Coroner's Finding: Andrysik, Anne Carol
Deceased
Anne Carol Andrysik
Demographics
80y, female
Date of death
2022-10-05
Finding date
2025-08-28
Cause of death
Fractured left neck of femur on a background of rectal carcinoma and dementia
AI-generated summary
An 80-year-old woman with dementia and undiagnosed rectal carcinoma died from complications of a fractured left neck of femur sustained during a fall in her aged care facility's memory support unit. She had sustained three falls over 25 days; the final fall on 24 September 2022 resulted in the hip fracture. In accordance with her Advanced Care Directive and family wishes, she was not transferred to hospital for imaging or surgical intervention. The coroner found no shortcomings in care and concluded the falls management plan appropriately balanced risk reduction with respect for autonomy. Clinicians should recognize that comprehensive falls prevention, even with appropriate strategies, cannot entirely eliminate risk in elderly patients with dementia, and that respecting advance directives and family preferences regarding investigation and treatment is lawful and appropriate when clearly documented.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Drugs involved
Clinical conditions
Contributing factors
- Fall in aged care facility
- Advanced dementia
- Undiagnosed rectal carcinoma
- Multiple falls in preceding 25 days
- Underlying frailty
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