Connect with us

HTML Image

i

Breaking News

20-year-old man dies after staff miss major red flag his bowel had ruptured

Published

on

  • Man with Prader-Willi Syndrome died of multi-organ failure from a complication of undiagnosed diabetes, triggered by perforated bowel that went unnoticed
  • Care staff failed to recognise the severity of his condition or seek timely medical assistance, according to the Health and Disability Commission report
  • He was not supervised, monitored, nor cared for adequately when he became unwell, investigation shows.

Caregivers at a secure residence for people with intellectual disabilities failed to notice that a 20-year-old man was dying under their watch after suffering a perforated bowel the week before, an investigation has found.

In a report released on Tuesday, the Health and Disability Commission has found “severe systemic shortcomings” in the care by the unnamed provider, including poor staff training and oversight.

The man, referred to as “Mr B” in the report, had the rare genetic condition Prader-Willi Syndrome, which causes people to eat life-threatening quantities of food if unsupervised.

He died in May 2023 after being rushed to the hospital three days earlier, critically ill with diabetic ketoacidosis – a buildup of acids in the blood – triggered by sepsis from the undiagnosed rupture in his small intestine.

His parents complained to the health watchdog that the provider and individual staff members did not adequately care for their son, and failed to manage his Prader-Willi syndrome, which allowed his weight to balloon 20kg in six months.

Furthermore, they said staff failed to recognise clear warning signs that he was seriously unwell in the days before he was hospitalised.

Staff accounts ‘differ’

According to the provider’s account, Mr B “went about his day as usual” (except he declined to attend a morning outing) before his condition suddenly deteriorated.

“At handover (3pm), staff were advised that Mr B had spent most of the day in his room. Staff member A recollected that Mr B had been unwell during the day, but the provider noted that this was not staff member B’s recollection.”

At about 4pm, Mr B called out that he was “dizzy and thirsty”, and was brought drinks.

“The staff member stated that Mr B said that he had felt sick since breakfast and that the morning staff did not check on him, and he had had nothing to eat since breakfast (which is in contrast to a statement by the other staff member, who advised that Mr B had had lunch).”

As he said he was unable to eat solid food, he was given some Weet-Bix softened with milk and reportedly “felt better”.

Staff members checked on him after that, but when they came in to wake him for his medication at 8pm, his speech was slurred, he had wet the bed, and he told them “he could not really move”.

Shortly after taking his medication, staff noticed he seemed “hot” and had developed a red rash on his skin, dry lips and dark bags around his eyes with visible veins on his stomach.

After phoning the duty manager and the on-call health advisor, they were advised to call 111.

Mr B was picked up by ambulance at 8.48pm and taken to the hospital.

The company conceded it had been struggling with staff recruitment and retention at the time, but based on its own review, it said “the actions taken by [staff] were appropriate in the circumstances”.

Care failings ‘severe’

However, an expert adviser to the Commission, John Taylor, who has 37 years’ experience in the disability sector, including working closely with people with Prader-Willi Syndrome, said the service provided to Mr B “severely departed from the expected standard of care in a number of aspects”.

Systemic failures included the ineffective management of Mr B’s syndrome, inadequate leadership oversight, poor record-keeping, and inadequate staff member supervision of Mr B.

Its many failings contributed to Mr B’s rapid weight-gain, and “food incidents” such as Mr B eating an entire plate of ham and “drinking all the milk” in the fridge, he wrote.

From 20 May 2023, there were “multiple failures” in passing on essential information in shift handovers, such as Mr B’s loss of appetite – a major red flag in someone with Prader-Willi Syndrome – frequent bathroom visits, abdominal pain and distension.

“Staff did not recognise the severity of [Mr B’s] condition and failed to seek timely medical assistance.

“They also failed to check on him, monitor his condition or provide adequate hydration.”

Instead, they relied entirely on Mr B to “self-report” health problems.

“It appears that he was largely left alone in his room with no proactive checking. On the morning he was taken to hospital, it appears that the usual staff member didn’t turn up to work and a reliever was called in and this reliever was unaware [Mr B] was in the house for quite some time.”

Death ‘avoidable’

Deputy Commissioner Rose Wall said the company failed to put safety plans in place to “mitigate staff shortages”.

“I accept Mr Taylor’s advice, and I am critical that Mr B was not supervised, monitored, and cared for adequately when he became unwell. I am concerned that the provider staff members’ recollection of events on 27 May 2023 varied greatly, which raises doubts about the accuracy of the staff statements.”

It was “more likely than not” that Mr B was seriously ill much earlier than indicated by staff (due to their lack of knowledge of PWS), and the lack of adequate supervision also explained how he came to eat something that caused his intestinal perforation and subsequent abscess.

