Poor nursing.

My father in law was admitted to Sunderland Royal Hospital ward E53. I found the medical staff to be very good. Good at communicating and caring.

Some of the nursing staff on the other hand were unprofessional and very uncaring.

My father in law was put onto the Liverpool care pathway and it was explained by the doctor who was very good.

After this discussion we were asked if there was anything we wanted so I requested a side room as his breathing was noisy and thought it would be more pleasant for us and him and the other patients. This was on the Saturday and we were told by a male staff nurse that the bed manager said there wouldn’t be one available until Monday which as he was only to survive until Monday seemed a bit late. I suggested another ward or moving out a fitter patient but said that was not feasible. A room did come available on the Sunday however. I did wonder if he would ever have got a room if I hadn’t pestered.

He was having sedation as he was rather agitated at times so I asked the nurse at the nurses station if he could have some and be turned at the same time. 40 minutes later it hadn’t arrived so my husband went to ask again and the nurse said she hadn’t been to get it due to being too busy. It arrived in the next 5 mins. I feel it is too long to wait, thankfully it wasn’t analgesia. We asked for him to be turned as it had been 6 hours she said she would be back. 10 mins later she did not appear so we did it ourselves. When she did appear, I wasn’t very happy and asked her how often she thought he should be moved and she said 4 hourly even though 6 hours had lapsed. He certainly wasn’t given 4 hourly turns for pressure care.

Ways in which they could improve care: – when the doctor takes the family into a room and discusses the Liverpool Pathway, a nurse should also be present so that she can tell you what the nursing care pathway will be. What we were promised from the doctor about the nursing care was certainly not the case. Once he was deemed as terminal, we never saw nurses for dust.

When in a side room with a dying, patient relatives need support as well. A nurses head put round the door every hour or so to see if the patient is ok wouldn’t kill them surely and would show caring and compassion for others which apparently is sadly missing in the trained nurses.

The sister appeared on the Monday on the ward. Her desk was opposite the room we were in. She never once came to introduce herself or look in on my father in law which I thought was very unprofessional and uncaring. The other nurses didn’t either. We had to go and find them if we wanted anything and then wait. I felt as though we had been put in a room and left to our own devices with no care for the dying in place.

My husband was concerned about leaving at night because nobody was coming in through the day for about 6 hours and that was when we were there. What hope did he have of getting any attention at night? The most friendly and attentive staff were the support workers and the domestic staff who did dare to venture into the room to ask if we wanted cups of tea. Thank you.

All in all a very frustrating and disappointing hospital stay. Highly disappointed in the qualified staff and feel they put nursing into disrepute. My father in law did die and needless to say we didn’t get there in time. They said there was someone with him but am loathe to believe them as to how little attention they gave him through the day.

Sharrow

Felt there was a lack of attention by staff in A&E

I received a call saying that my mother was in A&E after having a fit at her home. My father had called an ambulance, but was in shock and at home.

I travelled in and met up with my sister and father. On arrival my mother was on her own in a typical A&E cubical. She was weak. She started to throw up thick green bile. Only because we were there were we able to deal with the situation otherwise she might have been covered in her own vomit.

My mother was concious and communicating. The decision was made to have her head x-rayed to see if there was pressure on her brain. She was suffering from colon cancer and acute liver cancer, and the fear was it had spread.

Whilst waiting in the corridor of the x-ray dept I noticed the drip that had been put in had come out and the saline was pouring out onto her – I don’t recall if it was re-attached. Not long after whilst waiting on the trolley she had a second fit – again we were the only people there to help deal with it and call for assistance. If we hadn’t been there then she would have been all alone.

I’m not saying the outcome would have been any different, but I just don’t accept that she didn’t deserve a nurse to attend her in this most difficult of times. Yes it was a very busy evening, but we feel that having such an apparently low level of staff as to warrant leaving critically ill people unattended around the hospital is unacceptable. As it is we have all been traumatised by the sequence of events that unfolded. We have been left with the nagging doubts in our mind – would the saline drip had made a difference, could anything different have been done if she had been under the observation of trained staff?

