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Coroner's Finding: Iliev, Patricia

Deceased

Patricia Iliev

Demographics

57y, female

Date of death

2021-03-06

Finding date

2025-08-05

Cause of death

starvation due to insufficient food intake

AI-generated summary

Patricia Iliev, a 57-year-old woman, died from starvation after progressively restricting her food intake over months while immobilised by chronic back pain. She had a gastrointestinal stromal tumour and advanced lung disease from smoking. Her partner, Philip Adams, provided food and care as requested but did not intervene when she stopped eating entirely in her final week, despite her becoming unresponsive and incapacitated. The coroner found Adams' account of events unreliable and questioned whether Iliev retained decision-making capacity in her final days. Key clinical lessons: untreated chronic pain and mental health conditions can lead to fatal outcomes; patients with capacity must have documented advance directives; early medical intervention for treatable conditions could have prevented death; and caregivers have obligations to seek help when patients become unable to communicate or self-care.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

general practicepsychiatrygeriatric medicinepathologyemergency medicine

Error types

systemdelay

Drugs involved

aspirin

Clinical conditions

starvationchronic back paingastrointestinal stromal tumouremphysemarespiratory bronchiolitispressure soresmalnutritionstarvation ketosishippocampal scarring

Contributing factors

  • chronic untreated back pain
  • gastrointestinal stromal tumour of stomach (stage 1A)
  • advanced lung disease caused by smoking (centriacinar emphysema and active respiratory bronchiolitis)
  • social isolation
  • refusal to seek medical treatment
  • possible mental health condition (undiagnosed)
  • progressive immobility and loss of independence
  • inadequate nutritional intake over months
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction — report an inaccuracy here.