Coronial
SAaged care

Coroner's Finding: RAMM Gladys Maud

Deceased

Gladys Maud Ramm

Demographics

92y, female

Date of death

2013-04-20

Finding date

2017-08-25

Cause of death

heart failure secondary to aortic stenosis, anaemia, atrial fibrillation and ischaemic heart disease

AI-generated summary

A 92-year-old woman with multiple comorbidities (aortic stenosis, anaemia, atrial fibrillation, ischaemic heart disease) died of heart failure four days after admission to aged care. She had been hospitalised for three months following a fall, during which her cognitive function declined significantly. The coroner found she received appropriate care at all material times. The death was reportable because she was a protected person under guardianship with section 32 detention powers. The coroner made no recommendations. Clinical lessons include ensuring timely medical review in aged care settings and appropriate documentation of advance care planning such as 'do not resuscitate' orders.

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

Contributing factors

  • decompensated left ventricular failure precipitated by rapid atrial fibrillation
  • pancytopenia with macrocytic anaemia
  • moderate to severe aortic stenosis
  • ischaemic heart disease
  • E. coli urinary tract infection
  • cognitive and functional decline
  • advanced age and frailty
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