Derek Lee

1. 1. inadequate medication review

   “Mr [name redacted] medication regimen which was to be the core of the admission was barely addressed and no reasons for any changes in medication appear in his notes”

2. 2. inadequate mental capacity assessment

   “Re: Admission Documentation - Mental capacity was not properly assessed and when Mr [name redacted] was discharged from the ward after three weeks on the 17" May the paperwork in that respect was still . incomplete”

3. 3. inadequate falls risk assessment

   “His Falls Risk Assessment was flawed in that it failed to take into account information from his wife and son as to how he was mobilising at home”

4. 4. delayed pressure ulcer prevention

   “No Waterlow score was done until the 4" May. Too late. No appropriate ; Pressure relieving equipment was ordered until the 12!" May. There was no evidence before me that the equipment was ever received or used for Mr [name redacted]”

5. 5. delayed thromboprophylaxis

   “The thromboprophylaxis assessement which should have been carried out on either the 27" or 28" April was not done until the 6" May”

6. 6. inadequate bowel monitoring

   “No bowel chart was kept until the 12" May. Why not? Even non nursing, non-medical professionals know that one of the several dangers of ' Parkinson's Disease is constipation”

No published response was found on judiciary.uk.