AN INQUEST INTO THE DEATH OF GWENDA MARGARET MEMBERY

AI-generated summary

Gwenda Margaret Membery, an 82-year-old resident of aged care with dementia, COPD, and diabetes, died from acute bronchopneumonia. She presented with fever and cough on 3 July 2014, was diagnosed with respiratory tract infection by Dr A., and prescribed antibiotics and oxygen as required. Despite treatment, her temperature remained elevated (38-39°C) overnight on 5-6 July. The night nurse RN Delos Santos conducted observations every 2 hours and called an ambulance at 6:30am when fever persisted and medication was refused. The coroner found no evidence that Dr A.'s diagnosis or treatment contributed to death, and that the nursing decision to hospitalise was appropriately timed given the absence of respiratory distress or signs of critical deterioration. No preventable errors were identified.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.