“Accordingly, I disagree with the provider’s statement that Mr B was receiving appropriate services.”

Mr B’s worsening health and ultimately his death were “avoidable”, Wall said.

“I am very critical that the provider did not engage in learning about PWS [Prader-Willi Syndrome], and it did not provide appropriate training and resources to its staff members to allow it to provide a safe standard of care to Mr B.

“There was also a missed opportunity to utilise the family resources available to the provider that had been provided by Mrs A, who effectively had been supporting Mr B to manage his PWS when he was residing at home.”

Wall has told the provider to apologise to the man’s family, and made several recommendations, including that it audit management plans for compulsory care residents, revise operating procedures, train staff and review its daily notes and shift handovers.

Provider makes changes

The provider accepted the finding of a breach and the Commission’s recommendations.

It said it had made “numerous changes” since Mr B’s death, including recruiting more staff, creating a new quality manager role, and changed the way it grouped residents in care homes.

“Mr B’s death and the investigation into care provided to him has been taken very seriously by our team, and we are committed to using the learnings from this investigation to support improvements in our services.”

~RNZ

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *

Breaking News

Trump administration denounces CNN for airing Iranian leaders’ messages

Published

on

The Trump administration denounced CNN on Thursday (local time) for airing a portion of the new Iranian supreme leader’s public statement, the second time in three days the network has been targeted for reporting on how the regime is responding to the American attacks.

The attack illustrated the care news outlets must take in reporting during wartime, and the responsibilities of American journalists to report the perspective of countries its government views as enemies. It also exposed inconsistencies.

The message of Supreme Leader Ayatollah Mojtaba Khamenei during his first public statement since he succeeded his father, who was killed in an Israeli airstrike, was widely available elsewhere.

The White House said on social media that “fake news CNN just aired four straight minutes of uninterrupted Iranian state TV, run by the same psychotic and murderous regime that prided itself on brutally slaughtering Americans for 47 years”.

Earlier CNN interview criticised by Trump’s communications leader

Two days earlier, White House communications director Steven Cheung took issue with CNN anchor Erin Burnett’s interview with Hossein Mousavian, a former Iranian nuclear negotiator. Burnett asked Mousavian what he had been hearing about the Iranian government’s interest in having talks with the United States. There wasn’t much, he said.

“Ever notice how CNN just regurgitates quotes and unverified information from Iranian terrorists?” Cheung wrote on X.

“Total disgrace. They have become the murderous Iranian Regime’s version of Pravda,” he said, referring to the official newspaper of the former Soviet Union.

CNN did not address Cheung’s statement but did respond to the White House attack on Thursday. It noted that CNN, Sky News and Al Jazeera also showed portions of the ayatollah’s statement live.

“The world is watching with anticipation which direction this war will take,” CNN said. “Purported remarks from Iran’s new supreme leader are a critical component in helping audiences understand where this conflict is heading and were aired for their obvious news value.”

Other news outlets, including The Associated Press, sent out alerts on what Khamenei said. His vow to keep up attacks on other Arab countries in the region and plans to choke off the world’s oil supply were headlines.

Mojtaba Khamenei, the son of Iran's Supreme Leader, Ayatollah Ali Khamenei, center, attends the annual Quds, or Jerusalem Day, rally in Tehran, Iran, May 31, 2019.

The New York Times led its website with a story on the speech in its immediate aftermath, later writing that the speech “was an early indication of how the new supreme leader would approach the war, as well as how he would lead the country”.

CNN has long been a favoured target of President Donald Trump, dating back to his first term. It’s a particularly vulnerable time for the network with Paramount Global’s agreement to purchase CNN’s parent company, Warner Bros Discovery, raising questions about its future editorial independence.

CNN showed a news anchor reading a portion of Khameini’s remarks in Farsi, with an English translation. It did not air them in full. After the speech, correspondent Nick Paton Walsh gave a debrief to anchor Kate Bolduan, noting how the non-appearance of the leader — reportedly injured in an air attack — was as important as what he said.

“We were waiting to see the face of the man to have proof of his health and survival,” Walsh said, “and they’ve not met that moment. Instead, a handwritten message, it seems, that mostly reiterates things we kind of already knew.”

A social media message board for Iran’s point of view

The Tech Transparency Project has reported that several Iranian leaders and institutions maintain verified accounts on X, formerly Twitter, owned by Trump ally Elon Musk. CNBC said Thursday that Khamenei has one of them, and an X account with his portrait posted the text of his remarks, available in Farsi and in an English translation.

Even though Khamenei’s father is dead, an account with his portrait was active on Thursday, mainly reposting messages from his son. “The revenge we have in mind is not just because of the martyrdom of the illustrious Leader of the Revolution,” read one message posted Thursday. “Every member of the nation martyred by the enemy is a separate case that demands we seek revenge.”

