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"Pain relief for appendicitis"

About: Armadale Hospital / Emergency Department

(as the patient),

I arrived at Armadale Hospital with severe abdominal pain. I was very fortunate that the ED was quiet and I was taken to a room right away, however for the next 3 and a half hours I was left alone in a room in excruciating pain.

The nurse came in regularly to take my obs and my high blood pressure was reflective of my pain level. When a doctor came in around 3 hours later they put a cannula in and said they would be right back with pain relief and never came back. Eventually when I was able to speak to the nurse I asked them why I hadn’t been given any medication and I recall they said the doctor must have charted it and not told them. The nurse then came back and administered ‘pain relief’ which I later found out was just pantoprazole, saline and buscopan.

When I saw the doctor again I asked them twice for more pain relief as I was in an extreme amount of pain. The doctor told me they had asked the intern to chart it but the nurse told me nothing was charted. I then was taken for an ultrasound and diagnosed with appendicitis which I believe is why I was in so much pain and why the medication I was given was not effective at treating my pain. I was taken to surgery shortly after.

My experience on the surgical ward was better, however I still found myself having to constantly ask for pain relief and the nurses appeared puzzled as to why I needed it. The whole experience was very traumatic and frustrating. The post op ward was loud with bright lights over my bed which I was told couldn’t be turned off and I started to develop a migraine and again doctors and nurses dismissed my distress. I also was not given my regular medication (Pristiq) which I normally take in the morning and went into withdrawal. I told nursing staff and my partner even brought it in for me but was told we needed to have it provided by the hospital (I do understand that policy as I am a nurse myself), but I didn’t receive my medication until around the evening. I felt that I was not listened to and not respected. I felt that my rights were taken away from me.

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Responses

Response from Neil Cowan, Executive Director, East Metropolitan Health Service, EMHS nearly 2 years ago
Neil Cowan
Executive Director, East Metropolitan Health Service,
EMHS
Submitted on 5/09/2023 at 6:24 PM
Published on Care Opinion Australia on 6/09/2023 at 8:52 AM


picture of Neil Cowan

Dear julyqw89,

Thank you for taking the time to share your recent experience at Armadale Kalamunda Group (AKG).

We should have done a much better job in managing your pain, I am so sorry that we failed you with this and left you feeling traumatised and frustrated.

We do have regular anaesthetist led pain medication rounds on our surgical ward, and as nurse yourself I am grateful you understand the need to review all pain medications.

I can confirm our most senior Anaesthetist has reviewed our processes based on your feedback. We will be reminding and encouraging our junior doctors to contact our dedicated pain service as required, and to ensure all patients have their regular medication documented in a timely manner.

Should you wish to get in touch further or to discuss the actions we have taken, I encourage you to contact our Consumer Liaison Office on (08) 9391 1153 or via email at AKG_ConsumerLiaison@health.wa.gov.au.

I do hope you are now recovering well.

Kind Regards,

Neil Cowan

Executive Director

Armadale Kalamunda Group

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