Sunday, 14 September 2008

A complete lack of continuity in patient care

Jo appears to be sleeping better, probably due to the Gabapentin. Asked them to put her in a chair, which is an important part of her therapy, but the neurological ward say Jo must be assessed by the physiotherapists again before they will put her in a wheelchair! I am flabbergasted, it is one thing for records and information not to be transferred from one city to another, quite another for records not to make it from the ward next door! This is symptomatic of a system designed for the benefit of those who work in it rather than for the benefit of their primary customer, the patient.

Earlier in the day I had placed Jo's legs on a pillow for comfort. She complained I hadn't placed her left leg on the pillow. When I said, “yes I have there it is.” She said, “I couldn't see it but now you have told me I can.” Later in the evening Jo had movement in her left leg that she pointed out to me and she was looking at it, willing more movement.

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Different strokes...

It has been nearly seven years since Jo suffered a "controlled" stroke whilst undergoing brain surgery to clip the blood vessel that had caused a subarachnoid haemorrhage in 2000. Sadly two successive coilings did not occlude the bleed and so Jo had a craniotomy in August 2008. During surgery the surgeon discovered the coiling had penetrated the rear of the aneurysm, occasioning emergency repair procedures. Consequentially they spent one and a half hours longer in surgery than expected, leading to the right half of Jo's brain forgetting it has to look after the left side of her world.