General inanition complicating mixed vascular and Alzheimer's dementia on a background of left fractured humerus (operated)
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Victoria Feldstein, 87, died of general inanition complicating mixed vascular and Alzheimer's dementia following a left humeral fracture sustained in aged care. She fell on 16 August 2020, initially managed conservatively, then surgically repaired on 2 September 2020. Post-operative delirium and pain management led to reduced oral intake. Despite family concerns and medical review, her condition declined with aspiration pneumonia developing. She was discharged for palliative care and died 23 October 2020. The coroner found her care at both the aged care facility and hospital appropriate, with no recommendations made. The case highlights challenges in managing post-operative delirium, pain control, and nutrition in frail elderly patients with dementia in residential settings.
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