Senior loses legs to hospital infections, bedsores – CBC News

via Senior loses legs to hospital infections, bedsores – CBC News – Latest Canada, World, Entertainment and Business News.

Source  http://www.cbc.ca/news/senior-loses-legs-to-hospital-infections-bedsores-1.884677

Family blames neglect by staff for double amputation

By Kathy Tomlinson , CBC News Posted: Mar 23, 2010 9:42 AM ETLast Updated: Mar 23, 2010 10:25 PM ET

Related Stories

External Links

(Note: CBC does not endorse and is not responsible for the content of external links.)

bc-100322-go-public1a

Retired postal carrier Gary Davis had to have both legs amputated to stop the spread of infection. ((CBC))

The daughter of a retired B.C. man who died in a publicly funded, long-term care facility believes her father suffered needlessly as a result of neglect by staff.

“What they did was wrong,” said Rita McDonnell. “The care was awful.”

Gary Davis, a former postal carrier from Surrey, was 68 years old when he developed severe bedsores and hospital-acquired infections, under the care of the Fraser Health Authority. He eventually had to have his legs amputated as a result.

“It makes me sick to my stomach,” said his daughter. “I still think about it. I can’t sleep some nights because I think of what it was like for him.”

‘It was awful … he was rotting.’ —Daughter Rita McDonnell

Records shows staff at three facilities failed to keep Davis off his back — despite doctor’s orders — as his bedsores and infections became increasingly worse.

“In order for [his sores] to get as severe as they did, he had to be sitting on his back so long — in his own urine, feces, you name it,” said McDonnell.

“They admitted to us that they should have turned him more often,” said her husband Mark McDonnell. “They didn’t give him the care that he deserved.”

Patient not mobilized enough

Davis’ health downturn began when he was admitted to hospital in 2006, with a groin aneurysm. Over the next several months, he suffered from poor circulation and other complications, in Langley Memorial and Royal Columbian Hospitals.

A summary of Davis’ medical records from that period show “the patient has been transferred to the wheelchair .… However, this has not been done consistently.”

“Nurses notes lack information as to how frequently the patient was mobilized.”

The notes show he developed pressure ulcers — commonly known as bedsores — on his back and legs and state that the “wounds continued to deteriorate, and he contracted e-coli in the urine and a staph infection.”

bc-100322-go-public1

Rita McDonnell and her husband Mark believe her father was neglected by hospital staff. ((CBC))

Fraser Health’s director of residential services, Heather Cook, said Davis’ poor circulation was also a complicating factor.

“When you have poor circulation, it really challenges the ability to heal,” said Cook. “This was an individual with exceedingly complex medical conditions.”

On at least two occasions, doctors ordered Davis be kept off his back as much as possible. However, McDonnell was not informed about his dad’s sores, records show, until several months after they surfaced.

“I started asking questions,” said McDonnell. “I wanted to know why he smelled so bad.”

McDonnell said she was horrified when staff removed his bandages and she saw the large, open, festering wound on her father’s lower back for the first time.

“It was awful, unbelievable,” she said. “It was black. He was rotting.”

When she then complained her father wasn’t being moved enough, McDonnell said, “One of the nurses told me, ‘Care aides don’t get paid enough, you couldn’t pay me enough to do that job’.”

Davis was transferred to Cedar Hill, a long-term care facility adjacent to Langley Memorial Hospital, where the records indicate staff also didn’t move him as much as recommended by the specialists.

Specialist expressed alarm

“The wound care specialist … mentioned that the patient was in bed a lot,” the file notes state. “He has not been taken out of bed … wounds were still not healing”

McDonnell said that same wound specialist pulled her aside and suggested she consider suing the health authority.

bc-100322-go-public3

The pressure ulcer on Gary Davis’s lower back was deep and inflamed when his daughter saw it for the first time. ((CBC))

“She said you should get a lawyer for what happened to your dad — the care has been horrific.”

According to the file notes, “Staff at Cedar Hill did have some difficulties when trying to mobilize the patient and tend to his wounds. The staff were educated on how to properly mobilize the patient.”

The facility did provide a special air mattress, to relieve the pressure, but the notes indicate staff didn’t use it properly, which negated its effectiveness.

“They let him lie there — and they kind of gave up on him a bit,” said his son-in-law.

The couple insisted they couldn’t bring Davis home, despite their concerns, because he was too ill for them to look after.

Several weeks later, McDonnell was told that if her father’s legs were not amputated, he would die from the spreading infection — so the family consented to the operation.

“In order for his back to survive, he had to lose his legs, because of the sores on his legs, the bedsores on his legs,” said McDonnell.

Without his legs, Davis recovered and lived infection-free for several more months.

Review finds several care concerns

McDonnell filed a complaint with the B.C. government’s Patient Care Quality Review Board, which concluded, “It is in the Board’s opinion that this matter raises several care quality concerns.”

bc-100322-go-public4

Fraser Health administrator Heather Cook says communication with the family was the main problem. ((CBC))

Soon afterward, Davis died — while still in the long-term care facility. His family was told he succumbed to pneumonia.

“His quality of life was pretty severe. He said, ‘I can’t go to the washroom on my own. This hurts. I can’t be human. I don’t feel human.’ It was awful for him,” said McDonnell.

“I miss talking to him and visiting him. He was important to me,” she said tearfully.

Meantime, a national group trying to raise awareness about pressure ulcers said cases like his are all too common.

“It is a huge problem,” said Pat Coutts, a wound care specialist and chair of the Canadian Association of Wound Care. It estimates 70 per cent of bedsores in Canadian hospitals could have been prevented.

Read the full story via Senior loses legs to hospital infections, bedsores – CBC News – Latest Canada, World, Entertainment and Business News.

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

Create a free website or blog at WordPress.com.

Up ↑

%d bloggers like this: