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"Communication at end of life care"

About: Koorooman House

(as a relative),

My parent was a resident at Koorooman House who passed away recently.

I am very disappointed about the lack of communication from the Staff and Doctors who attended my parent about how serious their condition was.

My sibling arrived to visit my parent late in the afternoon a few days before they passed and noticed a marked cognitive decline that night as well as a grey colour in their face.

We had to leave Koorooman House due to a Covid lockdown and expressed concern to staff about my parent's decline but felt that the staff didn't seem to realise how serious their situation was.

The next morning we arrived mid morning to find our parent exhausted and lying in a soiled bed and too weak to press the nurses buzzer to get assistance.

During the day nobody came to see how we were and to see how our parent was. We were reduced to googling what are the symptoms of an elderly person dying and I also called a nurse friend to try and get some clarity.

Later that afternoon my parent became very unsettled trying to get out of bed in their weakened state, non verbal and clearly distressed.

I decided that I should ask a nurse to please get some medication to make my parent more comfortable.

Morphine was eventually give but later that night after this dose had warn off, my parent again became quite agitated. My sibling tried to get assistance but was told that the staff were very busy and my sibling had to physically prevent our parent from getting out of bed.

The next morning one of the regular staff not the charge nurse said that we could stay as long as we like and have as many visitors as was needed.

A Doctor came to see my parent the following morning and prescribed a drug infusion of morphine and midazolam which still took many hours before it was finally administered. My parent was still very uncomfortable and unsettled until this was finally administered

My family are well aware that there was a Covid outbreak at Koorroman house at this time and that you were short staffed and that it was a difficult situation.

I am writing this Feedback to ask you to please have better procedures to communicate with families if there loved one is at End of Life Stage and to please help organise medications and to generally come and talk to families to see how they are going.

I would not like other Families to experience the stress and frustration we felt during our parent's last days in Koorooman.

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Responses

Response from Jenny Dempster, Executive Director of Clinical Services, Gippsland Southern Health Service 2 months ago
Jenny Dempster
Executive Director of Clinical Services,
Gippsland Southern Health Service
Submitted on 5/02/2024 at 3:59 PM
Published on Care Opinion at 3:59 PM


Dear andromedagk56,

Thank you for taking the time to write about your experience.

Please know that I hear and take on board that your sibling noted your parent’s early decline, and that your parent (and your family) did not receive sufficient care, treatment and attention when they needed more. I understand why you would be upset by this experience.

We should have also communicated the seriousness of the situation better and attended to your need for information, care and support. I am so sorry your family and parent did not experience the care and support you all deserved during a time of distress and grief.

What happened to you and your family does not meet our expectations of care from GSHS at any time. You are right that we were challenged during the COVID outbreak, and we are reviewing our care now to ensure we improve our communication and processes to be the best possible; no matter the circumstances.

If you feel able to make contact with me, we could discuss and investigate your experience more specifically. I think it is important to share our plans to improve for your consideration, which we can then share on this site. I also recognise that sharing this may have caused you renewed grief and distress and I would also like to offer you support at this time. You are most welcome to contact me on 5667 5504.

Please accept my condolences for your loss.

Warm regards,

Jenny Dempster
Acting CEO

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Response from Jenny Dempster, Executive Director of Clinical Services, Gippsland Southern Health Service 2 months ago
Jenny Dempster
Executive Director of Clinical Services,
Gippsland Southern Health Service
Submitted on 16/02/2024 at 5:16 PM
Published on Care Opinion on 19/02/2024 at 10:01 AM


Dear andromedagk56,

Thank you for following up with a call so that we could discuss your experience and provide you with some information about our actions to address your hope for a better process in the future. I appreciate that this means you had to re-live the experience.

We had commenced our review of care during this period and your feedback has further informed our evaluation of quality and experience for residents and families during this COVID outbreak.

Measures were put in place to support staff and care as soon as they were identified. Unfortunately, this was not in time for your family. These included supporting the roster with ‘surge staff’ as soon as these were made available through the department of health, in response to high numbers of COVID staff and challenged ability to fill the care roster. Implementing a shift huddle with the hospital coordinator, every shift, to ensure that a senior level of assistance is available to support needs of care as they arise.

Thank you for agreeing to receiving a final report with our actions for the specific concerns you have raised, and the opportunity to provide further feedback.

Jenny Dempster

Executive Director of Clinical Services

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