X is officially blocked in Iran, although many use a virtual private network to bypass restrictions. A message sent to the platform on Thursday was not immediately returned.

There’s a long history of journalists seeking interviews with world leaders, even when they are regarded as enemies of the United States. Most notable was 60 Minutes correspondent Mike Wallace’s interview with Iran’s Ayatollah Ruhollah Khomeini in 1979, when that country was holding Americans hostage.

Thursday’s remarks by Iran’s new supreme leader were absolutely newsworthy and legitimate for CNN to air them, said Jane Ferguson, a veteran international correspondent and founder of the journalism platform Noosphere. It’s not the job of government leaders to pick apart what CNN is reporting, she said.

“We’ve always faced this,” she said, about when reporters interview leaders or other figures hostile to American interests. “This has been a bit of low-hanging fruit for a while.”

Historian Douglas Brinkley of Rice University said that it’s unfair for CNN to be singled out in this instance. He, too, believes it is newsworthy to learn what leaders of an adversary are thinking, but it’s important to make sure that journalists are careful.

“You have to be leery of being used as a propaganda tool by the Iranian regime,” he said. “On the other hand, knowing what the enemy is saying and looking for a sign of a peace offering or a nuance is important … It’s a difficult balance.”

Continue Reading

Breaking News

University of Auckland building on fire

Published

on

A fire at the University of Auckland law school building has now been extinguished.

A Fire and Emergency spokesperson said there had been a fire at the University and six fire trucks were at the scene on Short Street. The call to 111 came through at about 2.40pm.

FENZ said the fire was now extinguished but crews will stay near the building this afternoon.

Staff and students were seen going in floor by floor, starting with level 6, to retrieve any belongings left behind

A student who was evacuated from the fourth floor of the building said it seemed the fire started on level two.

Police were at the scene talking to students who have been evacuated.

Student Talisha Lal said when the fire alarm went off she, and other students, thought it was a drill.

Lal said once she was out of the building, she could see smoke.

More to come…

~ RNZ 

Continue Reading

Breaking News

Teacher struck off after filming explicit videos at school

Published

on

An Auckland teacher has had her registration cancelled after recording explicit videos of herself urinating on the floor of a classroom and on a student’s belongings.

The New Zealand Teachers Disciplinary Tribunal found Lisa Marie Edmondson had committed serious misconduct.

The school was alerted to the content after the deputy principal of the school was approached by a member of the public who had come across a video on TikTok and recognised the setting. A search for the username led to a pornographic account.

The account contained more than 30 explicit videos which had been recorded at various locations over a period of two-and-a-half years.

In one of the videos, Edmondson appeared to urinate on the floor of a classroom with genitalia clearly visible. A second video showed the teacher urinating on a hat with a student’s name clearly visible in a lost property box.

The summary of facts stated there was an “ongoing urine smell” in some classrooms during the time of her employment which had been attributed to rats and mice. Bait stations had been set up during the school holidays but no rodent activity was noted. The tribunal said her students were “likely to have been adversely affected” due to evidence of an “unpleasant smell that required deep cleaning”.

While she was not visible in the videos, the teacher was recognised due to her voice and clothing.

Edmondson resigned in May 2023 after receiving notice of a formal investigation.

Following her resignation, Edmondson worked as a relief teacher at a second school before being invited to apply for a fixed-term position.

The tribunal found that Edmondson had failed to disclose her full employment history when applying for – and subsequently working at – a new school in 2023 and failing to inform her employer that she was the subject of a mandatory report and current investigation by the Teaching Council.

In her reflective statement, Edmondson acknowledged that she had let her students down and “was not the role model that I should have been for them”.

“I have accepted that the likelihood of returning as a teacher has ended. This has been a very difficult concept to accept because I loved teaching, loved being in the classroom and loved my students and their whānau.”

The tribunal noted Edmondson failed to address the conduct head on or express concern for her former students and colleagues.

Edmondson’s registration was cancelled and the former teacher was issued a formal censure. She was ordered to pay $3,255.87 towards the Complaints Assessment Committee’s costs and $582 to the Teaching Council.

‘I have let down so many people’

In a statement to Stuff, Edmondson said she had no choice but to accept the ruling, but regretted her actions.

“During a two-year period which covers this time I was suffering from extreme anxiety, I can’t explain why I did it other than self sabotage and treating myself badly for things that had happened. By the time it was reported, I really did not even remember and hadn’t done anything else.”

Her actions had impacted her children and her ability to provide for them.

“I can’t change what I have done, but can make sure it never happens again.”

~ RNZ

Continue Reading

Trending

Copyright © 2026 The Buzz: Powered by Apna Network Limited - Concept by Digital Hub NZ