Coroner's Finding: Pastro, Dean
Deceased
Dean Pastro
Demographics
88y, male
Date of death
2022-12-16
Finding date
2026-07-07
Cause of death
General inanition on a background of immobility secondary to thoracic spine fractures and mixed vascular and Alzheimer's dementia
AI-generated summary
Dean Pastro, aged 88, died at Bene St Clair residential care facility on 16 December 2022 from general inanition secondary to immobility caused by thoracic spinal fractures sustained in a June 2022 fall at home, complicated by mixed vascular and Alzheimer's dementia. He was under a guardianship order and had explicitly requested comfort measures only, refusing hospital transfer. His progressive decline was marked by reduced food and fluid intake from November 2022, administration of morphine for pain relief, and development of pressure injuries. The coroner examined the standard of care provided by the residential facility and found it comprehensive, appropriate, and commensurate with his significant comorbidities. The care plan was well-structured, ongoing physician consultation with Dr Q. occurred, and interventions including wound care, catheter management, and palliative supports were documented. The coroner concluded that care met appropriate standards and no recommendations were warranted.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Drugs involved
Clinical conditions
Contributing factors
- Immobility from paraplegia
- Thoracic spine fractures (T10/11)
- Mixed vascular and Alzheimer's dementia
- Progressive decline in food and fluid intake
- Pressure injury development
- Multiple comorbidities
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