Gregory Abrams Davidson Solicitors recover damages for injuries arising as a result of pressure sores sustained in a Nursing Home.
Facts of Case
The deceased was elderly man, who was doubly incontinent and required full support from either one or two nursing staff in this regard. He also required continence products to maintain his dignity. The deceased’s skin integrity was managed by nursing staff with use of Cavilon spray to act as a barrier. This enabled him to maintain good skin integrity and he had no breaks in his skin prior to the Defendant taking over his care.
After a month under the care of Old Vicarage Nursing & Residential Care Centre, the deceased was admitted to Warrington General Hospital.
A Tissue Viability Nurse referral was completed on admission to Warrington General Hospital, as well as an incident form due to pressure sores around the buttock and groin area. On examination by a Tissue Viability specialist, it was noted that the deceased had been incontinent of loose faeces. A urinary catheter was also noted to be in situ. Extensive areas of purple discolouration were observed indicating suspected deep tissue injury (grade 3 or 4 pressure ulcers). This pressure damage was summarised as “Areas to buttocks sacrum, groins, scrotum, upper back and neck all appear deep tissue injuries and are likely to evolve to grade 3 or 4 pressure ulcers.” A safe guarding referral was therefore made.
The working diagnosis was sepsis secondary to pneumonia, acute kidney injury, advanced dementia, frailty and poor functional reserve. Chest x-rays conducted revealed bilateral basal consolidation. The plan was to continue active management over the next 24-48 hours, with continued IV antibiotics and fluids due to infection and an acute kidney injury. It was noted that it was unlikely that the deceased would survive this admission and if he deteriorated over the weekend, the management goal would be palliation with emphasis on comfort and dignity.
The deceased sadly passed away a month after being admitted to hospital. The inquest concluded that the deceased had been subject to inadequate pressure sore prevention treatment and the cause of death was confirmed as Confluent Bronchopneumonia.
Case Progression
Upon our instruction independent medical evidence from a Consultant General Physician was obtained and a formal Letter of Claim was sent to the Defendant alleging that:
- There was a failure to adequately or at all to conduct a fully comprehensive nursing needs and pressure ulcer risk assessment when care for the deceased was commenced.
- There was a failure to plan and/or implement an adequate care plan with regard to pressure relieving strategies including but not limited to repositioning, bed rest and equipment.
- There was a failure to provide adequate care and assistance, leading to the development of deep tissue injuries to the deceased’s buttocks, sacrum, groins, scrotum, upper back, hip and neck.
- There was a failure to prevent the development of deep tissue injuries to the deceased’s buttocks, sacrum, groins, scrotum, upper back, hip and neck.
- There was a failure to regularly review, assess and monitor the deceased’s skin condition.
The Defendant did not provide a formal letter of response but put forward an offer of settlement to include a payment of damages and legal costs which was accepted by our client who was acting on behalf of the estate of the deceased.
Gregory Abrams Davidson Solicitors deal with claims for compensation against hospitals (both NHS and Private), dentists, general practitioners, pharmacists and opticians. We have offices in Liverpool City Centre, Allerton, Garston Village and Golders Green, London. We offer a free initial case assessment and No Win No Fee Funding is available. To enquire contact a member of our Medical Negligence new enquiries team on 0151 733 3353, email This email address is being protected from spambots. You need JavaScript enabled to view it. or complete our online contact form.
