Coronial
VICother

Finding into death of Patrica June Andrew

Deceased

Patricia June Andrew

Demographics

73y, female

Coroner

Deputy State Coroner Iain West

Date of death

2010-11-09

Finding date

2012-01-23

Cause of death

end stage renal failure

AI-generated summary

Patricia Andrew, a 73-year-old woman with Down syndrome, end-stage renal failure, type 2 diabetes, and intellectual disability, was resident in a Department of Human Services community unit. She deteriorated over several days, became lethargic, and fell from her bed on 5 November 2010. She was transferred to Box Hill Hospital where cardiorespiratory arrest was imminent. Given her documented not-for-resuscitation status, she was transferred to palliative care on 7 November and died on 9 November from end-stage renal failure. The coroner found no evidence of substandard management. Clinical lessons include appropriate recognition of deterioration, timely escalation to hospital care, respect for advance care planning decisions, and appropriate transition to palliative care when curative treatment was no longer viable.

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

Specialties

palliative carenephrologyemergency medicine

Clinical conditions

end-stage renal failuretype 2 diabetesdiabetic retinopathyDown syndromeintellectual disabilityrenal impairment

Contributing factors

  • intellectual disability (Down syndrome)
  • type 2 diabetes
  • diabetic retinopathy
  • renal impairment
  • fall from bed
  • decreased level of consciousness
Full text

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