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"Discharged with no home assessment or care package."

About: Community Services in Grampian / Formartine Community Nursing Team Dr Gray's Hospital / General Surgery Dr Gray's Hospital / Orthopaedics (Bones, Joints and Fractures)

(as a carer),

My mother who is in her late eighties and suffering from dementia was admitted to Dr.Gray's, Elgin and had an operation to replace part of her hip. Her stomach lining was destroyed years ago, due to a radiation overdose. Neither that detail or her dementia was written on her hospital notes.

She was told off for moving her arm and setting off an alarm, the nurse was surprised to discover she had dementia! One week later she was discharged. We were puzzled as no home assessment or care package had been put in place.

Her bathroom at home is upstairs and yet she could barely walk. We were told she had been signed off by OT because she had climbed a flight of stairs! Really? She struggled to stand up. We later discovered it was a folding 2-step. Fortunately my brother came to the rescue and put a single bed in his kitchen for her for a few days until we took her home - still nothing in place.

My sister and I are taking turns at staying with her. I have to travel some hours. We have placed a baby gate at the top of the stairs to stop her coming down by herself - she forgets she has had a hip operation.

We have asked for a banister so she can support herself going slowly upstairs. We have asked for a support to get her into the bath., 2 weeks on and nothing, so we will sort this out ourselves. We were asked to give her daily injections for 6 weeks and refused to do this. At least then a nurse would be in daily.

May I add that the district nurses who come in every day have been absolutely lovely and as helpful as they can be, dressing her sores and giving us advice as requested. There were also lovely auxiliaries in Dr. Grays. 

I really feel that a lot more could have been done to make my elderly mother's stay in hospital and return home, so much more comfortable and pleasant. She may be in her late eighties, she may be suffering from dementia, but she is a precious human being and a lovely soul who does not deserve any of this.

We are grateful to the surgeons who successfully worked on my mother's hip and previous operations she has had. However, the aftercare is questionable.

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Responses

Response from Lesley Gow, Nurse Manager, Surgical Services, NHS Grampian 10 months ago
Lesley Gow
Nurse Manager, Surgical Services,
NHS Grampian
Submitted on 12/06/2023 at 15:59
Published on Care Opinion at 15:59


Dear Rose Tulip,

I am so sorry to hear that your mothers care and discharged from Dr Gray's hospital was so poorly organised, and had it not been the attentive care from yourself and your family, your mother may have been at great risk. This should never have happened and is not how we want our vulnerable elderly community to be looked after.

As the nurse manager of the surgical services, within Dr Gray's hospital, I would really like to look into your mother's discharge further, to see where we have gone wrong and try to learn from your experience, to prevent this happening again to anyone else. To allow me to do this, I require some personal details from yourself and would be very grateful if you would email me directly to share these details. If you are happy to do this, please email me on Lesley.gow@nhs.scot.

Otherwise, I will absolutely share this with the senior charge nurse of Ward 6 and the physiotherapist & occupational therapist of the ward, to work together to see how we can be better at this.

However, I would like to say thank you for taking the time to share your experience with us, to give us the opportunity to improve our care. I look forward to hearing from you.

Kind regards, Lesley

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