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"We did not know my dad's wishes"

About: Raigmore Hospital / General Surgery Raigmore Hospital / Trauma & orthopaedics

(as a relative),

Dad fell and broke his hip at home December. He was taken into Raigmore and operated on a couple of days later. The night before his operation I'd been visiting him and just as I left one of the Ward Doctors (I can never remember the proper name) asked me about dad and resuscitation. Now dad could be fairly irascible and single minded about life so I told the Doctor that really they should ask dad. He was of sound mind and would have no qualms about letting them know his mind.

Anyway, two days later, after a successful operation, dad aspirated and was resuscitated after being down for 6 minutes. I was called and rushed to the hospital. He'd been taken to ITU and kept sedated as he was on a ventilator. I asked then about his resuscitation wishes only to discover that the Ward Doctor had failed to have the conversation with dad before he went for his operation. After a couple of days it became obvious that his kidneys had failed and as his family we had to take some tough decisions. The level of sedation was reduced and he gained consciousness although because of the ventilator he was unable to speak with us. Crap.

Different outcomes were laid out for us by consultants and as a family we took the decision to switch off his ventilator and he passed away within a couple of hours. It would have been so much better if that Ward Doctor had carried through and had the conversation with dad as to this day I still don't know if we did the right thing.

On a plus point, the nurses in ITU were superb, nothing was too much trouble and they arranged to have a CD player beside his bed so we could play all his favourite teuchy music CDs for his last wee while in this world.

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Responses

Response from Katherine Sutton, Chief Officer - Acute Services, NHS Highland 6 years ago
Katherine Sutton
Chief Officer - Acute Services,
NHS Highland
Submitted on 06/07/2017 at 15:56
Published on Care Opinion at 16:01


Dear Effy,

I am so sorry to hear of your experience at what must have been such and continues to be a very difficult time for you and your family. I wish to offer my full and unreserved apologies for the failures you have experienced.

This is the very reason that we put in place treatment escalation plans and also DNACPR reviews to ensure these discussions can happen before the event.

We will look into what happened to prevent the necessary discussions taking place in a timely fashion to ensure that there can be learning.

I thank you very much for your kind comments regarding our staff, I will ensure they receive your positive feedback.

If you wish to make contact with me to discuss further I can be contacted on 01463 705087.

Kind regards,

Katherine

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