Coronial
SAaged care

Coroner's Finding: CATALANO Fernanda

Deceased

Fernanda Catalano

Demographics

85y, female

Date of death

2016-04-24

Finding date

2019-04-15

Cause of death

ischaemic heart disease with renal failure

AI-generated summary

Fernanda Catalano, 85 years old, died of ischaemic heart disease with renal failure at Lyell McEwin Hospital. She had suffered an unwitnessed fall at her aged care facility on 20 April 2016, was transferred to hospital with a suspected hip fracture (later ruled out), and developed acute renal failure. She was subject to a guardianship order with detention provisions. The coroner found no evidence of restraint or deficiency in care at either the aged care facility or hospital. The fall was attributed to slippery flooring and the sensor mat being inadequately sized. No clinical lapses in assessment or management of her acute renal failure were identified. The investigation confirmed natural causes with no third-party involvement.

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

Specialties

geriatric medicineemergency medicineorthopaedic surgerycardiology

Drugs involved

quetiapineantipsychotic medicationanticoagulant medicationdiabetes medication

Clinical conditions

ischaemic heart diseaseacute renal failureatrial fibrillationtype 2 diabetes mellitushypertensionsevere dementiahistory of strokehistory of pancreatitisprevious myocardial infarction

Procedures

urinary catheterization

Contributing factors

  • acute renal failure following acute cardiac ischaemic event
  • unwitnessed fall on slippery flooring
  • inadequately sized pressure-sensitive mat
  • underlying ischaemic heart disease
  • atrial fibrillation
  • diabetes mellitus
  • hypertension
Full text

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