bruises, A&E, new care home.

mimi jarvis

Registered User
Apr 2, 2012
30
0
apoogies in advance, for this rant - I am so mad I don't know where to start!!

My mother went into respite care for the first time a month ago. (She is in the later stages of Vascular dem). The care home was awful and too far for me to visit as often as I wanted to, so I found a nice place near me. Before mum was moved, she appeared to be suffering fairly bad constipation (the care home were feeding her nothing but jam doughnuts, as it was all she would eat). I asked countless times for them to up her fluid intake...for the constipation and regular uti's.
by the time she was transferred to her new home, she was unmanageable. Aggressive, agitated, couldn't sit still, wouldn't eat, drink, take medicine etc.

Because her doctors notes were not yet with the new care home, NO DOCTOR would see her. The care home couldn't manage her, and didn't seem to know what to do. I made a proper fuss and eventually they called the paramedics. We were then taken by ambulance to A&E and I was left in a box room with my highly distressed mother. I must also mention, my mother is blind.

We were there for four hours at night time. My mother was offered no pain relief, no fluid and no bed/trolley. I didn't believe what was happening to us. I was spoken to rudely by staff when I asked for someone to help us and eventually a student was sent to take notes. after waiting again for some medication, I finally broke down in tears and began to walk my mother out of the hospital - figuring, at least I could take her to my house and give her pain relief and a bed. Staff came running and finally gave mum diazepam until they could find her a bed to admit her. The next day, she was still in the same state and the staff on the emergency care ward clearly just wanted her gone. They said she had no medical reason to be there....even though she was bent double, clutching her abdomen and incredibly distressed (she had still not been to the toilet) and was very de-hydrated. The care home refused to take her back and I was faced with the prospect of her being admitted to a general ward. Unthinkable.

Luckily a social worker, understanding the situation, talked the care home around and my mother is back there. She finally got to see a doctor the following day who upped her pain relief and mum was finally 'unblocked' but her agitation is still very high and she is still clutching her stomach.

It's all terrible - what kind of rotten system leaves an elderly, dementia patient with no access to a doctor and only A & E as an option?

Even worse, I have now noticed bruises appearing over her arms, where she has obviously been badly manhandled and I don't know if this was hospital or care home staff.
I am stressed to death, FURIOUS with the nhs and just want to bundle my mother and take her home - but I can't manage her myself and the guilt is colossal.

I'm sorry for the length of this message, but if anyone should find themselves in a similar position, I would just say this.....do anything, but A&E must be a very very very last resort....and even then.....
ps I have written to the hospital and the D of H to complain - for all the good it will do.
thank you for listening. x:eek:
 
Last edited:

CollegeGirl

Registered User
Jan 19, 2011
9,525
0
North East England
This is an absolutely terrible tale, an abomination. I'm so sorry you've had this experience, both you and your mum. How furious and upset (not a strong enough word) you must be. I'm so very very sorry, I wish there was something I could do to help. Kind regards and lots of hugs for you both ... xxx
 

SWMBO1950

Registered User
Nov 17, 2011
2,076
0
Essex
Hi Mimi

What terrible reading your post makes. Unfortunately not the first such story and I am sure it will not be the last.

Your poor mum must have been in terrible pain (had a similar problem with my mother in the new year but we got it sorted at home although not a pleasant exercise) and the fact that your mother is blind must add to her confusion and quite honestly fright.

We are constantly told that there must be Dignity for the Elderly but I can only think God Help Us When Will It Begin???????

Very Best Wishes to you
 

Biddy88

Registered User
Mar 17, 2012
127
0
Mimi, I am so angry and so sad on your behalf. Nobody should have to go through an ordeal like this. It's a terrible situation for you to be in. Do you have any family or friends there to support you? If I knew someone I loved was going through this I'd be rushing to their side to help, and kicking up a stink! All your care and attention is focussed on your Mum, but you need someone to care for you too. Hope your social worker stays on board and can help you sort things out. Maybe she can put you in touch with a local carers' organisation too. My sis is finding a lot of support that way. XX
 

frazzled1

Registered User
Aug 25, 2011
212
0
london
OMG, what a shocking way to be treated. Big hug from me too. The bruises over her arm sound really terrible, i pray that it wasnt manhandling! You both have been through such a lot. No pain relief, fluid or trolley......its just awful. I have witnessed first hand people virtually falling over in a hospital reception area and other people just saying, sorry, run out of porters and wheelchairs, can't help!!!! Words fail me...
 