She went in poorly, but not at deaths door, and never made it out – one thing led to another and she suffered terminal brain damage, so bad we had to eventually switch the life support machine off. 2 weeks prior she had been travelling the Middle East.

Broken Hearted Son

Upset with care in my wife’s final months

My wife was diagnosed with terminal cancer 3/1/08, and died 6/10/08 in Southend University hospital. During this period, I felt that her clinical and nursing care was appalling. All of this has been told to the hospital, and is subject to enquiry and review.

At times during her care, my wife’s patient file notes were not made up, and often her patient record was not available. Her medication and pain relief was not always given when needed. Her discharge medication was sometimes not given, prescription ignored, or in sufficient quantity or missed off entirely. And her 24 hour chemo infusion was administered in 8 hours, despite 2 nurses who were legally bound to countersign the chart and check each others procedure.

My wife on another occasion became so ill, despite notes in the file and her drawing staffs attention at 11.30 a.m. to how she was feeling, and my doing so in the afternoon, that she subsequently had 2 fits. During the 2nd one, I was the only person available and alerted staff. They told her next day that a CT scan showed the cancer had spread to her brain. The impact of this news can only be imagined. Luckily an MRI scan, on analysis, showed this not to be the case. But the damage to our confidence was done. Finally, she had drain tube fitted, under a short medical procedure, to draw off fluid build up. The flow rate should have been controlled, but was allowed to free drain, which was completely wrong. I drew staff attention to this at the time and expressed my concern and increasing despair at what was happening.

She was discharged ill, which is agreed. The hospital failed to inform the districts nurses, standard procedure, of the discharge and management. They found out from me. She drained freely for 10 days, literally draining the life out of her with district Macmillan nurses and emergency call out doctor, apparently watching it happen, and my seeing her decline. She was readmitted to hospital with kidney failure. Her cancer was back, but this accelerated her decline. She was left for over 4 hours, by doctors who said she was not on their list. This had happened numerous times over the period of her illness. I felt some doctors and consultants had appalling attitudes, and arrogance seemed to prevail.

She survived a further 10 days in hospital before she died. I stayed for the whole time and, as I said at the review meeting, it was hell knowing what she had been through and what she went through in that period before she died. A lot more happened, but that is the essence of the story. It is scary and frightening that so much should happen to one person in such a short period of time, when she knew from the outset she only had 6 months to a year to live. She was remarkably brave, showed incredible strength and humility, did not want to be a burden, but I feel she was ultimately failed by a system meant to care but too bound up in justifying its own existence. This attitude was shown time and again from the highest to the lowest. And they didn’t seem to follow their own complaints procedure correctly. This just adds insult to injury and the disdain with which I feel we were treated.

dave 1954

Father-in-laws stay on Gervis Pearson ward, Nottingham City Hospital.

After a few days of acting out of character, my father in law took a turn for the worse on a Sunday and was taken by ambulance to another hospital in the area. He stayed there almost 3 weeks, until we were given the devastating diagnosis of Kidney cancer. He was moved to Gervis Pearson, as they were the specialists in the field. It was here that his care was dramatically improved. We were told it was sadly a terminal condition. The care he and us recieved will never ever be forgotten by our family.

They cared not only about him as a patient but us as those who were losing someone they loved. In the end, the visiting hours were 24/7, and the nurses/doctors were like angels. He only lasted another 3 weeks, but the nurses became his friends, despite him suffering from hallucinations, aggression and dementia due to the cancer ravaging his body.

The funeral is next week and we have asked for no flowers only donations to this wonderful ward. I dread to think how his last weeks would have been if he had stayed in the other hospital. So thank you to you all, you gave a chink of light to our darkest hour.

