Family members cannot recover after their grandmother’s death: a shocking diagnosis on the death certificate

As the late grandson Valerijus P. told Delfi, his grandmother was informed on April 8. A stroke occurred and she was taken to the Vilnius Republican Hospital (RVUL) in Lazdynai, where she received the necessary assistance. According to her husband, she had to spend two days in resuscitation, after which she was transferred to the ward and after the ward, to the St. Rock Hospital nursing and support treatment.

“RVUL doctors have told us that this is necessary because there is a high probability that the stroke will recur and that you will be given timely help in this type of hospital. Otherwise, if we take my grandmother home, it is likely that we will lose someone dear to us and close to us, ”he recalled in the conversation.

Valery P. continued the story that due to quarantine visiting Grandma St. was prohibited. However, at Rock Hospital, her family members continued to call and interact with doctors. The family was told that the stroke had damaged the part of the brain responsible for speaking and understanding. At first, doctors, he said, were still giving Grandma a cell phone so that she could hear familiar voices, but the language was inconsistent, and relatives felt that the human health condition was complicated.

“The last times you tried to talk to your grandmother, she told us that she wanted to eat. After a couple of weeks, her phone was off, she probably downloaded, and we couldn’t talk to her anymore. “

The man explained that all the information was subsequently provided by the doctors by phone and that the essence of those conversations was that the grandmother’s condition was stable, difficult to contact, but that she received all kinds of care: massages, no more walks.

“We offered to pay for any service more than once, the answer was always negative, because you have everything, you do not need anything. We only asked for water. We bring water and diapers for adults, as well as many sweets. But we got absolutely everything in them. bags when grandma died. Apparently, he put the water next to him somewhere and so much knowledge … “, the grandson was angry.

In the last days of June, Valerijus P. continued the story, calling his grandmother’s son from St. Roko’s hospitals reported that his legs were bruised, that gangrene may have started to develop, and that his grandmother was taken to the Hospital. Vilnius City Clinic, on Antakalnio street.

“During the conversation with St. Rock hospital staff answered the son’s question about how gangrene could have occurred, presumably because there was little movement and something neutral was being drilled without explanation. Hence the question: what about the aforementioned massages and “necessary” care, which was repeatedly said over the phone? “asked the man rhetorically.

According to him, the same day, when the doctors of the Vilnius City Clinical Hospital asked him how the mother felt, they informed him that he was hungry, exhausted, asked to eat and that his blood vessels were in very poor condition due to to the lack of liquids.

“An attempt was made to stabilize the grandmother’s condition at the Vilnius City Clinical Hospital, but on July 1. In the late afternoon she called her son and announced his death. The medical death certificate issued by the Clinical Hospital of the City of Vilnius, in addition to the main cause of death, among other important pathological conditions, includes diagnoses such as pressure ulcers, exhaustion due to malnutrition, hypovolemia (lack of fluids).

According to the granddaughter, these three additional diagnoses can mean only one thing: that the person became immobile, fed and tortured with thirst, and under the guise of quarantine, the doctors supposedly allowed themselves to work because there was no control and the serious condition could not complain to nobody.

“If massages were done, where did those pressure sores come from? It can be assumed that the supervised grandmother was only in the first days when it was difficult, but she could say something on the phone. The doctors then allowed themselves to do “nothing” and literally tortured the person. It is likely that many people at this institution were “killed” under the guise of quarantine bans on visiting patients, “said Valerijus P.

He also added that he hopes his family history will help save someone’s life if the quarantine is repeated in Lithuania.

An internal investigation began

S t. The Rock Hospital administration, in particular, expressed their sincere condolences to their loved ones for the loss and explained that they had faced many different reactions to the loss over the years of work, including anger and sadness.

“In response to the information provided, an internal investigation was launched to analyze the medical records of the deceased patient and the written records of St. Rock Hospital staff’s explanations. The patient arrived at St. Rock Hospital in 2020. April 21, Republican University Hospital of the Vilnius Public Institution (hereinafter RVUL) Diagnosis: cerebral infarction in the left basin of VMA with sensorimotor aphasia, paresis of the right extremities in the context of cerebral atherosclerosis. Condition after IVT, MTE. Patient was also diagnosed with a list of other comorbidities, including cerebral atherosclerosis, hypertensive heart disease without congestive (congestive) heart failure, dysphasia and aphasia, etc., ”Delfi said in a written response.

The administration assured that upon arrival at the hospital, the woman’s condition was severe, the patient was lying down, conscious, but contact worsened due to partial sensorimotor aphasia and disoriented cognitive decline. Verbal instructions were partially followed and the patient required assistance with all service procedures throughout the hospital stay.

“Š. Metro. On June 30, when her condition worsened, she was urgently sent to the Vilnius City Clinical Hospital, where she was hospitalized, on suspicion of thrombosis. It should be noted that the incidence of deep vein thrombosis in patients with stroke is up to 75% cases.

Mortality in such cases is up to 15%. Curative San During the rocks hospital, all recommendations provided by RVUL for additional treatment and care were implemented. The recommended pharmacological treatment was used, the prophylaxis of deep vein thrombosis (compression therapy, anticoagulant drugs, etc.). Due to the hypomobility of a woman, she must receive massages, physical therapy and physical therapy. “

Throughout the hospitalization, according to the response, the patient was lying in a functional bed, on the anti-pragulatory mattress, used according to the established schedule and ensuring active lactation. The hospital administration noted that due to the patient’s respectable age and comorbidities, the tissue trophy was affected, resulting in violations of the integrity of the skin despite the application of pressure ulcer prevention measures.

“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 was not needed and was returned, along with other items, to the patient’s relatives after she was discharged from the hospital.

Meals, according to hospital representatives, were arranged 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 announced quarantine in the country, the relatives of the patients did not have the opportunity 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 relatives by phone Throughout the hospital treatment, the patient’s relatives were informed about the nursing services and supportive care provided by the patient.

When the state of health changed, on June 30, the patient’s son was immediately informed of the need to be transferred to another person’s health care center. On the day of the transfer, the patient ate breakfast, and for three hours before being transported to another medical institution, neither the attending physician nor other hospital personnel expressed any concern about the feeling of hunger. “

The hospital administration has stated that it understands the concerns of the relatives of the patients, appreciates the attention given to the relatives and ensures that it is really working hard so that each patient and their relatives feel comfortable, respected, receive quality services and all the necessary information in the face of this pandemic. At the same time, it has ensured that hospital personnel do their utmost and take all possible and necessary medical measures to ensure that patients receive the personal care they receive in a diligent, qualified and caring manner, as expected of the qualified personnel.

“We look forward to your understanding at this difficult time for everyone.”