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Care Opinion

Inappropriate Discharge Measures

Posted By Concerned relative18

"Inappropriate Discharge Measures"

About: University Hospital Monklands / Care of the Elderly (Wards 14,20,22)

(as a relative),

Good Afternoon

My sister is currently in ward 21 of Monklands Hospital. We are hoping she will be discharged soon. 

My sister has now had 3 stokes and in addition has diabetes with which she is not hypo aware, and has enlarged arteries where she has episodes of mini strokes, and is likely to experience further episodes as advised by Professor Barber. With her limited mobility she now requires assistance with showering.

In light of her circumstances we feel as her family it is more appropriate for her to have 24hour care and have decided it would be better for her to be discharged to our brothers home where she willl receive this care. As she is only 54 years any carer assistance is a paid service.

2 occupational therapists from ward 21 visited my brothers home yesterday. In light of limited finances it was agreed a carers service of once per week would be paid to help with showering/bathing, and we would manage with bed baths for the remainder of the week. OTs confirmed they would make this referral to the discharge team.

However, today another OT has spoken to my sister and has refused to make this referral to the discharge team and we will need to discuss this with the community social work team. I have contacted my local social work team and they have advised because my sister is still a hospital patient this would be dealt with by the hospital social work department.

I am absolutely disgusted that a vulnerable patient is being treated in this manner and is expected to be discharged from hospital without basic cleansing facilities being in place. We also require her alarm for help to be transferred to our brothers home. We are looking for minimal assistance with basic measures being in place and will try to carry out all other care needs ourselves.

Can someone please help us with the basic measures to be put in place prior to discharge?

Thank you

(next of kin)

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Responses

Response from Pamela Grant, Care Group Lead - Acute Services (Occupational Therapy), NHS Lanarkshire 5 years ago
Pamela Grant
Care Group Lead - Acute Services (Occupational Therapy),
NHS Lanarkshire

Submitted on 26/11/2018 at 12:30
Published on Care Opinion at 15:19

Dear Concerned relative18

I’m so sorry to hear about your sister’s health problems and the experience you have had as a family with regards to accessing support for your sister with bathing/ showering. Can you please contact me on 01236 712133 to discuss this situation further so we can try and resolve the issues. I will ensure that any learning taken from this experience with be shared with our team.

Many Thanks

Pamela

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Update posted by Concerned relative18 (a relative)

Pamela

Thank you for your response. I have left you a voicemail with contact details. I would also like to add that my sister was discharged from hospital at 2pm on a Friday afternoon with only a partial prescription, no insulin. District nurses were supposed to come out at 4pm that day to provide insulin. They did not arrive until the Saturday. In 3 days my sister had 2 falls. Also, since contracting urinary sepsis in hospital she has now been left with a level of incontinence, which we were not aware of until she got home!

Response from Pamela Grant, Care Group Lead - Acute Services (Occupational Therapy), NHS Lanarkshire 5 years ago
Pamela Grant
Care Group Lead - Acute Services (Occupational Therapy),
NHS Lanarkshire

Submitted on 27/11/2018 at 09:50
Published on Care Opinion at 10:15

Dear Concernedrelative18

I have been trying to contact you on the number provided however have been unable to do so and there has been no option to leave a message. The number I am calling from begins with 0800.

It would be greatly appreciated if you could call back on 01236 712133 as your earliest convenience.

Many Thanks

Pamela

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Response from June Delaney, Senior Nurse, Care of the Elderly Medicine, University Hospital Monklands, NHS Lanarkshire 5 years ago
June Delaney
Senior Nurse, Care of the Elderly Medicine, University Hospital Monklands,
NHS Lanarkshire

Submitted on 28/11/2018 at 22:48
Published on Care Opinion at 22:51

picture of June Delaney

Dear Concerned Relative 18

I am so sorry that you have been upset by your sister’s recent stay in hospital.

We would welcome the opportunity to discuss what went wrong and the issues you have raised in more detail. If you contact the Patient Affairs Department on 01236 713065, we will endeavor to do this as quickly as possible.

Please be assured that our aim is to provide person-centred care to all patients at all times and we will use your experience for learning.

Thank you for taking the time to post on Care Opinion, look forward to hearing from you.

Kind regards

June

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Update posted by Concerned relative18 (a relative)

June

I am surprised at this response. I had a conversation with yourself and the Patient Affairs Department on 22nd November. You advised me to look into private carers arrangements for my sister.

Pamela Grant had provided us with some assistance and this matter is now progressing with community social services.

Response from Rick Edwards, Service Manager Surgical & Critical Care, University Hospital Hairmyres, NHS Lanarkshire 5 years ago
Rick Edwards
Service Manager Surgical & Critical Care, University Hospital Hairmyres,
NHS Lanarkshire

Submitted on 29/11/2018 at 12:36
Published on Care Opinion at 13:57

picture of Rick Edwards

Dear Concerned relative18,

I'm pleased to hear that you've been in touch with Pamela and things are progressing with community and social services.

I manage the Care Opinion system for NHS Lanarkshire and staff can never assume that the anonymous feedback provided relates to ongoing situations or cases until we have invited contact from the author and confirmed their identity. I hope this explains June's response.

If you feel there are still issues that you would like to discuss further with the hospital team, please contact the Patient Affairs Department as advised by June.

I wish you and your family well as you support your sister during her convalescence.

Kind regards

Rick

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