Vancouver Sun

Treatment of patient, 78, sparks probe

St. Paul’s Hospital investigat­ing treatment of Alzheimer’s patient

- STEPHANIE IP sip@postmedia.com Twitter.com/stephanie_ip

Health officials are investigat­ing after a Vancouver man alleges his 78-year-old mother with Alzheimer’s was roughed up by St. Paul’s Hospital security and left crying and bruised this week.

Aaron Craven is now advocating for an “overhaul” of how Alzheimer’s patients are treated and hoping other families can draw from his experience and “get out ahead” of the disease.

“I feel the entire situation was extremely poorly managed by St. Paul’s emergency staff and the result was abusive and way over the top of what was needed,” he said of his mom Patricia’s June 5 visit to the downtown Vancouver hospital.

Craven’s mother has Alzheimer’s and his dad has dementia; both of their conditions have slowly worsened. In recent weeks, Craven has been preparing to transition his parents from in-home care to a local seniors’ home.

On the recommenda­tion of health care providers, Craven took his mother to St. Paul’s on Monday to stabilize her medication before the move.

The pair arrived around 11:30 a.m. and Patricia was placed in an emergency ward stretcher, according to an email Craven addressed to local politician­s and health officials, and has also shared with Postmedia.

After a few hours of waiting, Craven said he requested medication to help his mom calm down; she was becoming frightened due to the noisy, busy emergency-ward conditions. Craven said nurses then gave him a tablet of quetiapine to calm his mom. At 9 p.m., Craven said they were told there would not be a bed available in another ward and would have to remain in emergency overnight. Craven said he complained and staff freed up a room in emergency with a sliding door and took his mom there.

“By this point, she had been in the emergency ward for over 10 hours and was getting very agitated, despite all my efforts to calm her,” he said.

A short time later, Craven said his mother became upset and insisted on leaving the hospital. Security was called just as Craven was able to get his mom to return to her room. When she tried to leave again, Craven said staff ordered security to restrain her. He said she hadn’t hit anyone, fallen or thrown anything.

“My mother was thrown onto a stretcher by multiple security guards and staff (maybe 7-10 people), stripped of her clothing, put into a four-point restraint and injected with sedative,” Craven alleges in his email. “She screamed, cried and begged them not to take her clothes off.”

“Aside from the extreme heavyhande­dness of the sedation, the fact that my mother was given such brutal lack of dignity and such force was incredibly inhumane and unnecessar­y.”

Craven said his mother cried and shook for an hour after the alleged incident. An email Craven received from the hospital’s patient relations department apologized, said staff were looking into his concerns, and promised an update sooner than the health ministry’s response time guideline of 40 days.

“As we discussed, I am looking into the concerns you raised below. Please be assured that I am taking your complaint very seriously and will endeavour to get a response to you faster than the Ministry of Health guidelines of 40 business days,” Jenny Hyman, of the Patient Care Quality Office at Providence Health Care, says in the email to Craven. “I truly hope your mother is able to be stabilized quickly and that your experience of our care improves significan­tly during her admission to hospital. Again, I am extremely sorry for the distress that this incident caused for you and your mother.”

Vancouver-West End MLA Spencer Chandra Herbert’s office has also been in touch with Craven.

When contacted by Postmedia, Providence Health spokesman Shaf Hussain couldn’t discuss specifics of the incident involving Craven’s family, but said the health authority was investigat­ing the incident. “An incident or any patient complaints are looked at closely and addressed,” said Hussain. “We would be working closely with the family on any such complaints and/or issues that are raised.”

Hussain said patients who are brought into the emergency ward are first triaged, stabilized and assessed before being transferre­d to the appropriat­e unit as required. He said Providence Health has a dedicated geriatrics and eldercare psychiatri­c unit at Mount Saint Joseph Hospital, but acknowledg­ed patients must be stabilized before being admitted there.

Craven said he hopes his family’s experience will encourage other families to seek help before things get too challengin­g to handle in the face of Alzheimer’s.

In a phone interview with Postmedia, Craven said his family is fortunate enough that they are able to make the time commitment­s and financial arrangemen­ts to care for his parents and ensure they are looked after at a full-time facility. But he notes he’s not the only one sandwiched between aging parents and raising young children and needing support.

His family’s experience and his concerns about the health care system’s ability to care for an aging generation are detailed in a moving post on his website.

“Getting out ahead of these issues in early stages is critical, before they compound. I wish I had been quicker to respond, but acting on the reality in front of you often comes after a period of paralysis and denial,” Craven writes.

Patricia Craven has been in the hospital since Monday and is recovering from the ordeal, but Aaron Craven said his family is still shaken from the experience.

 ??  ?? These are the bruises left on Patricia Craven’s wrists that her son alleges came from being forcibly restrained by seven to 10 members of staff and security at St. Paul’s Hospital on Monday.
These are the bruises left on Patricia Craven’s wrists that her son alleges came from being forcibly restrained by seven to 10 members of staff and security at St. Paul’s Hospital on Monday.
 ??  ?? Aaron Craven says his 78-year-old mother Patricia, who has Alzheimer’s disease, cried and shook for an hour after the alleged incident.
Aaron Craven says his 78-year-old mother Patricia, who has Alzheimer’s disease, cried and shook for an hour after the alleged incident.

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