RestEasyBeachy

Referral to hospital

My father was referred to Wigan hospital by his GP for him to be admitted at around 5.45pm. We were sent to A&E and we got there at 9.10pm due to waiting for an ambulance to come. I explained that I was able to take him myself but as it was ordered I was told to go by ambulance.

When we arrived we showed the hospital staff a card which should have helped him to been seen quicker due to his illness. The nurses came to check his blood pressure and also put him on a drip. They informed us the medics were just changing over shifts and would be with us shortly. By 11.10pm nobody had been near him since the nurses. I went up to the desk as my father was going very dizzy and in a lot of pain (my father has terminal cancer) and needed assistance. She explained she will get him on a bed in the next room(CDW). 45 mins later I went back to the desk to state nobody had been near him. I was told he was next in line to be seen, then a porter came and took him onto the CDW, but by this time it was 11.45pm and my father had to take his own medication. At 12pm I left after being informed that the original medic hadn’t turned in and the replacement was on his way round to each patient. I believe this contradicts what I had previously been informed. By this point still nobody had been to see him.

I phoned the next morning and was told that the nurse was with him and could I be put on hold for a moment. I was put on hold that long the line went dead I phoned back 15minutes later and was asked to phone back in 1/2hour as the nurse was still with him. Low and behold dad phones 10 minutes later to say he was moved in the middle of the night to another ward and given a blood transfusion. It is completely beyond me why they could they not have admitted him straight away. I think the doctor could have phoned to see if there were any beds and done all this on the ward instead of leaving an old man, my dad with terminal cancer sat in a chair for 3hours. This incident just added to the stress my family are going through and has been very upsetting to all of us.

mads

My stay in Jarvis Pearson Ward

First of all I was admitted in to the City hospital in June 2012 with pneumonia. I already have the deadly disease mesothelioma which is terminal so things were very difficult for my wife and I.

I was then admitted again in Nov 2012 with water retention in the abdomen and legs so I had to have a drain fitted.

The doctors were very professional in their work and very caring when explaining things to me which I am extremely thankful for especially to Dr Hennig and his colleagues from Oncology. The nurses were very friendly and always had a smile, they were very reassuring in all my concerns and very polite.

My care in my opinion could not have been better because I had the best on both my stays on the Jarvis Pearson Ward. I would definitely recommend this ward.

The meals were very nice and the staff were very polite. The cleaning staff were very nice too.

Overall we were made to feel at ease and very well cared for so a big THANK YOU to all the Doctors, Nurses and all the staff on Jarvis Pearson ward who took care of me.

macuser

Elderly care

As the relative of an elderly lady with cancer being treated at this hospital i have to wonder what happened to care and kindness! there is little or no communication between staff and patients with no one to offer a kind word or a little reassurance for the elderly.

Information is difficult to get from staff who clearly need communication lessons! its not hard when requested to look at a patients records and give relevant information to families.

The staff we have dealt with mumble and can’t look at you when you speak to them and treat you as if you have no right to hold them up with questions.

When we were told my relative’s condition was terminal we were told by the doctor that we would be supported by Palliative care to find the best possible end of life care for her.

We were sent an email with to nursing home options to look at , no face to face conversation and no answers to the many questions we have.

On visiting my relative her drinks had been moved out of reach from her bed and her buzzer no where near her.

We have seen other elderly patients on the wards been left on commodes shouting for help being ignored by groups of nurses chatting at the nurses station.

Disgusting treatment .

