INQUEST: Leg ulcer patient dies in hospital

INQUEST: Leg ulcer patient dies in hospital

TREATMENT: DCH where holidaymaker David Renault was treated for leg ulcers

RULING: Coroner Keith Wiseman

First published in News
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NURSES at Dorset County Hospital failed to change the dressing of a man suffering from leg ulcers in the weeks leading up to his death, an inquest heard.

Holidaymaker David Renault was admitted to the Dorchester hospital in June last year before being transferred to Southampton General Hospital at the end of July.

The 68-year-old spent a total of two months in hospital but died from pneumonia relating to an infection from ulcers on his leg.

Mr Renault, of Sherwood Close, Bassett, Southampton, was initially rushed to Dorset County Hospital on June 27 and was overseen by Dr Adeel Ghaffar.

Simeon Edwards, matron of medicine at DCH, told the inquest he reviewed Mr Renault’s case notes, which revealed there was an occasion when nurses missed a scheduled time to change his dressing.

He said: “There’s evidence in the notes that dressings were not implemented in a timely way and that is with regret.

“There is evidence that has been addressed and apologies have been made.”

A request was made by Dr Ghaffar to transfer Mr Renault to Southampton General Hospital at the family’s preference.

Dr Patrick Sharp, who took over the care of Mr Renault the day after he was transferred, said: “We were presented with an individual who was septic and from individual diagnosis it was thought to be from the ulcers he had.

“His stay was from start to finish a gradual and steady decline in condition.”

He died on August 27 and a post-mortem carried out by pathologist Dr Sanjay Jogai revealed there were contributing factors to his death including pneumonia, sepsis, and cellulitis on his left leg.

Recording a narrative verdict, Southampton and New Forest coroner Keith Wiseman said he was surprised to hear of the issues surrounding the changing of Mr Renault’s dressing and said a man in his condition should have had the closest attention.

He said: “One has to look at the combination of death that Dr Jogai found when giving the cause of death to realise he was extremely vulnerable and one that could become extremely unwell from the circumstances.

“He was suffering from sepsis for the vast majority, if not all, his time in hospital, and when someone is particularly immobile, there would be significant difficulty in recovering from anything serious or significant.”

  • A SPOKESMAN for Dorset County Hospital NHS Foundation Trust said after the inquest: “Regarding the inquest findings that Mr Renault’s leg dressings were not being applied at the right time, there was only one occasion where Mr Renault’s dressing was not changed on time.

“Whilst we would not, of course, have wished for this to occur as the high standard of patient care is our top priority, this does indicate that it was a one-off event rather than a systematic failure that caused infection.”

Comments (7)

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4:40pm Thu 17 Apr 14

Skimpy says...

Wonder what ward this was on, Lulworth maybe??
Wonder what ward this was on, Lulworth maybe?? Skimpy
  • Score: -4

7:11pm Thu 17 Apr 14

Sigurd Hoberth says...

Remember they are all angels and standing around nattering is nothing to do with it.
Remember they are all angels and standing around nattering is nothing to do with it. Sigurd Hoberth
  • Score: 4

1:19am Fri 18 Apr 14

westbaywonder says...

Sigurd Hoberth wrote:
Remember they are all angels and standing around nattering is nothing to do with it.
Sitting in small rooms having coffee and giggling like little girls,ooh must remember to shut the door even though every one whos been waiting way past their appointment time can hear us.LOL!
[quote][p][bold]Sigurd Hoberth[/bold] wrote: Remember they are all angels and standing around nattering is nothing to do with it.[/p][/quote]Sitting in small rooms having coffee and giggling like little girls,ooh must remember to shut the door even though every one whos been waiting way past their appointment time can hear us.LOL! westbaywonder
  • Score: 3

9:53am Fri 18 Apr 14

dontbuyit says...

