MarilynParker

By MarilynParker

Same sh*t different day

The three appointments came today - as if I don't have enough hospital trips!
Terry now has a pleural effusion. It never rains but it pours. This was seen on yesterday's CT scan. His pancreatitis was improving but now this is another setback. He is in a lot of pain (left side of his back) and when I went to see him at visiting time he was distressed. He had pain on the level of 8 out of 10 and 10 out of 10 when he coughed which was often. He had asked for pain relief ages ago he said and was told by a nurse she would bring it at 1pm and she promised to be there with it.
At 20 to 2 with still no pain relief I went to ask what had happened to it and said he is in agony. I was assured it would come but I had to go back yet again before he actually got it. The nurse was having a moan about it saying everyone had medication at 1pm - she must have been an agency nurse as it was not the hospital uniform - but pain relief should be given as a priority when the patient is in severe pain. Her 1pm medicine round finished at 3:15pm which did not surprise me as she was painfully slow at everything. He can't breathe properly due to the pain and the pain relief is to help him to be able to inflate his lungs properly. 
She then plonked a nebuliser on his locker saying the doctor had written him up for these. She asked a very slow male HCA to go for a nebuliser machine and he set off but after a few steps doubled back and spent half an hour with another patient then a few minutes with yet another before disappearing.
He came back with the machine and took it to the wrong patient. I put him right. Now the nurse was missing so the nebuliser sat there for some time and then she came to the adjacent patient and as she was leaving Terry called her over to ask if he can have the nebuliser. She said that was what she was coming to do. Rubbish! She had washed her hands and left the bay.
The neb ran out after a while and I couldn't find the nurse or any nurse or any HCA so I disconnected it myself as an empty one was doing him more harm than good.
He asked me to look at his heels as they felt sore. I found both very red and one with the start of a blister - the staff are supposed to check all the patients heels every day but clearly hadn't. One of the HCAs came in so I asked her to have a look and she went for the student nurse who took photos and then they were going to put some film dressings on and some bootees. She told Terry he wasn't mobilising enough and this is why it happened - I reminded her that he is in severe pain so can't (I forgot to mention the breathlessness as well). Do they ever look at the patients?
Terry told me that yesterday the old chap across (he looks about 100 and is very frail) had left all his meals and when the chap shouted the staff that evening he told them he was starving as he'd had nothing to eat all day but the staff member did not believe him till Terry told her that all his meals had gone untouched and she went to make him something then.  When Terry has been in hospital before I've never felt the need to check up on what should be done and he has been very well cared for but now I feel I need to check everything.
Another day, another rant but what next? It's beyond a joke.
On a bit of a positive note Terry ate nearly all of his evening meal and his heels feel more comfortable. 

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