NHS nurses told to treat the elderly as humans

By
Sophie Borland

18:01 EST, 15 May 2012

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18:01 EST, 15 May 2012

Nurses  are being told to stop seeing the elderly as ‘tasks to be completed’.

They will be urged to consider each patient as somebody’s grandparent, mother or father, rather than merely a ‘condition’.

In a speech today, Sir Keith Pearson, chairman of the NHS Confederation, an umbrella body for organisations that provide NHS services, will tell nurses to ‘look behind the mask of sickness and frailty’ and see the individual.

Better care: Nurses are being told to treat the elderly with more respect

Better care: Nurses are being told to treat the elderly with more respect

With nursing standards coming under increasing scrutiny, critics of the profession are likely to ask why such basic guidance should be necessary and why a caring approach is not ingrained in all health workers.

Sir Keith is calling for hospitals and care homes to ‘stamp out undignified care’ and ensure every patient is treated with respect.

His speech at the Royal College of Nursing’s annual conference in Harrogate, North Yorkshire, will warn that examples of poor care ‘crop up far too often’.

Sir Keith is leading a group of experts who are attempting to change the culture of  the NHS to ensure patients are always treated with compassion.

HAVE THOUSANDS OF NURSING POSTS BEEN AXED?

Over the past two years the Royal College of Nursing has repeatedly issued dire warnings that thousands of nursing posts are facing the axe.

Ministers have always denied these claims, consistently stating they ‘do not recognise’ the RCN’s figures.

Yesterday the union issued yet another report with figures showing that since March 2010, two months before the Coalition was formed, a total of 3,588 nursing and midwifery posts have gone.

Again, the Government denied these claims and said initially said that there were actually only 450 fewer nursing posts. 

They pointed out that the overall number of clinical roles – which include doctors, scientists, radiologists as well as nurses – had increased.

But the NHS’s own figures show that the RCN are right – there were 311,787 nursing posts in March 2010 compared with just 308,199 now.

And yesterday for the first time Health Secretary Andrew Lansley conceded that the NHS had lost ‘about’ 3,500 nurses.

The Government are correct to state that the clinical posts have gone up, though – there are 3,556 more compared with two years ago.

Many of these include scientists, radiologists who carry out x-rays and sonographers who perform ultrasounds, as well as doctors.

The panel – the Commission on Improving Dignity  in Care for Older People –  was set up last year after a series of damning reports exposed widespread neglect  in hospitals. 

Sir Keith will recount to nurses the harrowing case of one elderly man who had been allowed to become so dehydrated that he could not even cry for help.

The neglected patient died three days later from stomach cancer at the Royal Bolton Hospital. His case was one of several examples of poor care highlighted in a report by the Health Service Ombudsman last year.

Sir Keith will tell nurses: ‘This is not the care, or the end-of-life experience, that any of us want to see. But I recognise, and I am sure you recognise that these examples are cropping up far too often. 

‘We cannot simply dismiss them as isolated incidents. For they are not just unacceptable instances of care, they also  eat away at the reputation of the NHS, social care and our caring professions.’

He will add: ‘As individuals and as a profession, we must not see patients – particularly older people in our care – as  a condition or a task to be completed. 

‘Behind the mask of sickness and frailty is a mother, a father and grandparent. Behind that same mask of sickness and frailty also lies a former teacher, a former postmistress, a former soldier.’

The reports last year prompted accusations that NHS staff, particularly nurses, were neglecting the needs of vulnerable patients.

Nurses insist that the vast majority of the profession intend to provide the highest standards of care but say they are often unable to do so because wards are so understaffed.

Earlier this week nurses told the Health Secretary Andrew Lansley that they are routinely being forced to look after up to 18 patients at a time. 

They also warned that cost-cutting hospitals are replacing senior nurses with cheap, untrained healthcare assistants. 

Figures have revealed that more than 3,500 nursing posts have been axed in the past two years as hospitals attempt to meet strict savings targets.

Here’s what other readers have said. Why not add your thoughts,
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The comments below have not been moderated.

If you want nurses to treat patients as human beings then perhaps the NHS needs to treat nurses as human beings.

I think all those men who have commented about the state of nursing should do a weeks day shift, a weeks afternoon shift and than a weeks night shift shadowing the nursing staff and than come back and tell us all about it — ex nurse.

How can they help being rushed, the goverment have cut 26.000 nurses from the NHS and plan to cut even more! What Mr Cameron should do is try a couple of months in their shoes. I say a couple of months at least because that’s how long the grinding hard work with never enough time takes to really take its effect. Every nurse is taught unconditional positive regard for patients and to treat them as individuals. But anyway why do they think nurses go into nursing. With ‘O’ and ‘A’ levels they can get better paid jobs but they don’t because they care and want to make a difference. Stop deamonising nurses as a cover for goverment cuts.

“Have a look on facebook if you want to know what the new generation of nurses think of their patients – it would put you off going into hospital for life.- John, London, 08:44” I don’t use facebook or twitter, John, both are internet poison, so I am prepared to take what you say at face value. However, with the revelation on how understaffed wards are – with a recent stay in hospital I can testify to that – it is no surprise that under pressure people become things things get forgotten. Also, looking at the other side of this; nursing staff while I was there came under a lot of abusive pressure from patients’ relatives; they were rude stopped nurses from doing the very job they were supposed to be doing by taking up their time to complain. I have no respect for nurses who do spend their time chatting round the station, but every respect for those doing the best they can under difficult circumstances. 1:18 patients is difficult, and Sir Keith needs to realise that.

We would IF NHS chiefs and the government gave us enough nurses to do so.
We are the trained experts in patient care NOT them. It is insulting and patronising for them to be critising us for something that is THEIR fault!

It’s not the nurses fault it’s the managers it’s all about targets

I am not, nor was I ever a nurse but I remember when nurses called people patients, I also remember when ADMINISTRATORS stalked all the rubbish about stakeholders, clients etc.
I believe it is they, not the nurses who need to get back to reality!
I have heard similar wording by MP’s, WE are NOT stakeholders, WE are their EMPLOYERS, a fact they seem to have forgotten.

When my husband told a University trained Staff Nurse he was fed up after having many sleepless nights she said you can always discharge yourself This is what you call caring

Here we go again, let’s have a go at nurses day.
If you want to blame someone,look to the CQC and their unreasonable nit picking into pt care resulting in an hours + worth of paperwork when admitting each patient, not to mention the 10 pages of assessments at the bed ends, only completed so that when a family complains about their loved ones lack of care and want to complain, management can say it was given cos it’s written down. Ironic.
As a CARING nurse I despair.

The biggest improvement to elderly care would be more British staff in Nhs/care homes. We need staff who can communicate to our elderly in their own language, able to interpret their sometimes confused mumblings. The patients would feel better able to speak to their care staff also if they knew they would be understood. I live near a care home full of Filipino staff members, I’m sure they are lovely ladies but how is a 77yr old dementia patient able to communicate to a person who speaks basic English that they don’t like pasta. They don’t want to eat it. The carer may assume the patient is not hungry. The patient cannot have a day to day conversation, without basic friendly communication there’s no relationship and these patients become a bed number and a task.

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