Coronial
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Inquest into death of JULIE ANN HERMANS

Deceased

Julie Ann Hermans

Demographics

54y, female

Coroner

Coroner Morrison

Date of death

2019-08-10

Finding date

2020-02-20

Cause of death

Multiple organ failure, due to pneumonia in a patient with Guillain-Barré syndrome with quadriplegia, diabetes mellitus, chronic pain and recurrent infections

AI-generated summary

Julie Ann Hermans, a 54-year-old Aboriginal woman with Guillain-Barré syndrome, quadriplegia, diabetes, and recurrent infections, died from multiple organ failure due to hospital-acquired pneumonia during an ICU admission at The Canberra Hospital. The family raised concerns about disability discrimination, parenteral feed composition, and adequacy of specialist response. The coroner found no evidence to support these contentions. The pathologist noted Mrs Hermans received high-level investigation and treatment with appropriate multidisciplinary involvement. Extensive discussions occurred regarding feeding safety and airway management, with consensus that intubation was not warranted based on her ability to maintain her airway and her expressed wishes declining ICU re-admission and CPR. No systemic failures or discriminatory practices were identified.

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

Specialties

intensive caregeneral medicinepathology

Clinical conditions

guillain-barré syndromequadriplegiadysphagiadiabetes mellitushospital-acquired pneumoniamultiple organ failurerecurrent infections

Procedures

percutaneous endoscopic gastrostomy

Contributing factors

  • Guillain-Barré syndrome with acquired quadriplegia
  • dysphagia
  • diabetes mellitus
  • chronic pain
  • recurrent infections
  • hospital-acquired pneumonia
  • multiple comorbidities
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