort of knowing a member of staff had been with him in his last moments. I anticipate this will leave you as a family feeling angry and upset, I am so sorry.

Your story will be shared with the services involved and the Clinical Management team to help us identify any areas of learning and improvement that can be implement, particularly around end-of-life care. I acknowledge there were many times where the standard of care your dad experienced were below what we would seek to provide and therefore we want to seek to understand the circumstances around his care so we can reduce the likelihood of them occurring in the future. To support this process and to help us learn, can I offer you an opportunity to meet with Chris Findlay, Clinical Nurse Manager for Medicine of the Elderly and Stroke, to discuss your experience. You can contact him on 0131 242 21781/ 07816257387. If you would find it helpful for your experience to be formally investigated can I advise you to contact the Patient Experience team, either by email LOTH.feedback@nhs.scot or by telephone 0131 536 3370 (Mon-Fri, (9am-2pm).

Please can I apologise again for the care your dad experienced prior to his passing.

Thank you again for taking the time to share your feedback with us as we really do value all feedback as it is important that we learn from it.

Michelle

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Update posted by listenyc95 (a relative)

I will get in touch with Chris Finlay after Christmas if that’s ok. I Can’t really face going over it all again before Christmas.

Response from Mariska Vernon-Stroud, Patient Experience Team Lead, Patient Experience Team, NHS Lothian 6 months ago
Mariska Vernon-Stroud
Patient Experience Team Lead, Patient Experience Team,
NHS Lothian

I gather feedback from patients to recognise good practise and supporting improving services in NHS Lothian.

Submitted on 20/12/2024 at 11:16
Published on Care Opinion at 11:19


Dear Listenyc95,

Thank you for your further response. There is no rush so please reach out to Chris at a time that feels right for you.

I understand Christmas may be a difficult time for you and your family this year. I hope you find some comfort in cherished memories.

Best wishes,

Mariska

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