More deadly failures of care

The lead story in today’s Chronicle Heraldis heart-breaking and infuriating.

http://thechronicleherald.ca/novascotia/1570575-‘the-wound-was-the-size-of-your-fist’

There should be no using the bullshit privacy defense for such an egregious failure of care. Those people paid to deliver the care, paid to supervise it and manage the facility should be named, shamed and prevented from working in a care situation again.

This is one story, the article references five more, showing that it is not unique. From September 3, 2009 until June 3, 2010 I spent 6-to-14 hours a day, every day, at Valley Regional Hospital in Kentville. Valley Regional was then overseen by Janet Knox and Lynn Harrigan. Knox was president of the local health authority and Harrigan was vice president of medicine.

There was a woman in the next room whose bedsores/ulcers were so extreme that she – sorry for this graphic – basically had no heel. Her condition had been so neglected that it became a life-threatening, hellish existence. She had no life. She was kept heavily sedated, her family maintaining a type of living wake around her bed, day-after-day, month-after-month.

In addition to the pain medication her bed was outfitted with a special air cushion to keep anything from touching this painful, open, festering wound. The air cushion was operated by a pump that hung on the edge of her bed and sounded like a vacuum cleaner.

The constant sound of the machine was upsetting and so annoying that it frayed every nerve you had. It made it impossible for anyone to share a room with this patient. I don’t know what impact it had on her, if she could comprehend it from her drug-induced state, but it shortened tempers and tolerance of those patients the hospital tried to have share the room.

Pressure sores happen. I had a nickel-sized one develop during a surgery. A wound expert came in and provided a bandage. In a few days it was gone. How do pressure sores/ulcers grow to the size, scale and seriousness of the case cited in the Herald or what we saw in Kentville? How could care givers ignore it and not react? And if no one understood the seriousness of it, who is being hired, who is doing the hiring, and where is patient management? How can we trust those in authority when such stupid, preventable problems are allowed to go untreated?

The Nova Scotia Health Authority’s response that it could take one or two years to investigate the problem and solutions illustrates the vacuousness of this organization’s leadership. Pressure sores and ulcers are not new. Health care executives, medical professionals have known about this issue for decades and failed to act. That is unacceptable.

This is a ridiculous waste of lives and resources for something which starts out as a petty annoyance. Heads should roll. And potential charges should be investigated.

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