4 years ago
Very disappointed and sad about the treatment of f...
Very disappointed and sad about the treatment of family in this hospital.
Grandma admitted to hospital after fracture. Grandma lived independently with home care and already had poor health. Admitted to the hospital and tests are taken. Established malfunction of one of the organs (which was already known). We as a family provide information in the form of a list of medication, including medication for the organ in question. This list is lost. We then deliver the medication in question; this also gets lost. Doctors refuse to operate due to poor organ function and leave grandma with untreated bone fracture in bed with the report that she has no pain. Family comes to visit; Grandma does have a lot of pain and family watches her bed for 3 hours before she gets adequate pain relief. Next day it will be announced again that doctors are not operating; organ operation still poor (medication has since been found (!!!) but apparently does not work well enough yet, although orthopedist now claims that the medication was provided while family was called by the hospital to seek medication?). Grandma has to go to a hospice to eventually die of bedsores and / or bone fractures instead of undergoing surgery and possibly die (although there is of course a chance that she will get through it). These messages, incidentally, came via an orthopedist and not via the anaesthesiologist who had made the decision in question; this was not available for comment and apparently his / her colleagues from anesthesia were not.
After having been in pain for several days, the situation deteriorated. Surgery is certainly no longer possible and pain relief must continue to be increased because the family still notices during the visit that there is a lot of pain during care. Family then tries to initiate palliative sedation. A hospice is also being sought and it appears that there is no place at all. If family insists on palliative sedation, there is even a geriatrician who suggests that family is trying to kill grandma. Doctors refuse a few more days to apply palliative sedation until, after several days of pain and 3 days of food and drink refusal, grandma receives morphine.
We find it incomprehensible that if they are faced with the choice to have someone of very old age operate at high risk or die slowly in a hospice / hospital that is preferred, especially if family indicates that surgery is the wish of the patient and the family (if this was not the case, this would certainly not have been insisted).
In whose interest has this been done? In our opinion, this is not in the interest of the patient, who has had to wait several days in bed with an untreated bone fracture, silent delirium and pain until surgery was definitely no longer an option and then painfully deteriorated until palliative sedation was a possibility. The communication to family was in no way soothing for the situation and sometimes almost insulting.