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

"My Mothers experience of care"

About: NHS 24 / NHS 24 (111 service) University Hospital Monklands / Cardiology/Coronary Care Unit (Ward 18) University Hospital Monklands / General Medicine (Wards 2,10,12 and 17)

(as a relative),

Three months ago my mum was blue lighted to hospital in a very poor condition with acute confusion, hyperthermia and loss of mobility, she is fifty six years old. The staff at NHS24 were faultless and the paramedics a calming and reassuring presence. When we (my dad and I) arrived at Monklands A&E the nurse was absolutely fantastic (cannot praise her enough) as was the initial young doctor she seen who unfortunately we did not get the name of. Unfortunately this is the last positive comment I can make with regards to her four week stay.

When the night shift staff came on we were informed my mum had been stabilised and the medic would be down to see her when possible. The fact she was stable was reassuring and we understood we would have some time to wait. When time was getting on and the nurse phoned the medic to ensure they were coming it was clear from what we could hear on the phone that this was deemed an inconvenience. Eventually a medic arrived (wearing jeans and a hooded jumper which I find very unprofessional). They spent some time assessing my mum and then came to ask myself and my dad some questions as my mum was too confused to answer. At this point I asked if my mum was suffering from sepsis, and was met with a sigh and told "sepsis is just a word for infection. " I find it hard to believe a medical professional is not fully aware of the seriousness of this condition and deems it just another word for infection.

Their attitude towards concerned relatives was appalling. We then experienced a further few hours in A&E where the same medic deemed it appropriate to guess my mums weight and got it wrong by a long way despite us stating a much more accurate figure. Throughout our time in A&E we were told next to nothing about what was happening. Eventually she was transferred to Ward 18.

When we arrived at Ward 18 we waited outside for over an hour whilst my mum was settled in the ward, something we didn't mind. We were then allowed in to say goodbye for the night at around 2: 30am although were met with in my opinion,an unwelcome attitude.

We only waited outside the ward as requested by staff and had it been unsuitable for us to see her we would have went home prior. I would like to make it clear that when we left at this point my mum was still confused. By the time my dad arrived to visit around lunchtime later that day a DNACPR had been put in place. This was put in place and agreed with my mum when she was suffering from confusion and believed the year was 1917.

She does not have any co-morbidities and the decision was made with no family members present. This is absolutely disgraceful and I will never forgive the staff for the distress this caused my mum and dad when they discovered this, as did the comment of do you know what resuscitation is?

 Needless to say the DNACPR was removed as when compos mentis, my mum was very clear in her wishes that she would like to be resuscitated should she require. We are very aware it is not always the right thing to do however as previously mentioned my mum does not have co-morbidities. At this point I would also like to mention there were doctors around the ward wearing gym clothes discussing their personal lives loudly which does not give any sort of professional image, especially when we are having such a serious discussion.

My mum was later moved to Ward 10 when her confusion resolved and temperature had reduced. I do not think I would ever have enough time to write every single error which was made in her care in this ward, I shall list some examples briefly.

Every day she became overloaded with fluid in front of my eyes, this was never acted upon by staff and her respiration rate in the 30s was never accurately documented as staff taking her observations were never in the room for a full minute to measure this. After weeks of this and a chest x-ray finally being performed which revealed large volumes of fluid in her lungs, she was treated for the fluid with IV furosemide.

However on one occasion when her catheter was bypassing she was advised it was "the drain site" which was leaking and a colostomy bag applied to a random area of skin. She was left in a urine soaked bedsheet and her pleas ignored by multiple staff members until eventually someone confirmed it was her catheter bypassing and resolved this.

Staff continued to insist a doctor on the ward had documented performing an ascitic tap. If this was documented it is false, she should have been however never was drained of the fluid with a drain. She was informed she was too confused to remember this, this is completely false. At another point staff weighed her and told her she was gaining weight from the fluid, she asked how they knew this when they didn't weigh her prior and they again told her she had been weighed and had just forgotten this.

Again this is false and if a weight was documented, notes have been falsified. I cannot highlight enough here that staff were lying to my mum and notes have potentially been falsified.

Throughout my mums time in Monklands we were not informed of what was happening and to this day haven't been told what happened. I can say with genuine sadness I have lost all faith in Monklands Hospital and its staff with few exceptions. My mum was an independent 56 year old woman prior to her admission and has lost a lot of confidence. This could be understandable considering how ill she was however her poor treatment has also contributed to this.

Following my mums stay in hospital my dad became unwell and was admitted to another site where in my opinion,  the difference in care really reinforced the unsafe standards of care in Monklands in particular Ward 10. I recognise that my mums life was saved however her recovery was significantly delayed by staff doing the bare minimum and delivering extremely poor standards of care.

