Ag 05 august, 2015

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Wednesday, Aug 5, 2015

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Report critical of rest home’s care BY CAITLIN PORTER

CAITLIN.P@THEGUARDIAN.CO.NZ

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An Ashburton rest home has been told to assess its treatment practices after the death of a 96-year-old man. The unnamed man died during a flu outbreak at Cameron Courts Rest Home and Village in 2012. In a just-released report, deputy Health and Disability Commissioner Theo Baker recommended the rest home re-evaluate its medication administration policy and apologise to the man’s family. She was concerned it did not have comprehensive documentation, nor adequate cover when its registered nurse was on leave. It breached the code of Health and Disability Services Consumers Rights. Cameron Courts owner Ashwin

Mani did not return calls yesterday but the report noted the rest home had apologised to the man’s family and reassessed its medication policy to adhere to Ministry of Health guidelines. The report, released on Monday, said the man was diagnosed with the flu. He was treated but his condition and standard of care deteriorated when the clinical manager – the only registered nurse on staff – contracted the flu. The nurse took sick leave the day after the man was assessed by his doctor and prescribed a seven-day course of antibiotics. The nurse did not return until the following week. The man’s condition worsened and while he was not considered terminally ill, the operations manager contacted the weekend duty doctor and said the man was receiving “end of

life care” and was in pain. The duty doctor advised liquid morphine – left over from another patient – be administered every four hours. The man was given morphine multiple times over the weekend. This was not always documented clearly, Ms Baker noted in her report. The duty doctor visited the patient twice over the weekend and on one occasion spoke to the man’s family who were concerned they had not been informed of the morphine dosages or his end of life care. The man’s condition deteriorated and he died in the early hours of Monday morning. The man’s daughters then sought an investigation.

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