Coronial
VICaged care

Finding into death of Irene Mary Donne

Deceased

Irene Mary Donne

Demographics

85y, female

Date of death

2020-05-03

Finding date

2024-04-11

Cause of death

Complications following a fall

AI-generated summary

An 85-year-old woman with dementia died from complications of a fall sustained when pushed by another resident with dementia at an aged care facility. The autopsy revealed skull fracture, extradural haemorrhage, and rib fractures leading to pneumonia. Staff responded appropriately to the incident with timely assessment and pain management. The coroner found the facility's policies and procedures reasonable, and the incident could not have been reasonably foreseen or prevented. The case highlights ongoing challenges in managing resident-to-resident aggression in aged care settings and the need for continued improvement in prevention and response protocols for facilities caring for residents with dementia.

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

Contributing factors

  • Push by another resident with dementia
  • Skull fracture with extradural haemorrhage
  • Multiple posterior rib fractures
  • Pneumonia secondary to lung trauma
  • Age and frailty
  • Dementia in both residents involved

Coroner's recommendations

  1. Residential aged care providers should continue work to improve their processes for preventing and responding to resident-to-resident aggression, including in circumstances where both parties have been diagnosed with dementia
  2. Proactive approaches by care providers to regularly monitor, reassess and manage resident risks are vital
  3. Further research is required to determine best practice in addressing, managing, and preventing resident-to-resident aggression
Full text

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