Pottingshed50

Registered User
Apr 8, 2012
514
0
My thoughts when I read your distressing post were - I wonder how those people working in the A & E ward would have felt if that was their Mum or Grandma. Honestly sometimes it makes you wonder what ever happened to kindness, bedside manner and common decency to our fellow man and to boot they are supposed to be professionals. I noticed that they soon flew into action when you were effectively escaping with your Mum and I dont blame you one bit, there is only so much anyone can take. Who do these individulas think they are, have they no feelings?

Glad that Mum's plumbing has been unblocked now and that she is a little better. Makes my blood boil.:mad:
 

mimi jarvis

Registered User
Apr 2, 2012
30
0
thank you all, for your kind words of support.

I've discovered that the management of dementia, in every single aspect, whether it is social, medical, financial, is a fight every single step of the way!!!
I'm spending lots of time with mum - She still hasn't eaten since the hospital admittance and is still very agitated. I'm crossing everything that she settles in the next week and gets some rest and peace, soon.

thanks again everyone x
 

Pottingshed50

Registered User
Apr 8, 2012
514
0
Your Mum and yourself will be in my prayers tonight. Keep your chin up.

I think it is ironical that you care so much and yet every step is a diffucult one. If there is anyone up there, please can they give you and your Mum a break. It is not much to ask, is it.
 

milomia

Registered User
Nov 29, 2010
86
0
Middlesbrough
I sympathise

I have forgotton how to cut and paste, and to be honest I am in a right state about my Dad...try to read back about my post " read this ...and be warned".... ( or if someone would be kind enough to do it for me) don't know whether I'm coming or going at the moment,,,,,,gonna fight to get justice for my Dad....NHS Hospital "elderly care" ward.....misrepresentation for sure. Still trying to sort stuff out, and yes the guilt is awful, and if only we had managed to keep him at home with his constipation...IF ONLY.
 

ggma

Registered User
Feb 18, 2012
1,126
0
North Staffordshire
Your experience in A & E is very similar to mine with Mum sad to say. Spending hours in A & E with someone who has Dementia, is in pain and no one will help you ........... It has happened to us 3 times now, so we dread Mum needing to go to hospital again, as our local hospital admit through A & E and even when GP has phoned in advance and warned them the experience is horrible.

Last time Mum was in hospital they stoped the meds which kept Mum regular so she ended up back in with blockage and dehydration!!

Not sure how we can make things better, but somehow things have to improve in the NHS for people with dementia. When you have spent hours in A & E listening to all the older people who are admitted during the evening and night you realise what a big problem it is.
 

odyssey

Registered User
Apr 25, 2012
13
0
Wales
A&e

Unfortunately this is not a rare occurance - its happening up and down the UK as we speak.I speak from personal experience - and with 27 years NHS service under my belt.
Just wait to read the Staffordshire Public Inquiry results.

If you are in England write to the CQC - In Wales to the Comissioner for Older People.
But far more effective .....contact the local press. Expose and challenge all and any examples of sub standard care you encounter. Do not all NHS and similar ignore the short comings.

Our relatives are (may be) confused; unable to articulate their feelings ; afraid ; physically ill ; vulnerable ; dependant upon a responsible adult to advocate for them.
They are also elderly - but transpose all of the above to a child - do you think they would be treated in he same way? I think not..........we would be knee deep in nurses, social workers , therapists desperate to help !

There is an entire mind set that we need to constructively challenge.
 

SWMBO1950

Registered User
Nov 17, 2011
2,076
0
Essex
Hi Odyssey

What you say is so true. I view my mother (now 97) in the same way as I would a 6 or 7 year old - just bigger and with grey hair ;)

People do not have any empathy for any illness to do with the mind. However if there is a bandage or plaster things are viewed differently :rolleyes:

Children are generally given much care and attention when ill but if it is someone with dementia I feel that hospital staff show no patience or understanding to the point where they are treated as nuicences and almost with contempt :eek:

The worst thing that ever happened was when nursing was attached to a degree course - (I speak a someone also who is ex NHS - now retired) no vocation for most :rolleyes:

Best Wishes


Unfortunately this is not a rare occurance - its happening up and down the UK as we speak.I speak from personal experience - and with 27 years NHS service under my belt.
Just wait to read the Staffordshire Public Inquiry results.

