Since Jorunn Marie Bukkøy were not regarded as a “wandering” of the employees of home care services, they had never imagined that she would leave the apartment, go down four floors and out in the cold.
– Based on my knowledge, it was not something I foresaw would happen, explained Liv Ane Hallstavik, team leader for home care in Gamle Oslo where Bukkøy lived. Hallstavik grounds that Bukkøy “almost did not come from one room to another and sometimes had to be followed by two to the toilet.”
– But I remember she took a wrong doors in the apartment. Sometimes when she was on the toilet, she insisted on going into another room.
Jorunn Marie Bukkøy froze to death outside his own apartment at Kampen in Oslo on 1 March 2010. The death led to an investigation of care services she got from Oslo. It ended with the municipality were reviewed and fined. The case ended up in court when the municipality refused to be guilty of any punishable offense and declined to pay a fine of 500 000.
Not dangerous for her to stay alone
In Oslo District Court today, explained Liv Ane Hallstavik that she thought it was dangerous for Bukkøy to stay alone and she never thought that she could not vouch for the offer she received “within the constraints we had.”
– She was not one I had put on hazard lights on. I did not believe that there was any danger that she would go out, she said.
She believed it could well be that she would be better off in a nursing home, but added that “it is time pressure everywhere . “
– But with nutrition would perhaps have been better. Where you eat with others.
Called not dementia assessment
After a delayed dementia assessment due to the fall, cut the head and hospital stay in late October, Jorunn Marie Bukkøy dementia investigated 18. December 2009. She was followed to a study of a home from the services. Same day it was sent a brief note to the GP where it emerged that Bukkøy suffered from severe dementia, and that she wanted to get a nursing home. But GP was sick, and discharge summary was added in the journal. There was also a slightly longer version of the report that was submitted GP 2 February. Where it appears that Bukkøy needed clock monitoring.
– It was lying in the journal. I already thought she was in a nursing home, said Natalia Orlova GP Øien in court.
I already thought she was in a nursing home
was no contact between the GP and home care services before the municipality requested doctor’s help to appoint a guardian in mid February – two weeks before Bukkøy death.
In court Hanne Zachariassen, head both home nursing and practical assistance in district Old Oslo, asked why none of the municipality called for responses to the report from the hospital. She was followed by one from the municipality.
Turned to confidentiality
– It’s not all such studies we get answers, she said about dementia survey and showed that not all users wanted others to gain access. If they were not deprived consent competence, did not the municipality such information.
It also came forward in court Friday three people were team leaders from December to Bukkøy death on March 1. From February to Bukkøy died stepped Zachariassen even as team leader, in other words, she had double duty.
She was asked what she would do if she had gotten to know the outcome of dementia assessment that concluded with severe Alzheimer .
– Then I would asked them who was with her about how things worked at home, she answered.
Interpreted not on the basis of Alzheimer records
Until 13 . December – ie five days before Lovisenberg concluded with severe cognitive impairment – was Liv Ane Hallstavik team leader: ie chief of the group of nurses, home helpers, carer and unskilled who were with Bukkøy. Hallstavik told that the team leader himself was never in the field, but that it was informed of events and journal notes on daily meetings.
She was asked what thoughts she made herself diagnosis Bukkøy got a few days after she quit .
– Severe dementia was nothing I could valued on the basis the records I got, she said. but stated that she had heard about “a certain progression in health.”
– It was talked about. She was a theme, she said about the period until 13 December.
Unclear how depriving any consent
One of the themes in the trial is why the municipality has not deprived Bukkøy consent competence – that of trying her opposition to come to a nursing home. Consent competence may lawfully lapse if patients have dementia.
– I do not think there were any guidelines on it with consent, said team leader Hallstavik. She thought it was real doctor who could deprive Bukkøy consent competence, and asked whether perhaps district doctor had no authority. She “sought not rules,” but said that she and ordering office had some conversations about the topic.
The judge asked the unit manager Hanne Zachariassen procedures around it to deprive any consent.
– We have held courses about it now, she said stated that it was created procedures. It happened after changes in the Patient Rights Act of 2012, ie a scant two years after Bukkøy death. When the judge asked her if there was thus no experience with Bukkøysaken that led to courses and procedures, but new legislation, responded Zachariassen succinctly: Yes.
Acute confused few days before she died
Zachariassen got a lot of questions about why nothing happened after the episode where Bukkøy was found on the floor with a lamp over two days before she died. She was acutely confused, walked restlessly around in your own apartment and relax things on the floor. The answer was that using hygienist who had found her, had called and asked a nurse for advice and was advised to take a urine sample. It was taken since she claimed Zachariassen could have signs of urinary tract infection; including pain in the lower abdomen. The confusion could also be related to infection.
But the night watchman who would take urine, making it forgot it, and it was also forgotten by those who should do it Sunday. And Monday, she was found dead.
It was given the impression that users often fall and that in itself was not anything special.
– No, it happens. Most have the security alarm.
When the prosecutor pointed out that Bukkøy well not – something kin had stated, protested municipality defender and believed that one could not know this: it was the decided that she should have it .
– Used she it, asked defense counsel Paul-Fredrik Hjort Kraby.
– Do not know. It goes to a private company, responded Zachariassen.
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