Weymouthfox is a bit more accurate than you two who make sarkky comments based on what? My wife is a nurse at DCH and yesterday went in at 7.30am to work, stopped for a lunch break at 4pm, worked until 8.15pm without a dinner break and came home exhausted. She is meant to work 8-4 but at least twice a week is working this 12 hr shift because of the shortage of nurses. The hospital is supposedly trying to find nurses in Spain now because no one here is applying. I wonder why? Morale is very low amongst floor staff especially after pay being frozen for 4 yrs while our jolly MPs get an 11% pay rise. So mistakes will happen, things will be missed and there will always be a shortage of critical staff. Meanwhile the hospital will rely on agency staff at a huge cost to us and them. Get used to it or do something about it. My wife has had enough and after 30 yrs of nursing in critical care she used to love with a passion, is leaving and giving up nursing for good.
Weymouthfox is a bit more accurate than you two who make sarkky comments based on what? My wife is a nurse at DCH and yesterday went in at 7.30am to work, stopped for a lunch break at 4pm, worked until 8.15pm without a dinner break and came home exhausted. She is meant to work 8-4 but at least twice a week is working this 12 hr shift because of the shortage of nurses. The hospital is supposedly trying to find nurses in Spain now because no one here is applying. I wonder why? Morale is very low amongst floor staff especially after pay being frozen for 4 yrs while our jolly MPs get an 11% pay rise. So mistakes will happen, things will be missed and there will always be a shortage of critical staff. Meanwhile the hospital will rely on agency staff at a huge cost to us and them. Get used to it or do something about it. My wife has had enough and after 30 yrs of nursing in critical care she used to love with a passion, is leaving and giving up nursing for good. dontbuyit
  • Score: 0

4:00pm Fri 18 Apr 14

portlandboy says...

Mmm, interesting.

I have often laid on a ward bed with my dressings taken off and left open to the air for a number of hours, while cleaners and other staff do their job around me, wondering how that might affect the cleanliness of my wound just waiting to have them redressed.

I visited DCH's A&E dept last weekend with a huge painful lump on a scar left from a previous celulitis infection. I am a high risk case, having had a lower limb amputation. The first nurse thought it was an infection that needed a doctor's opinion, the second nurse decided that I might have always had it and the doctor would not be able to do anything. She then suggested a visit to my GP for a referral to the Vascular team (which, as we all know, would be months away).

The hospital has some very good, caring staff, but sadly it has a growing number of staff who seem to be there for the wrong reason. Their lack of ability to care and make correct decisions often cost more than money.
Mmm, interesting. I have often laid on a ward bed with my dressings taken off and left open to the air for a number of hours, while cleaners and other staff do their job around me, wondering how that might affect the cleanliness of my wound just waiting to have them redressed. I visited DCH's A&E dept last weekend with a huge painful lump on a scar left from a previous celulitis infection. I am a high risk case, having had a lower limb amputation. The first nurse thought it was an infection that needed a doctor's opinion, the second nurse decided that I might have always had it and the doctor would not be able to do anything. She then suggested a visit to my GP for a referral to the Vascular team (which, as we all know, would be months away). The hospital has some very good, caring staff, but sadly it has a growing number of staff who seem to be there for the wrong reason. Their lack of ability to care and make correct decisions often cost more than money. portlandboy
  • Score: 6

4:33pm Fri 18 Apr 14

westbaywonder says...

dontbuyit wrote:
Weymouthfox is a bit more accurate than you two who make sarkky comments based on what? My wife is a nurse at DCH and yesterday went in at 7.30am to work, stopped for a lunch break at 4pm, worked until 8.15pm without a dinner break and came home exhausted. She is meant to work 8-4 but at least twice a week is working this 12 hr shift because of the shortage of nurses. The hospital is supposedly trying to find nurses in Spain now because no one here is applying. I wonder why? Morale is very low amongst floor staff especially after pay being frozen for 4 yrs while our jolly MPs get an 11% pay rise. So mistakes will happen, things will be missed and there will always be a shortage of critical staff. Meanwhile the hospital will rely on agency staff at a huge cost to us and them. Get used to it or do something about it. My wife has had enough and after 30 yrs of nursing in critical care she used to love with a passion, is leaving and giving up nursing for good.
Comments based on fact Sir!
I live in Surrey, have a business in Weymouth and have private medical care.
I dont really care about your wifes hours of work or conditions,she chose that career.
No sarcasm on here sir just what is well known and seen at this awful place.
The citizens of Dorset that have no choice but to use this hospital deserve a lot better!!
[quote][p][bold]dontbuyit[/bold] wrote: Weymouthfox is a bit more accurate than you two who make sarkky comments based on what? My wife is a nurse at DCH and yesterday went in at 7.30am to work, stopped for a lunch break at 4pm, worked until 8.15pm without a dinner break and came home exhausted. She is meant to work 8-4 but at least twice a week is working this 12 hr shift because of the shortage of nurses. The hospital is supposedly trying to find nurses in Spain now because no one here is applying. I wonder why? Morale is very low amongst floor staff especially after pay being frozen for 4 yrs while our jolly MPs get an 11% pay rise. So mistakes will happen, things will be missed and there will always be a shortage of critical staff. Meanwhile the hospital will rely on agency staff at a huge cost to us and them. Get used to it or do something about it. My wife has had enough and after 30 yrs of nursing in critical care she used to love with a passion, is leaving and giving up nursing for good.[/p][/quote]Comments based on fact Sir! I live in Surrey, have a business in Weymouth and have private medical care. I dont really care about your wifes hours of work or conditions,she chose that career. No sarcasm on here sir just what is well known and seen at this awful place. The citizens of Dorset that have no choice but to use this hospital deserve a lot better!! westbaywonder
  • Score: -1

