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"Diabolical Treatment of Family of Palliative Care Patient"

About: Royal Perth Hospital / Respiratory Medicine & Ward 9C

(as a relative),

I want to share my experience with a night nurse in Ward 9C recently, during what was one of the most devastating experiences of my life — watching my mum die.

I had been by Mum’s side for close to 48 hours. The night before had been extremely difficult, with Mum very distressed and her medications not adequately controlling her symptoms. We had been reassured by the day and afternoon nursing staff, as well as the palliative care team, that the following night would be managed differently. We were told the night staff would schedule visits to offer medication so that, as a family, we could make the decision about whether Mum needed it.

During the night, I asked the night nurse a simple question. Instead of receiving compassion or a clear explanation, the interaction became an argument, with the nurse raising their voice at me.

I was also frustrated by the lack of explanation around Mum’s treatment. Medical terminology was used when, as a family going through the most distressing time of our lives, simple and understandable language would have been far more appropriate.

Eventually, I had to ask the nurse to leave the room because their raised voice and confrontational manner were causing distress to both myself and other members of my family.

I cannot adequately express how upsetting this was. I was not a difficult family member looking for an argument. I was a relative sitting beside their dying mum, exhausted, frightened and trying to understand what was happening so that we could make the best decisions for her.

The majority of the staff who cared for Mum showed us incredible kindness and compassion, and I will always be grateful to those people. But this particular interaction has stayed with me because, at such a vulnerable point in our lives, compassion should have been at the centre of their care.

Nobody should have to advocate for basic compassion while watching their loved one die.

I hope this experience is reflected on, because families in palliative care need to feel safe, heard, respected and supported — especially when they are living through the final hours of someone they love.

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Responses

Response from Ben Noteboom, Executive Director, Royal Perth Bentley Mount Lawley Group 3 weeks ago
Ben Noteboom
Executive Director,
Royal Perth Bentley Mount Lawley Group
Submitted on 17/08/2026 at 4:32 PM
Published on Care Opinion Australia at 4:50 PM


picture of Ben Noteboom

Dear novemberjm87,

I started reading your story with the hope that it would be a heartwarming one of compassion and dignity for your mum and your family during such a difficult time for you all.

Words cannot express how deeply disappointed and sorry I was to continue reading and see that this was not, in all aspects, the case. You, your mum, and the rest of your family had every right to expect to be treated with kindness, respect, and open and clear communication, particularly at such a distressing time for you all. I sincerely apologise that we let you down during your time of need. The experience you have described is not the standard that we expect of our staff, and I am very grateful for you taking the time, particularly while you are grieving the loss of your mother, to less us know how much of an impact this has had for you all.

I understand that following this incident, your mum’s care was promptly reallocated to a different nurse for the remainder of the night, and that the 9C Nurse Unit Manager met with you the next day and apologised for the events overnight.

Our review identified that the nurse involved was not employed by RPH and was working on the ward through an external nursing agency, which commonly occurs for example to fill shifts due to sick leave. The details of this incident have been formally documented, and the appropriate feedback has been provided to the agency for review and follow-up in accordance with their processes. Irrespective of whether the nurse was a RPH employee or engaged through a nursing agency, our expectations of them are the same, to provide compassionate and high quality care in line with our values at all times.

I appreciate that these actions cannot undo the hurt caused, but I hope it provides some reassurance that we have taken your concerns seriously and that steps have been taken to address the matter. Feedback such as yours is invaluable in highlighting the importance of clear communication, empathy, and compassion, particularly when caring for patients and families at the end of life.

Once again, I sincerely apologise for the distress and disappointment this experience has caused. Thank you again for bringing this matter to my attention and for sharing such personal and important reflections during what has undoubtedly been one of the most difficult times in your life.

My thoughts are with you and your family during this sad and difficult time.

Kind Regards,

Ben Noteboom

Executive Director

Royal Perth Bentley Group

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