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"Medical support in aged care facility"

About: Craigcare Older Adult Mental Health Ward 10A/10B/10C Sir Charles Gairdner Hospital / Emergency Department

(as a carer),

My lovely spouse has dementia.  Unfortunately, they have needed to go into care. I have found the processes for altering their medical treatment very strange and frustrating.

It appears that, initially, they were allocated a GP - without my consultation.  The doctors at SCGH had apparently determined the best medicines for my spouse.  I found my spouse was confused and drowsy all the time and I wanted to get their medication reviewed.  As they had been referred to the Older Adult Mental Health (OAMH) for continued management, nothing was done until the psychiatrist from OAMH had reviewed my spouse. However, this was just the beginning.

It turns out that the process is:

1. Reviewed by the specialist - OAMH

2. Specialist sends recommendations to the aged care facility

3. Aged care facility passes the “recommendations” to the GP

4. GP writes the prescriptions

5. Prescriptions sent to the chemist

6. Medication finally received by the aged care facility.

This process takes nearly 2 weeks.  In the meantime, my spouse is still stressed out, agitated, scared, etc.  In my opinion, this is not a humane way to treat anyone, let alone a person with cognitive decline.

This has happened twice now.  I believe the first time was not an aberration.

What’s more, is that it seems the GP can ignore the specialist's advice. My understanding is that my spouse belongs to the GP.

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Responses

Response from Lesley Bennett, Chief Executive, East Metropolitan Health Service 2 years ago
Lesley Bennett
Chief Executive,
East Metropolitan Health Service
Submitted on 25/05/2021 at 11:59 AM
Published on Care Opinion at 12:20 PM


picture of Lesley Bennett

Dear Carer1950,

Thank you for taking the time to provide feedback on our services. We appreciate the time you have taken to do so.

Within our Older Adult Mental Health Services, we have processes in place to ensure that the person’s Next of Kin/Guardian, General Practitioner and Aged Care Facility are involved in their care. At discharge, our clinicians are also required to communicate the transfer of care to Next of Kin/Guardian, General Practitioner and Aged Care facility. Where a person is discharged from an inpatient unit, medications are provided for a period of time to ensure that there is enough medication up to the date that a prescription is filled in the community.

It is regrettable that on this occasion there appears to have been a delay with your spouse receiving their medication in a timely manner. I would like to offer my unreserved apologies for the distress to you and your spouse for what appears like a delay in your spouse receiving the medication. Senior staff in the Older Adult Mental Health Service have reviewed this process for efficiency and staff have been educated to implement the new process.

Thank you for providing us with this feedback, so we had an opportunity to improve the services provided to patients and prevent a reoccurrence of the situation.

Kind Regards,

Dr Lesley Bennett

Executive Director

Royal Perth Bentley Group

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