A frail pensioner who contracted Covid and was isolating in his room at a care home was admitted into hospital with skin damage which raised a red flag, an inquest heard.
Murray Hyslop, 82, passed away on 16 January this year at King's Mill Hospital in Sutton-in-Ashfield In Nottinghamshire.
He suffered from Parkinson's disease, was malnourished, with an “acute kidney injury” - where the kidneys suddenly stop working properly - and had tested positive for Covid earlier in December 2020.
All of these issues would have contributed to his ability to fight pneumonia, NottinghamshireLive reports.
The inquest heard that Mr Hyslop also had multiple superficial pressure ulcers on hospital admission, which would be a red flag to refer to safeguarding.
He had been isolating in his room at the Willow Tree Care Home, after all but one of the residents appeared to have come down with an infection.
On Christmas Eve, he was admitted to hospital where he was extremely emaciated.
Hospital blood tests suggested he might also have an infection. He was diagnosed with a "fairly significant acute kidney injury" and was given intravenous antibiotics.
Dr Steven Rutter, a consultant geriatrician at King's Mill Hospital, said Mr Hyslop had tested positive for Covid-19 on 11 December.
He told the hearing: “In all honesty the skin damage was not a significant part of his initial presentation and there was no evidence of infection associated with the skin damage.
"The feeling is that they (the skin damage) would have developed probably within 24 hours. The feeling was they would have been present at the point he was picked up (by ambulance) at the care home”.
Despite being on IV fluids and antibiotics, Dr Rutter said it was fairly clear very early on "we were not going to manage to keep him alive, I am afraid".
Mr Hyslop was put on end of life pathway. The proposed medical cause of death was pneumonia and undiagnosed ischemic heart disease, the inquest heard.
A senior carer at the home, Sally Morgan, said at the time of isolation, care was given in the room, residents were not mobilising as much as they would under normal circumstances and were limited to who they saw and interacted with.
The day before he was admitted to hospital, Mr Hyslop declined medication and his diets and fluids were “not very good”, according to Ms Morgan.
His son, Andrew, came to visit him “through a closed door”, where he found his father unresponsive.
"I had serious concerns what I saw that day," he told Ms Morgan. "He was quite clearly infected and his legs were pencil thin”.
The inquest at Nottingham’s Council House continues.Read More Read More