Coroner's Finding: Szemes, Kim Leonie Maree
Deceased
Kim Leonie Maree Szemes
Demographics
59y, female
Date of death
2018-05-28
Finding date
2020-03-23
Cause of death
Unable to determine - body too decomposed at autopsy
AI-generated summary
Mrs Szemes, a 59-year-old woman with longstanding mental health issues living alone, was found deceased after an interval of approximately 5 months. On 28 May 2018, police attended her home after welfare concerns and called an ambulance. Paramedics documented significant cognitive and behavioural concerns: incoherence, poor speech, bizarre behaviour, inappropriate responses, and poor concentration. Despite these clinical findings suggestive of acute mental status change, the paramedics did not assess capacity to refuse treatment and departed when Mrs Szemes asked them to leave. No one saw her alive thereafter. The clinical lesson is that paramedics should formally assess decision-making capacity in patients with obvious cognitive impairment or psychiatric symptoms before accepting refusal of care, particularly when social risk factors are evident.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Error types
Clinical conditions
Contributing factors
- Paramedics did not assess capacity to refuse treatment
- Paramedics left patient in home without heating, electricity, or hot water despite observed cognitive impairment
- No formal capacity assessment documented despite obvious acute mental status changes
- Apparent social isolation and lack of welfare follow-up
- Longstanding untreated or undertreated mental health condition
- Patient lived alone with minimal social contact
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