This is Care Opinion [siteRegion]. Did you want Care Opinion [usersRegionBasedOnIP]?

"Lack of aftercare information"

About: South West Acute Hospital / Trauma and Orthopaedics

(as the patient),

I am 71 years old.

My plaster cast was removed after just over 3 weeks. Very professionally done.

I saw the doctor who asked me how the injury happened and then checked me for pain in various areas of my wrist. We discussed the simplicity of the break by looking at the xray, which I found very interesting and informative. They told me I could have a splint instead, and here the road to recovery got very confusing. They said the splint would definitely be for a week but intimated it might be as long as 3 weeks. I checked that I wouldn't need to wear it in bed and they said no, which I understood to mean if I was sitting watching TV or the like, as well. Our consultation seemed to end at that point so, as I was about to go through the door, I asked whether I could ride a bike gently or paddle my kayak gently and they said perhaps after a week or more but gently.

I was then sent to be fitted with a splint. The splint was fitted and the member of staff gave me a sheet of wrist exercises, but added that perhaps I wouldn't need it because I was used to using my wrist for paddling a kayak regularly. At that point they asked me if I was needed to return for another appointment. I had absolutely no idea so they went down the hall to ask the doctor. They returned and told me I was discharged.

Later that day, I quietly went through the exercises with no effort but just to check I understood each one of the four simple exercises and could probably do them.

Next day at home I started to do the exercises without the sheet (I had lost it!) and, through the day I repeated them five times at 3-4 hourly intervals. Generally they were OK. That night I noticed more pain in my wrist and, next morning, I realised that 5 times was clearly too much ... or perhaps I was being a little too vigorous, who knows?

From now on, to start with, I'll do them only twice a day. How am I supposed to work this one out? How long do I wear the splint? Perhaps until all the aches disappear...

I really should have had, as a minimum, a recovery guidance leaflet. This was really very necessary as I am so eager to recover that I frequently try to do too much.

Do you have a similar story to tell? Tell your story & make a difference ››

Responses

Response from Rosemary Gardiner, Deputy Sister, Clinic 3, Altnagelvin Area Hospital 2 years ago
We have made a change
Rosemary Gardiner
Deputy Sister, Clinic 3,
Altnagelvin Area Hospital
Submitted on 14/07/2021 at 17:19
Published on Care Opinion on 15/07/2021 at 09:48


picture of Rosemary Gardiner

Hi Aquaspelo

I am a Sister in the fracture clinic in Altnagelvin. I have shared your story with the staff in the department you attended.

On behalf of the fracture clinic staff in the south west acute hospital can I firstly begin by saying thank you for taking the time to share you experience through their Clinic.

I was pleased to hear that you found your cast removal very professionally done. I am happy that your consultation with the doctor was initially interesting and informative however I would like to take this opportunity to apologise for any confusion that you have felt.

Following your feedback the fracture clinic in SWAH have reviewed their wrist fracture information leaflet and discussed this with the physiotherapy team. Going forward, the leaflet will be issued to all patients who have a wrist fracture. The leaflet contains more information for the patient with regards to frequency and duration of exercises to reinforce the information communicated verbally at clinic. I would relish the opportunity to get your feedback on the updated information leaflet if possible?

View feedback leaflet pdf

I hope this feedback has been helpful. Please do not hesitate to contact fracture clinic directly for any further support you may require on 028 6638 2000.

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful

Update posted by aquaspeleo (the patient)

Many thanks for your response. Yes, your leaflet idea is a very good one but it has its own issues:

Unfortunately, the very first exercise is wrong. Somebody has their lefts and rights at variance with the diagrams. For upper right, read upper left. For lower right read lower left! Clearly that needs some proof reading. But the diagrams are so difficult to view (using a good laptop) I do feel they should be of a better quality. A very good idea would be an actual modern solution like a youtube video where you're in no doubt as to how to perform the correct exercises.

Secondly, I do feel a little guidance is needed as to how to make important decisions as to when to remove the splint and how to make the final decision to stop using the splint altogether. In my case, I'm already feeling just 6 weeks after my injury that I could almost dispense with the splint. But I still can't yet lift myself out of a low chair normally using my injured hand (ie a reverse press-up).

Opinions
Next Response j
Previous Response k