"Suggestion for Patient Discharge Advice"

About: Ayr Hospital / Urology

(as the patient),

I recently had a few days as an in-patient at the University Hospital Ayr. It was the end of a long journey (10 years) involving many tests, consultations and even a biopsy. Yes, I was finally going in for a TURP (Transurethral resection of the prostate). Being me, I had already quizzed my Urology consultant about the whole process, but especially the operation, the anaesthesia, recovery and subsequent discharge back home.

I am delighted to say that everything went well, exactly as planned. My recovery was swift and I was discharged a few days later. I have already written to the Hospital thanking them for this and in particular the professionalism of three Nurses who directly tended to me: Lorna, Margaret and Laurie.

I recently reflected on this successful procedure when I realised I was not given any written discharge advice. For example, after nearly 2 weeks I still had (reducing) blood in my urine. I was aware that I should not drive at the moment and that my full recovery would take some time. Also, that it is possible that it could appear that the original problem is returning - but that is simply part of the healing process.

Now! Being a glutton for information, I already knew about the process, from admission to full recovery, from the Internet (Many sites polled for concurrence). However, what of those who do not have access, or the desire to research, the internet? Also, I am 67 and was the youngest patient in the ward; some were in their late eighties and nineties.

I wonder if, in this case, a simple A4 sheet of advice and expectations should be given to the Patient and his/her carer on the way out. I do stress, the treatment I received at the University Hospital Ayr was excellent in every aspect - especially the personal touch, assured dignity at all times and sheer professionalism and consideration of the Nurses I have already named.

Do you have a similar story to tell? Tell your story & make a difference ››

Responses

Response from Team Leader, Patient and Community Relations Department, NHS Ayrshire and Arran

Dear CMB,

Thank you for your positive comments relating to your recent stay in Unversity Hospital Ayr. I hope you continue to make a good recovery. I can advise that your thanks has been past onto the staff involved in your care.

I am sorry to read that you did not receive any advice when recently discharged from our care. I have passed your comments onto the relevant department and asked if this is something that was either omitted when you were discharged or if it is something they would consider in the future. I will provide a further response in due course.

Thank you once again for your positive feed back.

  • {{helpful}} of {{total()}} people think this response is helpful

Update posted by cmb (the patient)

Unfortunately, the response incorrectly states that I "did not receive any advice .."

What I said was "I recently reflected on this successful procedure when I realised I was not given any written discharge advice." My request was for written discharge advice. I was verbally advised by the Surgeon and the Nursing staff what to expect. I also referred to the age of my fellow patients and, perhaps too subtly, implied that in this case written advice should perhaps be used to supplement the verbal advice.

My aim was to improve an already splendid system, NOT to criticise. To say "I am sorry to read that you did not receive any advice" is simply untrue and does not reflect the positive thrust of my contribution

Response from Martha McCrea, Team Leader, Patient and Community Relations Department, NHS Ayrshire and Arran

Dear CMB,

Please accept my apology for my incorrect response to your initial contact concerning Discharge Advice for Patients.

I have been advised that patients for TURP are usually given written information at their pre-operative assessment appointment which includes recovery information. On discharge the patient will be given verbal advice by the clinician; as a result of your comments we will ask doctors to check with patients that they do still have the information leaflet.

The pre-op booklet is filed in patients’ case-notes and includes a tick-box to indicate what information the individual patient has been given. I apologise if you did not receive this information at your pre-operative assessment.

Once again thank you for the positive feed back that you provided in your contact.

kind regards

  • {{helpful}} of {{total()}} people think this response is helpful