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"Emergency treatment following an overdose"

About: Armadale Hospital / Emergency Department

(as a carer),

I am a grandparent carer of a young person who has an eating disorder. They live by themselves now and is an adult. They were diagnosed with the eating disorder a few years ago and was under the care of the eating disorder unit at Perth Children’s Hospital until they aged out of the system. Since then, they have been monitored medically by a GP and sees a private psychologist weekly. They have a psychiatrist but has only seen them twice. 

Recently, my grandchild took an overdose (the second one since they became an adult), and then got very frightened and called me for help. I was close by and called an ambulance. They were taken to Armadale Hospital Emergency Department where they remained for 24 hours. My grandchild received an intravenous drip, I believe of one bag of saline and then two bags of a nutrient solution. Their blood pressure was low, as was their blood sugar. My grandchild was brought into a state of medical stability and a psychiatric assessment conducted. 

The psychiatric assessment found them to be capable of taking care of themselves, and of no immediate danger to themselves. Their eating disorder was not considered to be a risk factor at that time, and admission on those grounds was not necessary. 

I repeatedly asked for the treating clinicians to consult with WAEDOCS to get advice, and was repeatedly told that my grandchild did not fit the criteria for admission and they did not consider it necessary to ask for any advice. 

My grandchild was discharged with instructions to see their GP and to continue seeing their psychologist. 

I would have liked them to be admitted to an appropriate mental health ward, where they could recover and receive some therapy to better equip them to go on in a better frame of mind. There is only one hospital that has a mental health unit that is age-appropriate and trained to deal with eating disorder behaviour and unfortunately, we do not live in the right catch area so my grandchild was discharged. I greatly fear that there will be a repeat event and I can only hope that I am there to get them the help they need when that time comes. 

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Responses

Response from Diane Barr, Executive Director, Armadale Kalamunda Group 3 years ago
Diane Barr
Executive Director,
Armadale Kalamunda Group
Submitted on 29/10/2020 at 4:13 PM
Published on Care Opinion at 4:18 PM


picture of Diane Barr

Dear cygnusds65,

Thank you for taking the time to write to us expressing your concerns for your grandchild’s health and recent presentation to the Emergency Department (ED) at Armadale Health Service (AHS).

First and foremost, I am very sorry to hear of the challenges you have experienced whilst navigating mental health assistance for your grandchild. I acknowledge the difficulties which can come with an eating disorder diagnosis, but believe you certainly made the correct decision to bring your grandchild to ED to be reviewed following an overdose.

I would like to assure you that all staff in our ED have a strong knowledge and understanding of WAEDOCS, following a recent hospital-wide implementation of a policy which incorporates these principals.

AHS’ Clinical Head of Departments are committed to ensuring that there is continued education for staff to update their knowledge in this area.

Without further information, I am unfortunately unable to provide any specifics in relation to the care and treatment provided to your grandchild. I would like the opportunity to review this further, however, I do acknowledge that you may wish to remain anonymous.

If you would like to discuss this further, please contact our Consumer Liaison Office on (08) 9391 1153 or AKG_consumerliaison@health.wa.gov.au.

Thank you again for taking the time to share your story and I hope your grandchild’s recovering is progressing well.

Best Wishes

Di Barr

Executive Director

Armadale Kalamunda Group

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