9:57pm Fri 18 Apr 14

dontbuyit says...

westbaywonder wrote:
dontbuyit wrote:
Weymouthfox is a bit more accurate than you two who make sarkky comments based on what? My wife is a nurse at DCH and yesterday went in at 7.30am to work, stopped for a lunch break at 4pm, worked until 8.15pm without a dinner break and came home exhausted. She is meant to work 8-4 but at least twice a week is working this 12 hr shift because of the shortage of nurses. The hospital is supposedly trying to find nurses in Spain now because no one here is applying. I wonder why? Morale is very low amongst floor staff especially after pay being frozen for 4 yrs while our jolly MPs get an 11% pay rise. So mistakes will happen, things will be missed and there will always be a shortage of critical staff. Meanwhile the hospital will rely on agency staff at a huge cost to us and them. Get used to it or do something about it. My wife has had enough and after 30 yrs of nursing in critical care she used to love with a passion, is leaving and giving up nursing for good.
Comments based on fact Sir!
I live in Surrey, have a business in Weymouth and have private medical care.
I dont really care about your wifes hours of work or conditions,she chose that career.
No sarcasm on here sir just what is well known and seen at this awful place.
The citizens of Dorset that have no choice but to use this hospital deserve a lot better!!
Westbaywonder, are you a troll? I don't expect you to care about my wifes work or career, I used that situation as an example of how bad the staffing levels are and the impact on experienced staff. As for the statement
"just what is well known and seen at this awful place." I still don't see any facts relating to the hospital. If you asked the people of Dorchester they generally have a very good view of the hospital, these are the ones who live here and use it on a regular basis, knowing full well the negative impact of having to travel to Yeovil or Bournemouth should it close.
And you know what? I don't care if you have a business in Weymouth and live in Surrey. Perhaps you know the private hospital here, when they have a serious incident that they can't manage, patients are taken to DCH.
[quote][p][bold]westbaywonder[/bold] wrote: [quote][p][bold]dontbuyit[/bold] wrote: Weymouthfox is a bit more accurate than you two who make sarkky comments based on what? My wife is a nurse at DCH and yesterday went in at 7.30am to work, stopped for a lunch break at 4pm, worked until 8.15pm without a dinner break and came home exhausted. She is meant to work 8-4 but at least twice a week is working this 12 hr shift because of the shortage of nurses. The hospital is supposedly trying to find nurses in Spain now because no one here is applying. I wonder why? Morale is very low amongst floor staff especially after pay being frozen for 4 yrs while our jolly MPs get an 11% pay rise. So mistakes will happen, things will be missed and there will always be a shortage of critical staff. Meanwhile the hospital will rely on agency staff at a huge cost to us and them. Get used to it or do something about it. My wife has had enough and after 30 yrs of nursing in critical care she used to love with a passion, is leaving and giving up nursing for good.[/p][/quote]Comments based on fact Sir! I live in Surrey, have a business in Weymouth and have private medical care. I dont really care about your wifes hours of work or conditions,she chose that career. No sarcasm on here sir just what is well known and seen at this awful place. The citizens of Dorset that have no choice but to use this hospital deserve a lot better!![/p][/quote]Westbaywonder, are you a troll? I don't expect you to care about my wifes work or career, I used that situation as an example of how bad the staffing levels are and the impact on experienced staff. As for the statement "just what is well known and seen at this awful place." I still don't see any facts relating to the hospital. If you asked the people of Dorchester they generally have a very good view of the hospital, these are the ones who live here and use it on a regular basis, knowing full well the negative impact of having to travel to Yeovil or Bournemouth should it close. And you know what? I don't care if you have a business in Weymouth and live in Surrey. Perhaps you know the private hospital here, when they have a serious incident that they can't manage, patients are taken to DCH. dontbuyit
  • Score: 0

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