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Doctors assured that the hospital would be safer
According to the woman’s son Vyacheslav, his 79-year-old mother was transferred to St. Nursing Home for care and supportive care in late April after a serious stroke in a hospital where her condition had stabilized. Rock Hospital in Vilnius.
While family members considered whether this was the right decision, doctors still believed that it was necessary since there is a high probability that the stroke will recur. Nursing hospital staff would provide the necessary assistance in a timely manner, and assistance while at home can be delayed, making the consequences painful. The relatives agreed with these medical arguments, although they regretted not being able to visit them due to the quarantine.
Sigismund Gedvila / 15min photo / Fence around Vilnius Hospital Rock street
“For the first two weeks, my mother managed to call. Although she spoke very hard because, according to doctors, the stroke damaged the part of the brain responsible for speaking and understanding, she was still trying to communicate and say something. Later, her phone was It was probably unloaded and nobody cared to charge it, so we could only talk to the doctors, and they assured me that everything was fine, that nothing was missing, that it was strong.
I kept asking if I needed to bring something. He offered to deliver only the water, which we later recovered unused with his belongings. I asked her, maybe I should pay for some additional procedures, buy some medications, but again they assured me that everything she needs: massages, consultations with specialists, etc.
When the quarantine ended, I asked to be allowed to visit her, but they told me that only people who were dying were admitted and that my mother was still fine. And the next day I received a call that her legs were blackened and, due to suspected gangrene, she was taken to another hospital. I have no idea how gangrene can start in one day. I also received no explanation from hospital staff, “the man said a few days after his mother’s funeral.
Exhaustion from lack of food and water has been identified.
In the hospital where the mother was transported, they explained to the son: he is hungry, he is exhausted, he asks to eat, and his blood vessels are in a particularly bad condition due to lack of fluids. The doctors themselves were amazed at his condition. Although attempts were made to stabilize the situation by dripping, the woman’s body did not resist, she died. Cardiopulmonary insufficiency (heart and lung) was identified as the main cause of death, and among other important pathological conditions not related to the main cause of death but that led to death were malnutrition, hypovolemia (decrease in blood volume due to the lack of water). ) and pressure ulcers.
The son was explained: he is hungry, he is exhausted, he asks to eat and his blood vessels are in a particularly bad condition due to lack of fluids.
Family members are convinced that these three additional diagnoses can show only one thing: “a person has become immobile, fed and tortured with thirst.” So they have the idea that, under the guise of quarantine, doctors have allowed themselves not to work because there is no control and a person in a serious condition cannot complain to anyone. She was supposed to be supervised only in the first few weeks, when it was difficult, not entirely correct, to say something on the phone.
According to Vyacheslav, the family decided to make this situation public because they hope it can help save another person’s life, as doctors will know that loved ones who have seen the sad consequences of abandonment will not remain silent. “My mother will not return, but she wants a similar disaster to not happen to others,” the man assured me.
He was also surprised that although doctors at the nursing hospital assured him that all of his belongings and even his pockets were inspected upon arrival, neither his mother’s purse nor his hospital statement had been removed from his mother’s purse. In addition to the documents, the woman was transferred to another hospital, since they only brought her with a personal identification code written on a sheet of paper and her son’s phone number.
The hospital conducted an internal audit.
The hospital administration stated that, in response to the information provided, an internal investigation was initiated in which the patient’s medical records and the written St. Explanations of the Rock Hospital staff were written.
Neither the identity document nor the hospital statement was removed from the bag and checked.
“We sincerely sympathize with the loss of a loved one. Over the years of work, we have faced many different reactions to the loss, including anger and sadness.
Woman at Saint Rock Hospital arrived on April 21. Diagnosis – cerebral infarction. The patient was also diagnosed with a list of other comorbidities, including cerebral atherosclerosis, hypertensive heart disease without heart failure. Upon arrival at the hospital, the patient’s condition was severe, she was lying down, conscious, but the contact was aggravated by partial sensorimotor aphasia and disoriented cognitive deterioration. Verbal instructions were partially followed.
During hospitalization, the patient needed assistance with all service procedures. On June 30, due to the deterioration of her health, the patient was urgently sent to the Vilnius City Clinical Hospital for a consultation on suspicion of thrombosis. It should be noted that in patients with cerebral infarction, the incidence of deep vein thrombosis is up to 75%. cases. Mortality in such cases is up to 15%, ”says the hospital’s response.
According to representatives of the medical institution, St. During Rock Hospital, all the hospitals from which he moved here were implemented, and recommendations for additional treatment and care were provided. Recommended pharmacological treatments, prophylaxis of deep vein thrombosis (compression therapy, anticoagulant medications, etc.), massages, physical therapy, and physical therapy were used.
During the entire hospitalization, the patient, according to them, was lying in a functional bed, on the antipragulatory mattress, was used according to the established schedule and active lactation was ensured. However, due to the respectable age and comorbidities of the patient, the trophism of the tissues was affected, which resulted in violations of the integrity of the skin despite the application of prevention measures for pressure ulcers.
The patient did not complain of lack of appetite throughout the treatment period, did not reject the provided food and did not want additional food.
“The patient was drunk on the drinks provided by the hospital and, at her request, the water brought in by the family was added. Due to severe cognitive decline, the patient consumed insufficient fluids, resulting in drip infusions to maintain balance As a result, some of the water that entered was not necessary and, along with other items, was returned to the patient’s family after she was discharged from the hospital.
Patient feeding was organized according to special dietary requirements to meet the physiological needs of bedridden patients. The patient did not complain of lack of appetite throughout the treatment period, did not reject the provided food and did not want additional food.
We regret that due to the quarantine announced in the country, the relatives of the patients were unable to visit their relatives in the hospital. In accordance with the law, patient visits were prohibited during this period and all information was provided to family members by phone.
During hospital treatment, the patient’s family members were informed about the nursing services and supportive care provided. When the state of health changed, the patient’s son was immediately informed of the need to transfer him to someone else’s healthcare center. On the day of the transfer, the patient ate breakfast and did not express any concern about feeling hungry for three hours before being transferred to another medical institution, neither the attending physician nor the other hospital staff, “says the hospital administration. .
By understanding the concerns of patients’ loved ones, great efforts are being made to ensure that each patient and their loved ones feel comfortable, respected, receive quality services and all necessary information in the face of this pandemic: “We can ensure that hospital staff do their best and take all necessary and necessary medical treatment. ” measures to ensure that patients receive personal care in a diligent, competent and attentive manner, as expected from qualified personnel. “
Procedures for the supervision of medical institutions.
The Vilnius city municipality has complained about St. The quality of medical care provided at Rock Hospital has not been received in recent years.
“In accordance with the Health Care Institutions Law, state control over the services provided by health care institutions is carried out by officials appointed by the Minister of Health, the State Accreditation Service for Health Care Activities, the Territorial and State Health Insurance, the Lithuanian Bioethics Committee and the National Center for Public Health.
Pursuant to the Law on Patient Rights and Compensation for Health Damage, in case of doubts about the quality of the health care services provided, individuals must first contact the personal health care institution where the health care services were provided. medical attention. If the results of the complaint examination at the treating or treating institution are not satisfactory, they may request it from the State Accrediting Service for Medical Care (attaching a copy of the response from the personal health care institution to the request). health services, “says Vilnius Municipality in the comment.
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