Deceased
Dorothy Jean Atkins
Demographics
83y, female
Date of death
2017-07-09
Finding date
2024-03-07
Cause of death
meningitis with sepsis with the likely source of infection being a large and deep decubitus ulcer of the sacrum
AI-generated summary
Dorothy Jean Atkins, aged 83, died on 9 July 2017 from meningitis and sepsis secondary to a large stage 4 sacral decubitus ulcer. Autopsy revealed severe malnutrition (24.5kg, BMI 13), poor hygiene with faecal soiling under fingernails, dystrophic toenails, and multiple pressure ulcers. Ms Atkins had not seen a GP for 12 months despite recommended monthly reviews. Her son David Baldock, her paid carer, failed to recognize or adequately treat the massive sacral ulcer despite claiming daily sponging. No aged care assessment occurred; no support services were engaged despite availability. The coroner found evidence of carer neglect including inadequate medical care, poor nutrition, neglected hygiene, and absence of prescribed medications. While not intentional or financially motivated, the neglect was reckless, resulting from ignorance and failure to act in Ms Atkins' best interests despite clear cognitive decline.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
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Drugs involved
Clinical conditions
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