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Rest home failed prostate cancer patient

NZ NewswireNZ Newswire 25/07/2016

A rest home breached its standard of care resulting in the death of an elderly patient with prostate cancer, authorities say.

The 77-year-old was admitted for a week of respite at the unnamed Bupa Care Services facility in 2014 but Health and Disability Commissioner Anthony Hill said on Monday that there was a departure from accepted nursing standards.

The man, known as Mr A, had prostate cancer and staff were notified on his admission to the rest home that he had ongoing issues with his catheter blocking, which would require hospital-level care.

On his first day in the home his catheter became blocked and he required a bladder irrigation.

When the same occurred on day two his catheter was removed without medical consultation and not replaced until hours later.

Mr Hill said Mr A also suffered abdominal pain and vomiting, prompting his daughter to take him to hospital on day three.

"He was diagnosed with hyponatremia and acute kidney injury, secondary to bladder obstruction and dehydration," Mr Hill said.

Mr A died in hospital four days later.

The commission found care for Mr A failed in a number of ways, including that Mr A's catheter was removed and bladder irrigated, both without medical advice, and that concerns about his condition were not escalated.

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