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"End of life care"

About: District Nursing Ninewells Hospital / Hospital Palliative Care Team

(as a carer),

My mother had multiple myeloma. Over the past 13 months she endured 3 different treatments all of which had significant side effects or were ineffective, however she was willing to try whatever her consultant suggested might work for her. The medical and nursing care throughout the time was excellent - considerate, well informed and sympathetic. When they realised that nothing further could be done she was happy that she should return home to spend her final days. 

As her family we were happy to support her as best we could and that is what we did. She was discharged from hospital on a Wednesday. She was weak and in need of 24 hour support. Palliative care services were promised but could not be mustered until 12 days later. A hospital bed could be provided but not until a week after discharge. We nursed my mother at home with minimal district nurse support until her death one week after being discharged. This was before any of the additional services could be provided. We were exhausted but proud to have coped with her death. I felt that support services should have been able to be arranged sooner so that they could have been of help.

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Responses

Response from Shona Dickson, Macmillan Clinical Nurse Specialist in Palliative Care, Ninewells Hospital, Dundee Health and Social Care Partnership, NHS Tayside 4 years ago
Shona Dickson
Macmillan Clinical Nurse Specialist in Palliative Care, Ninewells Hospital,
Dundee Health and Social Care Partnership, NHS Tayside

As a Macmillan Clinical Nurse Specialist in Palliative Care, I offer support and advice to improve the quality of life of people living with advanced illnesses who are admitted to hospital.

Submitted on 26/08/2019 at 17:46
Published on Care Opinion on 27/08/2019 at 10:14


picture of Shona Dickson

Dear Gruffthree

Thank you for taking the time to share your story with us and condolences on the recent loss of your mother.

The last 13 months must have been challenging for your mother and for you all as a family with so many different treatments being tried in an effort to try and control your mother’s myeloma.

I’m glad that the medical and nursing team treated your mother with dignity and that she was involved in making decisions about her treatment and where she wished to be for her final days.

Your mum would have felt comforted to know that she was being looked after at home in familiar surroundings by her family. However, I’m sorry to hear that additional services were not available in a timely way to provide more support to you all which must have been disappointing and which has left you feeling exhausted. Your feedback will help to inform ongoing discussions that we are having in Tayside to improve the care for people who are nearing the end of their life at home. If you would like to meet to discuss this further, please do not hesitate to contact me. My email address is shonadickson@nhs.net

Kind Regards

Shona

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Response from Alison Moss, Feedback Manager, NHS Tayside 4 years ago
Alison Moss
Feedback Manager,
NHS Tayside
Submitted on 27/08/2019 at 18:12
Published on Care Opinion at 18:12


Dear "Gruffthree"

I am so very sorry that you and your family did not experience the care you should have received when your mum was discharged home.

The provision of health and social care services in Angus is the responsibility of the Angus Health and Social Care Partnership. This includes District Nursing.

I would very much welcome the opportunity to speak to you about your experience; to learn from this to ensure that we improve the services we deliver for people in the future.

You can contact Shona, or myself if you prefer. I can be contacted via our Partnership email address - hsciangus.tayside@nhs.net

If you would prefer not to get in touch, please be assured that I will be discussing your experience with all our services in order to consider ways to improve care.

Thank you for highlighting your experience and please accept my condolences on the loss of your mother.

Kind regards.

Karen Fletcher

Lead Nurse, Angus Health & Social Care Partnership

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