If you are in England write to the CQC - In Wales to the Comissioner for Older People.
But far more effective .....contact the local press. Expose and challenge all and any examples of sub standard care you encounter. Do not all NHS and similar ignore the short comings.

Our relatives are (may be) confused; unable to articulate their feelings ; afraid ; physically ill ; vulnerable ; dependant upon a responsible adult to advocate for them.
They are also elderly - but transpose all of the above to a child - do you think they would be treated in he same way? I think not..........we would be knee deep in nurses, social workers , therapists desperate to help !

There is an entire mind set that we need to constructively challenge.
 

jeany123

Registered User
Mar 24, 2012
19,034
0
74
Durham
What I noticed was sympathetic looks from the nurses and doctors and " Do you need help with him at home ?"

Er no I need help for him now he's in hospital !!!!!
 

Saffie

Registered User
Mar 26, 2011
22,513
0
Near Southampton
Ths whole story shows neglect and a totally uncaring attitude by those who are supposed to be party of a 'caring' profession - be they carers, nurses. doctors ot whoever.

Because her doctors notes were not yet with the new care home, NO DOCTOR would see her.

I just don't understand this. Any new patient at any practice can be seen by a doctor. My husband was seen in his nursing home the day after his arrival and certainly before any medical notes had been sent there.

They said she had no medical reason to be there....even though she was bent double, clutching her abdomen and incredibly distressed (she had still not been to the toilet) and was very de-hydrated. The care home refused to take her back and I was faced with the prospect of her being admitted to a general ward. Unthinkable.

Did not the care home give your mother medication to release her bowels? Do they not keep a chart of this activity and act accordingly? There should be an individual chart for this. Also the fluid record, every amount drunk should be recorded. If this is not happening, it should be. The residents' health and wellbeing depend on these things.

I am so sorry you have had to face all this - and that your poor mother has too. I am appalled. I hope you get some answers from both the hospital and the home. good luck X
 

odyssey

Registered User
Apr 25, 2012
13
0
Wales
A&e

You only have to read , compare and contrast the reports on nurse Beverly Allitt and GP Harold Shipman.

Beverley Gail Allitt was convicted of murdering four children, attempting to murder three other children, and causing grievous bodily harm to a further six children.

The crimes were committed over a period of 59 days between February and April 1991 in the children's ward at Grantham and Kesteven Hospital, Lincolnshire, where Allitt was employed as a State Enrolled Nurse.

In May 1993, at Nottingham Crown Court, she received 13 life sentences for the crimes. Mr. Justice Latham, sentencing, told Allitt that she was "a serious danger" to others and was unlikely ever to be considered safe enough to be released. She is detained at Rampton Secure Hospital in Nottinghamshire.

----------------------------

Harold Fredrick Shipman - a doctor and one of the most prolific serial killers in recorded history with 218 murders being positively ascribed to him.

On 31 January 2000, a jury found Shipman guilty of 15 murders. He was sentenced to life imprisonment and the judge recommended that he never be released.

After his trial, the Shipman Inquiry, chaired by Dame Janet Smith, investigated all deaths certified by Shipman. About 80% of his victims were elderly or vulnerable women.

Shipman died on 13 January 2004, after hanging himself in his cell at Wakefield Prison in West Yorkshire. Leaving behind an NHS death in service payment and lucrative pension as he died one day before a birthday which would have negated payment (14 January 1946 – 13 January 2004).

Both appauling and unforgivable actions of cruelty against the most vulnerable in our society.

But think back - which had the most press coverage? Which was most emotive? Which elicited public out pouring of shock and awe? Which resulted in change of statute? Which generated a mandatory breed of specialist nurses (RSCN), and mandated minimum clinical standards and dedicated fully equipped hospital wards??????????
 

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