...
Karina was admitted with COPD on 'dog cold' walk: Fell over in search of pulmonologist | India | The DR Government's solution to the overcrowded hospitals will not work, it sounds from the doctors, nurses and sosu assistants. For several days, Karina Lietzen had had extra difficulty breathing. But it was only when her son said that she looked bad that she got to look properly on herself and discovered that her nails were completely blue from lack of oxygen. Then Karina Lietzen decided it was time to take her delicate lungs to Nordsjællands Hospital in Hillerød. It was just after New Year in 2018, and the weather was cold. Karina Lietzen knew about the hospital in Hillerød in advance. She suffers from four different lung diseases and therefore went for regular check-ups at the hospital's lung outpatient clinic. In the emergency room, Karina Lietzen was treated by a doctor, and it was decided that the then 46-year-old COPD patient should be admitted. was to be admitted to the Department of Pulmonary Medicine. But instead, Karina Lietzen was admitted as a so-called overcrowding patient in the Endocrinology and Nephrology Department - a department that is in diabetes, kidney and hormone diseases. It was busy and many patients in the department. Therefore, Karina Lietzen's hospital bed was not placed in a living room, but at the end of the hallway by a window section. The doors opened and closed, and in Karina Lietzen's words it was "dog cold". But the worst thing for Karina Lietzen was that she did not feel that she was getting the right treatment in the ward. - I ask several times that I have to to have some oxygen. I'm a little desperate. So I can not breathe, says Karina Lietzen today. For a whole night, Karina Lietzen lay by the cold glass part of the illuminated white corridor. She froze and was afraid of getting pneumonia. The next morning she became desperate. Even though she had been given some medicine and oxygen in the ward, she still felt unwell, and for 12 hours she had asked in vain for a pulmonologist. got Karina Lietzen to get out of bed even though she was short of breath.In her hospital shirt, she took the elevator from the Endocronology and Nephrology Department on the 8th floor and down to the pulmonary outpatient clinic, where she was used to going for check-ups. Her mission was to find a pulmonologist. Now that no doctor came to her, she had to go to the doctor, she thought. The message in the pulmonary outpatient clinic was discouraging for Karina Lietzen. There was no doctor specializing in pulmonary medicine at that time. She was told that she might be able to find one in the lung ward. Instead of taking the elevator back to her bed on the 8th floor, Karina Lietzen therefore pressed on the 6th floor. Here was the overcrowded pulmonary medicine department.- I'm simply scared on the way up the elevator that I will not reach it, I remember. That I risk dying before I get up there, because I can not breathe at all. , I just remember, and then I fall over in the hallway. I have no more gunpowder, I have no more oxygen left. Karina Lietzen's memory is backed by a note in her patient record, where a doctor from the Department of Pulmonary Medicine on 5 January 12.31 wrote: "pt (patient, ed.) Meets desperately up to 0655 (lung medicine section, ed.), has a lot of shortness of breath and is frustrated at not being seen. Have been down to the outpatient clinic and ask for a pulmonologist, after which she is referred up to the ward, Gets a berodual mask and corrects herself. Is upbeat and reasonably well-being afterwards. ” has submitted Karina Lietzen's case to Nordsjællands Hospital in Hillerød, which acknowledges that Karina Lietzen was hospitalized during some busy days. And the hospital regrets that Karina Lietzen unfortunately did not get a safe experience. At the same time, the hospital maintains that the treatment of Karina Lietzen was sound. It is not uncommon for patients like Karina Lietzen to be placed in hospital corridors or on wards that are not in their illness. overcrowding. In other words, a ward where there were not enough beds or staff. This shows an extensive overcrowding in which has made. in the health care reform, submit in mid-March. will give the municipalities more tasks to be admitted. In that way, the hospitals must.- Now I just have to negotiate with the parliamentary parties, but if we get to our proposal, then we will start investing in the municipal emergency care out with the individual. And it will then free someone from being readmitted, said Minister of Health Magnus Heunicke this weekend. But the organizations that represent the country do not believe that reform proposals will put an end to overcrowding. For the municipalities can not take on the task now.- It is quite clear that the municipalities are not ready to receive these yet, says Torben Hollmann, sector chairman in the social and health sector, which represents the country.- It worries me that you just leave the task to the municipalities, which are not ready. They do not have the finances, the resources or the hands that are needed. It's very worrying, he says. agrees that the municipalities must be involved in hospitalizations.- But then we must ensure that there are enough people and the right people in elderly care. They are the ones who come and visit the elderly every day and need to be able to spot when something is on the way so we can avoid hospitalizations. And it does not address health proposals at all, says Torben Hollmann. The chairman of the Danish Medical Association, Camilla Rathcke, is also worried that the municipalities will get new health tasks before they are ready for it- If the tasks just move very quickly to the municipalities without us having any framework for the quality, we risk that the patients get a worse offer and maybe also illness, she says. - We can not let go of the task with one hand and believe that the other hand solves it with the same quality. The Danish Nurses' Council does not believe either , that the health care reform will take the pressure off the hospitals in the short run.- It is a right way forward. Right here and now one just has to say that it does not solve the overcrowding. Therefore, something else must be done to ensure that there are proper conditions in the hospitals for the patients and for the staff, says the chairman of the Danish Nurses' Council, Grete Christensen. She predicts that the situation with overcrowding will become increasingly chaotic and calls for action. have seen how nurses have left hospitals because they simply can not keep up with the pressure where they can not deliver proper quality. So right now and here you have to sort heavily into what it is for some patients who are admitted and also make sure you have the necessary staff to take care of them. All three organizations are calling for concrete plans for how to solve the problems of overcrowding and dress the municipalities for the new health tasks. It has not been possible on Tuesday to get a comment from Minister of Health Magnus Heunicke to the criticism from the health workers' organizations. After Karina Lietzen in January 2018 reached Ward, she was given oxygen and more medicine and quickly recovered so well that she could go home. But the experience at the hospital in the January days has meant that Karina Lietzen does everything she can to avoid getting to the hospital. have home oxygen I can use. I have masks I can use and I do everything I can to get through myself. It is an absolute emergency solution to take to the hospital. I simply do not dare, she says. Nordsjællands Hospital writes in a reply from Bente Ourø Rørth: - The period in question was a busy period in several wards, but in terms of treatment, the patient has been admitted, observed and subsequently discharged quite safely. is admitted to the hospital, in addition to providing proper treatment and care, we must also provide a good and safe experience. In this process, we have unfortunately not succeeded in the latter, and we regret that. Bente Ourø Rørth further writes that Nordsjællands Hospital today has no challenges with overcrowding or patients in the corridors and has not had it for several years. , before she even found one.- It's such a thing that should not happen. The doctor must come to me. They need to know I'm there. They have to take care of me. After all, that's what we have one for when I can not take care of myself.