Panorama 20072005 care of the elderly

Posted by: DAVOhorn on 20 July 2005

Dear All,

I watched this program this evening.

First off i am an NHS employee.

I work in a Community Hospital which does provide beds for the very frail sick and dying.

I do not work for the PCT that runs the wards.

What caused me most concern from this program was two things.

1: The look of total exhaustion and despair, from the Nurse who was the reporter for the program, after just ONE shift.

2: The apparrent confidence of the Chief Executive when given an opportunity to comment on the program. Also the follow up when the Chief Exec was again asked for comments. Were the comments Deliberate lies and falsehoods, or were they based on profound ignorance on what is actually happening in the Hospital.
Certainly the Chief Exec of the Community PCT i work for is regularly stating that the buck stops with him and he can be pusued through the courts for his conduct and his PCT's conduct.

There is life and then there is death.

So why do we make the TRANSITION between the two SO FUCKING UNPLEASANT AND UNPLEASANT FOR ALL PARTIES.

Patients Relatives Friends and Staff of all levels.

I know i do not have the personality to be either a Medic or a Nurse so i have chosen not be either of those two.

I do believe that i make a good and Compassionate Allied Health Professional though.

I am regularly asked by my patients who are terminally ill why the arduous task of Dying has to be so ghastly lonely and frightening.
Many would prefer to be taken out and shot or Euthanased .

The above is not confined to the elderly.

One of my patients recently had a 4 month slow progressive relentless demise. She is one year older than myself. CHILLING.

So what are we to make of the program?.

What do we feel the outcome of the program will be?

A few years ago a good friend who got something quite horrible (2 brain Tumours) elected to accept her fate and not fight it. Had just a few months earlier had to watch her Father In Law go through a horrible demise due to cancer, so she decided to hurry up the process.

She chose a Hospice.

Strange place when i visited.

No lies, fantastic pain management, amazing staff and more than enough of them.

I spoke to the Sister and compared this Hospice with the establishment i worked in.

She said simply that everybody who came to the Hospice came to die with dignity.

It was her job and her colleagues job to ensure that this is precisely what was achived.

A peaceful dignified end with friends and family present as per the persons wishes.

I was truly humbled by the Hospice.

I hasten to add that the Hospital that i work in is a far more professional and compassionate one to the Brighton Hospital.

regards David
Posted on: 20 July 2005 by Steveandkate
David,
I did not see the programme, and nor am I in the 'health business'.
My wife was a nurse a Great Ormond street Hospital, and we met whilst i was in hospital after a Road Traffic accident and she was training at a general hospital.
However, your well written and clear post made me want to write. I have been going through a small crisis and have had to think about mortality and the suffering one can face before death, and Kate nursed more kids to their death than we can remember.I am currently working for a woman who has just started treatment for cancer. You say that you spoke to the sister of the hospice your friend went to, and she said that people came to die with dignity. How wonderful it is that some people out there realise and work towards that. How sad that it seems not to be the norm.
Sorry I don't have much of value to say, but your post touched me.
Steve
Posted on: 20 July 2005 by wellyspyder
We treat our pets better (most of us anyway)than we treat our fellow human beings.

Dying with dignity seems only confined to the Hospice. Fantastic work the hospice does.

Some health profesionals seem to think that they can save everyone. Helping patients is paramount and knowing when to stop is also important. This is one area needing urgent attention. However it is such a morbid topic, most just shy away. It is not till you are faced with the situation/decision before it becomes personal. We should do more for our fellow human beings. Afterall mortality is a sure thing.
Posted on: 21 July 2005 by Hawk
David,

Well said!

I found the programme highly shocking and deeply disturbing...

My wife is currently very ill at the age of 36 and will have to spend the rest of her days in some form of high dependancy care. Luckily she currently resides in a small rehab centre which whilst terribly underfunded just manages to reach a satifactory level of care. This however is only as a result of the dedication of the individuals that work there. They all without exception work well beyond their hour's for no other reason than the personal satisfaction they get from looking after the patients they treat as their friends. This is in stark contrast to the care my wife gets during the time she has has to spend in the NHS hospital down the road. Im not directing any critisism at the staff there, put simply they are given an impossible job to do given the number of patients to nurses ratio.
Unfortunately we will have to find a more permanent place for my wife to go in the not to distant future and i feel sick at the thought of trying to insure that the place she goes to will give a suitable level of care.


Hawk
Posted on: 21 July 2005 by wellyspyder
Dear Hawk

I am sorry to hear of your wife's illness. I also hope you will find the care she requires without too much trouble.

Best wishes.
Posted on: 21 July 2005 by DAVOhorn
Dear All,

The Hospice Movement is grossly underfunded and is dependent upon the support of a wide variety of people.

My mother , formerly a Registered Sick Childrens Nurse, is a great supporter of Quiddenham Childrens Hospice .

Woe betide anybody at the Golf Club come collection time. Short arms and long pockets are offered help to reach.
Fortunately the support from the members of the Golf Club is fantastic and my Mother is usually very successful in raising not only funds but also awareness of the Hospice.

Dear Hawk i wish you and your wife well.

I would appreciate a comment or two from our Medical Colleagues, on this site, regarding the program.

regards David
Posted on: 22 July 2005 by Hawk
Thank you guys..

As wellyspyder said mortality is a sure thing so how the powers that be can allow such things to go on un addressed is beyond me..

Hawk
Posted on: 22 July 2005 by Bruce Woodhouse
quote:

I would appreciate a comment or two from our Medical Colleagues, on this site, regarding the program.


Hard to comment, did not see the program. I almost never watch TV, and anything remotely medical even less so! I'm always aware that the purpose of such TV is to tell a story from a specific angle, 'balance' is rare.

A general comment; the hospice movement is a real asset, but coverage is poor. To visit a relative our 'local' hospice means relatives would have a 1 1/2 hr bus journey with 3 changes. Not ideal.

quote:
Dying with dignity seems only confined to the Hospice.


A peaceful, dignified and 'good' death is also frequently possible at home, lots of skills in Primary Care. Not everyone wishes to be in a hospice. Some patients need hospitalisation at the end of life but many can come home just for a few days-and wish to do so. Others never go near a hospital in their final illness.

Bruce