Patientberättelse Elsa 80 år

Updated: February 24, 2025

Inspektionen för vård och omsorg (IVO)


Summary

Elsa, an 80-year-old wheelchair-bound woman, sought emergency care for breathing difficulties and chest pressure. Upon arrival, she faced challenges with lack of access to a call bell, discomfort in her coccyx, and hitting her head while being assisted to the toilet. Despite the delayed care, she received treatment for heart failure, leading to the discovery of early-stage pressure sores during her stay at the emergency department. This video sheds light on the importance of timely and comprehensive care for elderly patients in emergency situations.


Elsa's Arrival at the Emergency Department

Elsa, 80 years old and wheelchair-bound, arrives by ambulance at the emergency department from her residence. She called the ambulance due to difficulty breathing and pressure in her chest.

Elsa's Experience at the Emergency Department

Elsa seeks emergency care for the same symptoms. She is moved to a bed with a thin mattress and admitted to the emergency department while waiting to see a doctor. There is no call bell available for her.

Challenges Faced by Elsa

After an hour, Elsa requests the patient next to her to ring the call bell for assistance to the toilet, but the bell is occupied by another patient. Despite receiving a call bell herself, Elsa feels uneasy. She experiences discomfort in her coccyx and later receives a sandwich and coffee.

Medical Treatment for Elsa

Elsa is administered diuretics and blood thinners. She eventually sees a doctor for the treatment of her heart failure. Later, as the diuretics start to take effect, she asks for help to the toilet, signaling the regular staff through an ambulance alarm. She is assisted to the toilet in a wheelchair and receives a diaper for the first time, leading to the discovery of early-stage pressure sores.

Incident at the Toilet

While being assisted to the toilet, Elsa hits her head on the floor. Following a new medical examination and X-rays of her head, shoulder, and arm, twelve hours after her arrival at the emergency department.


FAQ

Q: What symptoms did Elsa experience that led her to call an ambulance?

A: Difficulty breathing and pressure in her chest.

Q: What medical condition was Elsa eventually diagnosed with and treated for?

A: Heart failure.

Q: What happened to Elsa while she was being assisted to the toilet?

A: She hit her head on the floor.

Q: What was the result of the new medical examination and X-rays twelve hours after Elsa's arrival at the emergency department?

A: The discovery of early-stage pressure sores.

Q: What medical interventions were administered to Elsa during her time in the emergency department?

A: Diuretics and blood thinners.

Q: What led to the discovery of the early-stage pressure sores on Elsa?

A: Receiving a diaper for the first time.

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