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"A simple smile and understanding goes a long way"

About: University Hospital Wishaw / Gastroenterology / General Medicine (Ward 5) University Hospital Wishaw / Medical Assessment Unit 1 (MAU1)

(as a relative),

My auntie was admitted due to kidney failure secondary from terminal cancer. She was admitted to MAU1 at UHW. 

When the devastating news came that there was no more they could do for her, I attended to be there to support my family. 

As a health professional, I asked if I could speak to a doctor to be informed of her condition and the next steps as naturally her immediate family didn't manage to take much information in.

I approached a doctor in MAU1 and asked if there was anyway a doctor could update me on what was happening so that I was able to inform extended family. I was in uniform as I work in a hospital. The doctor was nothing but dismissive and lacked care and compassion. I was informed a doctor had already spent half an hour explaining everything to the family and that they were really busy. As a health professional I am aware of the extreme pressure the NHS is under but given the devastating news I explained the family hadn't managed to take much in due to being so upset. Again, I was dismissed and the doctor just sighed. The lack of professionalism this doctor displayed was horrific. I would never treat a worried family with such a dismissive and rude attitude. 

Furthermore, I approached nursing staff to ask for pain relief. My auntie was displaying extreme signs of pain, due to being end of life she was unable to communicate but it was evident she was experiencing a lot of pain. My auntie had spend days of constant vomiting. The nurse came in with 2 paracetamol tablets. I explained that due to her vomiting she would not be able to tolerate or even absorb oral medication. The nurse stated she wasn't written up for anything intravenously to which I had to ask her to get medical staff to prescribe. I came back down to the ward 1.5 hours after this was asked for and she still hadn't received anything for pain. I had to ask again to which I was informed they were waiting on a doctor coming. The doctor attended soon after that to assess her. She was then thankfully given IV Paracetamol. However, I feel more could have been done to manage her pain more effectively especially at the end of life.

With that being said, there was other staff who without a doubt went above and beyond. The charge nurse who came onto nightshift was amazing. She could evidently recognise that my auntie was in extreme pain and raised concerns to medical staff to which then her pain was managed more effectively. The CSWs from the dayshift and nightshift could not have been more helpful in supporting my family through such a horrific ordeal. I also want to say the nurse who was on shift on one evening taking care of my auntie was amazing. I asked for an update and she went through everything with me from the ward round that day which honestly made it so much easier for me to share with extended family and provide reassurance that she was being cared for.

My auntie was then moved to ward 5 @ UHW where honestly the care and compassion was exemplary. They made one of the most devastating times so much more easier by the way they communicated with my family and how they supported her in her end of life care. Nothing you asked for was too much trouble. They were letting all family in to see my auntie to say their goodbyes and when the time came that she passed away they supported her immediate family by writing cards for them and making the room much more comfortable. It's always the little things that go a long way. All the staff were lovely, warm and friendly. A simple smile and understanding goes a long way. You really are an asset to your team and I can't thank you all enough. You'll never know how much it means to us all as a family. 

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Responses

Response from Julie Coyle, Senior Nurse - Emergency Care, University Hospital Wishaw, NHS Lanarkshire last week
Julie Coyle
Senior Nurse - Emergency Care, University Hospital Wishaw,
NHS Lanarkshire
Submitted on 15/01/2026 at 16:51
Published on Care Opinion at 16:51


Dear Julycj67,

Thank you for taking the time to share your experience regarding the care your aunt received in MAU1. I would first like to express my sincere condolences to you and your family at what must be an incredibly difficult and emotional time. I truly appreciate that you reached out while coping with such distressing circumstances.

I am very sorry to hear about the concerns you have raised. The experiences you described fall below the standard of compassionate, person‑centred care we aim to provide, and I want to acknowledge how upsetting this must have been for you, especially given both your role as a health professional and your position as a family member trying to support your loved ones.

You highlighted that when you approached a doctor for an update, you were met with dismissive and unhelpful behaviour. I am genuinely sorry that you were made to feel this way. No member of staff should ever make a relative feel dismissed or unsupported, particularly when receiving news as devastating as this. Good communication is essential, and it is clear from your account that we did not meet this expectation. I will ensure this feedback is shared directly with the medical team so this can be reflected on and addressed.

Your concerns regarding your aunt’s pain relief and delays in appropriate treatment are extremely important. It is distressing to think that she may not have been adequately supported at such a vulnerable stage in her care. You acted entirely appropriately in advocating for her comfort, and I am sorry that you had to repeatedly ask for help. This is not the standard of end‑of‑life care we strive to deliver, and I will be reviewing this with the nursing and medical teams to ensure learning is taken forward.

Thank you for also taking the time to acknowledge the staff who provided compassionate and attentive care during this difficult period. I am very grateful that you recognised the charge nurse, the CSWs, and the nurse who took the time to update you clearly. Your kind words will be passed on to them directly — they will truly appreciate knowing the difference they made to you and your family.

Thank you again for bringing this to our attention. Your feedback is invaluable to helping us improve the care we provide to patients and families, especially at the most difficult moments of their lives.

With sincere condolences and kind regards,

Julie.

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