Care Opinion

Inconsistent Care

Posted By KG87

"Inconsistent Care"

About: Crosshouse Hospital / Accident & Emergency Crosshouse Hospital / Combined Assessment Unit (CAU)

(as a relative),

My husband attends A and E and usually the Combined Assessment Unit a couple of times a year due to complications of his auto-immune condition. Every time he receives different care, protocols and faces differing levels of knowledge of his condition.

This culminated on the most recent occasion in medication being withheld despite him repeatedly asking to see a doctor to discuss this as he understands his condition isn't common and not generally well understood. He felt frustrated and quite scared. Such a disappointment after an amazing care experience when I gave birth to my son last year.

We are apprehensive about our next admission now!

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Responses

Response from Claire Gilroy, Specialty Doctor, Emergency Department, University Hospital Crosshouse, NHS Ayrshire and Arran 5 years ago
Claire Gilroy
Specialty Doctor, Emergency Department, University Hospital Crosshouse,
NHS Ayrshire and Arran

Emergency

Submitted on 11/04/2019 at 10:56
Published on Care Opinion at 13:01

picture of Claire Gilroy

Dear KG87,

I am really sorry that your husband felt frustrated and scared during his most recent admission to hospital. Auto-immune conditions can be rare and as you point out this can lead to varying levels of knowledge. When you are dealing with a condition that can result in multiple hospital admissions the last thing we want you to feel is apprehensive.

It can sometimes be useful to create care plans that are agreed with the specialist and can be shared with the patient, the receiving doctors and the emergency department team. This may be useful in your husband's case. If your husband would like to discuss this with me then if he sends me his name, date of birth and contact telephone number to Claire.gilroy@nhs.net I will arrange a meeting.

Claire

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Response from Claire Gilroy, Specialty Doctor, Emergency Department, University Hospital Crosshouse, NHS Ayrshire and Arran 5 years ago
We have made a change
Claire Gilroy
Specialty Doctor, Emergency Department, University Hospital Crosshouse,
NHS Ayrshire and Arran

Emergency

Submitted on 18/06/2019 at 17:57
Published on Care Opinion on 19/06/2019 at 10:35

picture of Claire Gilroy

Dear KG87,

I really enjoyed meeting with you and your husband a few weeks ago. It really did show the power of feedback as it has allowed for learning across our system. Thank you for agreeing to allow me to place an update on Care Opinion.

Following your post and our meeting a number of things have happened;

1. We have placed a copy of your care plan on our A&E system and are looking at ways to place this in your notes in the medical unit. You have a paper copy of this so that you can present it if you ever require to.

2. A number of our team attended a local training session delivered by your consultant on dealing with endocrine emergencies.

3. Your consultant has agreed to come and give some teaching to the A&E doctors. We are hoping this will take place at one of the joint meeting we hold with our medical colleagues.

4. I am going to place a teaching note on our 'One Minute Wonder' board which will be there for 2 weeks and will share this post together with how to deal with similar patients in an emergency situation. I will share this with you and your husband prior to it being placed on the board.

Many thanks for taking the time to help improve care for all of our patients. We really appreciate all of your input into the above projects.

Claire

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