Failure to identify the full picture
Patient admitted with high blood glucose probably caused by steroids. Mid antibiotic course which Drs failed to prescribe for their stay. Next day declared fit for discharge, on arrival in the evening, usual delay for tttas (take home medication), clearly unwell when taken home. When home gave Furusomide and some improvement. Pulse slightly irregular. Pressure areas - heel very sore and tender, black heel developed within a few days, grade 3 damage to both buttocks, which has taken 8 weeks to heal. GP saw next day, AF diagnosed and medicines reviewed, different antibiotic prescribed and started on Digoxin. Very poorly for several days, thought they were going to die but got great support from the district nurses and hospice. Also when discharged clearly dehydrated and pressure damage to sacrum and heel. Very disappointed with service.