Posted by: Anonymous

I spent many weeks looking after my mum who was…

I spent many weeks looking after my mum who was admitted with what ended up being a terminal illness. I love my mum very much and was determined to be present during all visiting hours. Unfortunately this allowed me to witness some very basic and horrible lack of care issues which I reported. I felt so deeply sad when I saw elderly women being ignored when in pain and distress. It was the basic lack of care and compassion. A hospital was supposed to be a place to feel safe and cared for but not in this case. Summary – lack of compassion and care, low numbers of qualified staff, light left on in wards at night and very noisy talking laughing staff at nursing stations at night. Still feel so sad that people have to enter their final days or months into a place of such failings. This is not a condemnation of the majority of qualified and dedicated nurses but a damning first hand observation of the failings of management and senior nursing staff and doctors who have lost all bedside manner and compassion. I still hurts to think that as I type this there will be ill and often elderly patients that are suffering through simple lack of compassion and care. So sorry. Avoid being admitted if at all possible.

Anonymous

The all staff are very helpful …

The all staff are very helpful and try their best considering their work load.

What could be improved

The lifts and more communication with patient and relatives of patients.

My experience with Lister hospital has been good – it is my 84 year old father’s experience which I am rather upset about. My father has been an outpatient for the past four months, attending clinics, tests and scans to find out what has been causing him so much pain and weight loss. Last Thursday 29th April he had an appointment with his specialist – he thought it was a usual routine appointment – this turned out not to be the case. Baring in mind that my father who is very frail now and had had to make two long bus journeys on his own to attend the clinc(I did not find this out until the afternoon). He was told by his specialist that they where very sorry to tell him but after months of tests and scans he has terminal cancer and may have

about one month maybe a year to live. Well fair enough – what I cannot quite understand is the specialists knew that they were going to deliver bad news to my father why oh why did they not ask him to have a relative or friend to come with him. He then had to make that long journey home all on his own after being told he may not have long to live!! All I want to know is what is the normal policy/ procedure for telling a patient a that they have only months to live. I am very upset and angry with how my father was treated – or once again is it because he is old and a waste of time. This has left our whole family in shock.

Anonymous

Friendly and competent staff in …

Friendly and competent staff in A&E and Bethesden ward.

What could be improved

Weekend cover – there were apparently 4 doctors covering over 100 patients the weekend my partner was in the William Harvey. The doctor who treated my partner seemed stressed, tired and hadn’t had a break or eaten in many hours. She also seemed exasperated by the situation, by the lack of resources, by the lack of general communication and coordination going on. It was pathetic. My partner was clearly at the bottom of the priority list for the nurses, and got very cursory attention despite the fact that she has terminal cancer. It was all so sad.

People are just as ill at weekends as during a weekday: you need to plan your resource allocation more intelligently, and get nurses and doctors in there who have the time and training to work out patients’ histories properly, and treat them diligently.

The sister on Cambridge M2 ward was generally unhelpful and unprofessional. Hostile, even. Maybe she was stressed because of lack of resources. My partner got into a kind of argument with her about lack of appropriate care. Afterwards, the sister seemed uncommunicative and unhelpful. Again, distressing, stressful, and saddening.

A&E receptionists – unhelpful. Really unhelpful.

– poor mobile phone reception.

– no wireless internet, not even the sort you could pay for.

– very poor food. Honestly, the single most important thing to someone who feels poorly is good food and good, friendly care. These things are so simple and cheap to provide, and yet they make a truly massive difference to a patient’s quality of life in a stressful and difficult time. Offering cheap, nasty, unhealthy food only wastes resources. My partner relied *entirely* on food I brought in. The woman in the same room relied *entirely* on food brought in by her family. I suspect this situation is very common.

– wards with lots of geriatric patients, some of whom appeared to be suffering from dementia. It was all pretty sad and distressing. Call me old-fashioned, but shouldn’t geriatric (dementia) patients be on separate wards, with specialist care? Will we be seeing children on the same wards as adults next? Pregnant women?

I hope my comments are taken seriously. There’s so much box-ticking going on in hospital ratings, and yet it’s ultimately only one part of the picture. It’s the little things that make such a difference, and yet it’s the little things that are so tough to get right. I really do want hospitals to work properly. Seeing healthcare work well is so utterly inspirational. Seeing it fail miserably is one of the most depressing things I can think of.

Matthew