Coronial
TASaged care

Coroner's Finding: Rickard-Simms, Adrienne Rosemary

Deceased

Adrienne Rosemary Rickard-Simms

Demographics

75y, female

Date of death

2022-08-01

Finding date

2025-01-14

Cause of death

postoperative delirium/exacerbation of community acquired pneumonia following left hip bipolar hemiarthroplasty for neck of femur fracture

AI-generated summary

A 75-year-old woman with chronic kidney disease, anemia, and significant mobility impairment fell in her aged care facility despite documented high falls risk and appropriate preventive measures. She sustained a neck of femur fracture requiring hemiarthroplasty. Postoperatively, she developed delirium, sepsis, and community-acquired pneumonia, leading to her death. The coroner found the facility had appropriately assessed falls risk, implemented reasonable environmental modifications, and documented the patient's non-compliance with assistance-seeking behavior. The death resulted from complications of the necessary surgical intervention for the fracture, not from failures in aged care management.

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

Specialties

geriatric medicineorthopaedic surgerynephrologyintensive care

Clinical conditions

chronic kidney disease stage 5neck of femur fracturedeliriumsepsiscommunity-acquired pneumoniaencephalopathyanemiahypertensiondyslipidemiagastroesophageal reflux

Procedures

hemiarthroplastydialysis

Contributing factors

  • fall while mobilising without assistance
  • patient non-compliance with safety protocols
  • impulsivity in mobilising unassisted
  • chronic kidney disease stage 5
  • age-related vision and hearing impairments
  • dizziness and postural hypotension
  • postoperative sepsis
  • postoperative delirium
Full text

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