Deceased
Audrey Beverley Street
Demographics
87y, female
Date of death
2017-09-22
Finding date
2021-03-05
Cause of death
closed traumatic head injury from a fall at standing height; significant contributing factors were pneumonia, atherosclerotic and hypertensive cardiovascular disease, dementia, and Type II diabetes
AI-generated summary
An 87-year-old woman with dementia, congestive cardiac failure, and diabetes sustained a fatal closed head injury from a fall in her aged care room overnight. The coroner found that the responsible ECA did not perform the required three nightly checks despite multiple inconsistent statements claiming he had. The employee's credibility was severely undermined by vacillating accounts, lack of documentation, later employment misconduct involving neglect of duty, and implausible explanations. While the coroner could not establish definitive timing of the fall or conclusively prove no first check occurred, the evidence strongly suggested the two midnight and 3am checks were not performed. If proper checks had been conducted, Mrs Street may have been assisted to bed safely or received earlier medical attention, potentially changing her outcome, though her injuries were ultimately irreversible.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Clinical conditions
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