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"Information after discharge"

About: King Edward Memorial Hospital / Gynaecology

(as the patient),

I am an elderly patient and recently I was at emergency of this hospital with a prolapse which I found out on that day it was of the bladder. I had a hysterectomy about 50 years ago, I was fitted with a pessary and sent home and told to return if I couldn’t pass urine or if it fell out and come back for a review in 3 months I was given a script for Ovestin cream to use twice a week and they would send information on the appointment etc by email. I had never had a pessary before and even my prior nursing knowledge didn’t help me. I was in quite a bit of pain and distress so attended my local doctor about a week later to get a referral to a gynaecologist.

I phoned the specialist to make an appointment and informed them a referral had been sent but was told they were deciding whether to see me or not. I had nothing given to me in writing on discharge from KEMH so waited for the email to come for further information but it never came. So a few days later I was in considerable pain and not able to defecate so my child took me to emergency at KEMH I cannot fault the doctors and nursing staff they were great and it was then I was told I was to have a nurse remove the pessary every week for a clean and other information I had not been given on my previous admission.

On reflection when they inspected the pessary they knew I hadn’t had a chance to remove and clean it they should have done it for me then. I was given no information or shown how to remove the pessary myself or how or where I was to get a nurse to come out weekly it is just lucky that I have someone to help me with this. But not all elderly people have this knowledge or home help so I feel it was very remiss of them to have not queried this. I believe it would be so helpful if you had a print out on the subject instead of relying on email information being sent out that it seems to me never gets sent.

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Responses

Response from Diane Barr, Executive Director, Women and Newborn Health Service, North Metropolitan Health Service 16 months ago
Diane Barr
Executive Director, Women and Newborn Health Service,
North Metropolitan Health Service
Submitted on 12/12/2022 at 4:55 PM
Published on Care Opinion on 20/12/2022 at 2:32 PM


picture of Diane Barr

Dear februaryne83

Thank you for taking the time to share your experience with the Women & Newborn Health Service (WNHS) Emergency Centre (EC) at King Edward Memorial Hospital (KEMH).

KEMH strives to provide quality, patient-centred care and I am sorry to hear there was insufficient pessary advice given to you when you first visited our EC. I was also sorry to hear that after you were discharged, you experienced ongoing pain and that a follow-up review was not forthcoming. I can understand how distressing this would have been for you, particularly as you were in pain after your initial visit. I am glad to hear that on your return to the EC, our nursing and medical staff provided excellent care, including giving you pessary information and a plan for follow-up.

Your comments will be shared with our EC staff to ensure improvements are made. We will take this opportunity to upskill our EC staff with pessary management advice and we will provide pessary patient information brochures, including who to contact if there is a problem.

We take feedback seriously and appreciate you taking the time to let us know how the issues mentioned impacted your visit. Should you wish to have the matter followed up further, please contact the WNHS Consumer Liaison Service on 08 6458 1444 or wnhscls@health.wa.gov.au, who will make the arrangements to have your case reviewed.

I would like to thank you once again for taking the time to detail your experience and I wish you all the best for the future.

Yours sincerely

Di Barr

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