Freda Owens

1. 1. lack of information about restricted mobility

   “A District Nurse was unaware of potentially important information as regards the Patient including how restricted her movement was.”

2. 2. limited information quality and quantity

   “Having considered all of the oral evidence in court and the clinical records, the amount and quality of the information provided to the hospital is limited and this had an impact upon later decisions taken and not least by the Tissue Viability Nurse once she was involved.”

3. 3. failure to examine high-risk area

   “Although the District Nurse explained why she did not examine the Deceased's left hip area on 21st November 2012, the Nurse in my view ought to have examined that area given the Patient was viewed as being at high risk of developing pressure areas.”

4. 4. communication breakdown between teams

   “lack of communication between the clinical team and the plastic surgery team, which appears to have contributed to the fact that it was not until 3rd December 2012 when the Tissue Viability Nurse became involved.”

No published response was found on judiciary.uk.