Meet the Other Phone. Only the apps you allow.

Meet the Other Phone.
Only the apps you allow.

Buy now

Please or to access all these features

AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

to ask if this is normal elder care practice in hospitals?

55 replies

bringincrazyback · 06/06/2019 12:03

So my father is seriously ill in hospital and receiving enemas as part of his condition. Ward is seriously short-staffed and I can see they're genuinely doing their best and working tremendously hard, but AIBU to ask if anyone knows whether it is standard practice after an enema to leave a patient in bed with a pad under them, which they are then expected to soil and then be cleaned up by staff afterwards? (He's heavy and hard to lift on to a commode, but this has been managed by the staff on previous days when he's received enemas, albeit it's taken two people.) This happened to my father today and the staff didn't seem to understand why he was upset by it (he doesn't have any dementia and is normally in full control of his toilet needs).

I'd rather not give any more context in case I out myself if anyone involved is on MN, as my beef isn't necessarily with the ward or hospital, who have done a great deal to help us. My beef is that the system seems to have come to consider this an acceptable way to manage someone's toileting needs. My family was left feeling very upset by this today (and, on my father's part, humiliated). It's left me wondering how normal a practice this is, because if this is really what the neglect of the NHS has done to the service, I think those up top who have been systematically trying to starve the NHS out of existence should hang their heads in shame.

Just needed to vent and wondered if anyone else had been through same, either themselves or with a relative.

OP posts:
bloodywhitecat · 06/06/2019 15:24

just to add, I'm a bit confused by the enemas prior to palliative care.

Because the OP's dad is on a palliative care plan and not end of life one? Palliative care is not always end of life and a person can be on a palliative plan for long time.

Teddybear45 · 06/06/2019 15:51

@ChestyNut because palliative care doesn’t equal end of life care. The goal of palliative care is to have patients live as healthily as possible for as long as possible and can be provided for years. My Aunt has been having palliative therapies since her stroke 10 years ago. Sil receives them for her chronic illness, and the wife of a friend receives them due to complications associated with a benign brain tumour. None of them are considered end of life and in fact probably won’t be for decades.

RosaWaiting · 06/06/2019 16:33

an enema seems pretty drastic though, and very unpleasant for the patient

I'd love to think they tried everything else before that, but again, based on experience, I just wondered.

Windygate · 06/06/2019 16:54

bringingcrazyback both my DF and DSF were seriously ill last year. DSF was hoisted at home but often when in hospital there was no hoist, trained staff, enough time or a mix of all three so using his pad was often his only option. As his illness progressed being hoisted became too distressing and pads were the only way.

When DF's condition deteriorated pads were often the only option. Once he was on the end of life path enemas were a vital part of keeping him comfortable. Constipation distressed him so much.

I'm sorry your family and your DF are going through such a tough time Flowers Hopefully your DF will soon be home.

bringincrazyback · 07/06/2019 12:33

Thanks for the info everyone, it's really helpful to get a bit of an insight into this. Thanks for the kind thoughts too and I'm really sorry to hear of other people's sad stories. Flowers

I've just realised my OP may not have been as worded as clearly as it could have been; what I meant to convey was that my father wasn't helped on to a toilet or commode at any point after the enema, the pad was used as a substitute toilet so to speak, due to shortage of staff to help him go to the toilet in the normal way. The pad wasn't merely used to catch the aftermath, so to speak. Hence our shock as we'd never encountered that practice before.

Re the enema, he has liver disease and docs felt it important to keep 'clearing him out' so to speak, to prevent toxins potentially building up and causing encepalopathy. I think they've stopped doing them now and he's due home soon. I think they're still considering this to be in 'palliative' rather than 'end of life' stage for the time being, though I know his condition is life-limiting.

OP posts:
New posts on this thread. Refresh page
Swipe left for the next trending thread