Deceased
Wesley Paton Courtney
Demographics
84y, male
Date of death
2020-05-13
Finding date
2023-05-22
Cause of death
Head and neck injuries sustained in a fall; specifically facial bone fractures and cervical spine injury (C1 left tubercle fracture, C3 interior end plate fracture, C2-C6 paravertebral soft tissue swelling)
AI-generated summary
An 84-year-old man with primary progressive aphasia and cognitive decline residing in aged care sustained fatal head and neck injuries from a fall on 13 May 2020. He had experienced seven documented falls over 2.5 months at the facility despite appropriate falls prevention strategies including bed and chair sensors, regular physiotherapy assessment, mobility aids, and staff awareness of his high fall risk and impulsive ambulation behaviour. The coroner found the aged care facility employed all reasonable falls prevention strategies and that standard care was appropriate. No preventable issues were identified with care provided by either the aged care facility or hospital. The case illustrates the challenge of preventing falls in cognitively impaired residents with impulsive behaviour who forget to use mobility aids or seek assistance.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Clinical conditions
Procedures
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70y · Female·pneumonia and post-surgical course following repair of neck of femur fracture, i…
Susan Mitchelmore, a 70-year-old woman with multiple comorbidities including COPD, ischaemic heart disease, diabetes, and bipolar disorder, was a resident in an aged care facility under a Mental Health Act Treatment Orde…
86y · Female·Hypostatic pneumonia due to the consequences of a right pubic rami fracture and …
An 86-year-old woman with advanced dementia and frailty suffered an unwitnessed fall at her aged care facility. Initial assessment failed to identify pubic rami and hip fractures. Post-fall documentation was insufficient…
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