My family very rarely complain and are always grateful to receive help however this was unacceptable. We continue to have questions and remain annoyed however have not yet felt up to submitting an official complaint. This is not an experience anyone in my family will forget anytime soon and I hope by posting our story, future patients receive better care.

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

Responses

Response from Morag McGhee, Deputy Chief Nurse, University Hospital Monklands, NHS Lanarkshire 6 years ago
Morag McGhee
Deputy Chief Nurse, University Hospital Monklands,
NHS Lanarkshire
Submitted on 03/07/2017 at 17:19
Published on Care Opinion at 17:37


picture of Morag McGhee

Dear Vic93

Thank you for taking the time to post your experience. I understand this situation must have been very difficult for you as a family, and I am very keen to speak to you to help us investigate what appears to have been a very poor set of circumstances for which I can only apologise. It is very important for us to get this feedback as we will use it to develop care. I would be grateful if you could contact me to discuss this further, my contact details are 01236 748748 extension 4000.

kind regards


Morag

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Response from Shona Lawrence, Clinical Governance Lead, Nursing and Care, NHS 24 6 years ago
Shona Lawrence
Clinical Governance Lead, Nursing and Care,
NHS 24
Submitted on 04/07/2017 at 08:35
Published on Care Opinion at 08:41


picture of Shona Lawrence

Dear Vic93

Thank you for sharing your story on Care Opinion. I read your comments with concern and appreciate that this would have been a really difficult time for your mum and all other family members. I do wish you all well. I note my colleague Morag from NHS Lanarkshire has offered to explore your mum's care so that learning may be identified. I do hope that you take forward Morag's offer of making contact to enable a review of your mum's care.

Your story was shared by the Care Opinion staff with NHS 24 as you mentioned a call to our service. I am pleased to note your comment in relation to NHS 24 staff being faultless and I thank you for mentioning this. Here at NHS 24 patient safety and a positive patient/caller experience are our top priorities. Our staff fully appreciate that persons who are required to call the NHS 24 111 Service may be worried, anxious or upset in relation to their own health or that of a loved one and we do always try to put callers at ease.

I understand that your call to NHS 24 only formed a small part of your mum's overall care, however should you wish to provide any additional detail to me, then I would be pleased to here directly from you. I can be contacted on 0141 337 4582 or by email at patientaffairs@nhs24.scot.nhs.uk

Thanks again for taking the time to contact Care Opinion.

With kind regards

Shona

Shona Lawrence

NHS 24 Patient Affairs Manager

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Response from Ruth Thompson, Chief of Nursing Services, Monklands Hospital, NHS Lanarkshire 6 years ago
Ruth Thompson
Chief of Nursing Services, Monklands Hospital,
NHS Lanarkshire
Submitted on 04/07/2017 at 09:22
Published on Care Opinion at 09:34


picture of Ruth Thompson

Dear Vic93

Thank you for taking the time to share your experience on Care Opinion. As the Chief Nurse for Monklands Hospital I am saddened to read your story and would like to assure you this is not the standard of care we aspire to deliver and we will learn for your experiences

Your Mum was obviously very unwell and remained in hospital for 4weeks, and I appreciate this was a very difficult time for you and your family. It is disappointing that neither you or your Dad were involved in discussions about your Mum's care particularly when she was confused, you both had valuable information would have helped and informed decisions about your Mum's treatment plan.

You and your family still have unanswered questions and I would urge you to contact Melanie MacLean, Patient Affairs Manager on 01236 713065, to allow us to look into your Mum's care and arrange to meet with you.

I hope both your Mum and Dad are recovering from their recent period of ill-health.

Kind regards

Ruth

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

Update posted by Vic93 (a relative)

Thank you for your response Morag. I have tried a few times today to contact you however have had no luck, I've also tried to contact patient affairs and left a voicemail. I am keen to see what can be done to ensure other families don't go through what we did.

Response from Melanie MacLean, Patient Affairs Manager, University Hospital Monklands, NHS Lanarkshire 6 years ago
Melanie MacLean
Patient Affairs Manager, University Hospital Monklands,
NHS Lanarkshire
Submitted on 05/07/2017 at 16:04
Published on Care Opinion at 16:27


picture of Melanie MacLean

Dear Vic93,

I'm sorry we keep missing each other. I have left you another voicemail message asking you if you could return my call on 01236 713065. However I will try to contact you again tomorrow morning if you are unable to return my call before then.

Kind regards

Melanie

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Opinions
Next Response j
Previous Response k