Coronial
VICaged care

Finding into death of Margaret Jane Gardiner

Deceased

Margaret Jane Gardiner

Demographics

70y, female

Date of death

2014-08-24

Finding date

2016-06-07

Cause of death

bronchopneumonia

AI-generated summary

Margaret Jane Gardiner, aged 70, died from bronchopneumonia while an involuntary inpatient at an aged psychiatry unit. She had longstanding anxiety, depression, and eating disorder with recent significant physical and mental health deterioration. Pneumonia was diagnosed on 12 August 2014 with antibiotics commenced. She was referred to palliative care following a multidisciplinary case conference on 22 August due to her fragile physical state and poor prognosis. She was found deceased on 24 August 2014. The autopsy confirmed bronchopneumonia with focal coronary atherosclerosis and mild myocardial fibrosis. The coroner found that care provision appeared appropriately holistic given her complex presentation and that she died from natural causes. No clinical errors or preventable issues were identified.

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

Contributing factors

  • pneumonia diagnosed 12 August 2014
  • fragile physical state with poor prognosis
  • complex mental health presentation with eating disorder
  • behavioural disturbance and agitation
Full text

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