Coroner's Finding: Saberton, Linda Eileen
Deceased
Linda Eileen Saberton
Demographics
73y, female
Date of death
2022-03-17
Finding date
2024-06-19
Cause of death
fractured neck of femur (operated) on a background of Alzheimer's dementia
AI-generated summary
Linda Eileen Saberton, aged 73, died from complications of a fractured neck of femur sustained in a fall at her aged care facility, on a background of advanced Alzheimer's dementia. She had suffered two hip fractures within one year, both requiring surgery. Her family raised concerns about medication management (risperidone use, pain medication dosing inconsistencies) and staffing levels, though the coroner found these were not directly related to the cause of death. The investigation identified no deficiencies in care. This case highlights the risks of falls in dementia patients despite preventive measures, and the importance of appropriate pain and psychotropic medication management in aged care settings.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Error types
Drugs involved
Clinical conditions
Procedures
Contributing factors
- advanced Alzheimer's dementia with logopenic aphasia
- unsteady gait and increased fall risk
- multiple falls during residence at aged care facility
- previous hip fracture in May 2021 leading to increased frailty
- fall incident on 28 February 2022 when foot trapped in trolley
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