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"Ill-advised discharge"

About: Sir Charles Gairdner Hospital / Neurosurgical Unit

(as a relative),

This story is in relation to my spouse and dates back a year at Sir Charles Gairdner Hospital (SCGH). My spouse was admitted through emergency as they'd been advised from a previous CT scan that they had chronic Hydrocephalus.

During the time of this admission, I felt the system failed us in so many ways. Due to their Hydrocephalus, my spouse had severe memory loss, was unable to recall information, was physically impaired (unable to walk properly), suffered severe headaches and changes in personality. My spouse was certainly unable to retain any information given to whenever the Doctors would come by and see my spouse during their rounds. I felt totally helpless, terrified and exhausted. I wasn’t getting a clear picture of what was going on with my spouse at all despite my numerous attempts to try and speak with their neurosurgeon or team. We have young children so it was extremely difficult to get there early in the morning to catch the Doctors on their rounds. 

My spouse was discharged 5 days later with no answers. It wasn’t until we sought a second opinion that I discovered my spouse was in fact offered surgery (their only option) but due to their impairment couldn’t recall this even happening. Not only that, no one even thought to tell me that my spouse had apparently refused surgery. There was no mention of this offer of surgery when my spouse was discharged, no record of it on their discharge papers either.

If I had been informed of this at the time then their story may have been a lot different. My spouse's story still continues (a year later) with multiple hospital admissions. I have made a formal complaint through the Patient Liaison Service in regards to the above story but was certainly not happy with the response.

Even after making multiple attempts to speak with the neurosurgeon treating my spouse I was told the neurosurgeon was unaware that I wanted to be informed of all of my spouse's pre-operative care. I believe it’s not a matter of wondering whether I would like to be informed, it was absolutely necessary in my spouse's case due to their inability to think rationally because of their Hydrocephalus.

In my opinion, it is clear that someone suffering from chronic Hydrocephalus would be unable to make such a huge decision. To put it into perspective, my spouse saw the Doctors only 20 minutes prior to me ringing them and when I asked my spouse what the Doctors had said, their response was “Ummm, well I did see them ... I think. But I don’t really remember what was said. I don’t think they said much actually”. 

I will also add that our most recent stay at SCGH in the High Dependency Unit was faultless. This requires another story as there are so many truly amazing nurses on this ward. We are forever grateful for their care. 

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Responses

Response from Janet Zagari, Executive Director, Sir Charles Gairdner Osborne Park Health Care Group 4 years ago
Janet Zagari
Executive Director,
Sir Charles Gairdner Osborne Park Health Care Group
Submitted on 30/01/2020 at 5:25 PM
Published on Care Opinion at 5:29 PM


picture of Janet Zagari

Dear Isolated,

Thank you for taking the time to give us feedback about your experience as a carer when your spouse was an inpatient at Sir Charles Gairdner Hospital. I am sincerely sorry to hear that the response we provided to your complaint earlier this year has not addressed the concerns you identified at that time.

We are committed to improving how we communicate with our carers and consumers to improve patient care and appreciate your feedback regarding the impact this has had on you. I will take your concerns to the hospital’s Partnering with Consumers Committee so that we can look at ways to strengthen the role of the carer in care planning.

The Nursing Co-Director for the Surgical Service has advised me that your spouse has had several admissions related to their condition over the past year which must be very difficult and distressing for you and your family. I do hope that the interactions that you have had with the teams have been positive and that you have felt included in the plan of care for your spouse.

It is good to hear that your spouse’s most recent admission to the High Dependency Unit was faultless and that care received was delivered with the care and compassion that we pride ourselves on.

Once again it is truly appreciated that you have taken the time to share your feedback with us regarding the impact that your experience has had on your spouse’s journey.

I do hope your spouse is recovering following their most recent admission and wish them well.

Kind regards,

Janet Zagari

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