Coronial
SAaged care

Coroner's Finding: Feldstein, Victoria

Deceased

Victoria Feldstein

Demographics

87y, female

Date of death

2020-10-23

Finding date

2024-05-22

Cause of death

General inanition complicating mixed vascular and Alzheimer's dementia on a background of left fractured humerus (operated)

AI-generated summary

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.

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

Specialties

geriatric medicineorthopaedic surgerygeneral practicepalliative carepsychiatry

Clinical conditions

Alzheimer's dementiamixed vascular dementiabehavioural and psychological symptoms of dementialeft humeral fracturepost-operative deliriumaspiration pneumoniageneral inanition

Procedures

open reduction internal fixation of left humerus

Contributing factors

  • post-operative delirium following humeral fracture surgery
  • pain management regimen causing reduced responsiveness
  • reduced oral intake of food and fluids
  • aspiration pneumonia
  • frailty and general decline
  • fall resulting in humeral fracture
  • Alzheimer's dementia with behavioural and psychological symptoms
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction — report an inaccuracy here.