Coronial
VIChospital

Finding into death of Louise Spencer

Deceased

Louise Spencer

Demographics

58y, female

Date of death

2023-04-22

Finding date

2024-11-13

Cause of death

Alzheimer's Dementia on a background of Trisomy 21

AI-generated summary

Louise Spencer, a 58-year-old woman with Down Syndrome and Alzheimer's dementia, died of natural causes at Austin Hospital following admission for rapid deterioration post-COVID-19 infection. She was transferred to the Palliative Care Unit after consultation with her family and medical decision-maker, where she received end-of-life care. The coroner found no clinical management failures by either the supported independent living provider or hospital staff. This case highlights the vulnerability of people with intellectual disabilities and the importance of appropriate advance care planning, family involvement in decision-making, and timely transition to palliative care when clinically indicated.

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

Contributing factors

  • COVID-19 infection
  • rapid physical and mental health decline in preceding 12 months
  • refusal of food, liquids and medication
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