Deceased
Aileen Mary McLeish
Demographics
54y, female
Coroner
Coroner Simon McGregor
Date of death
2023-09-08
Finding date
2025-05-12
Cause of death
Pulmonary thromboembolism complicating left calf deep venous thrombosis in the setting of fronto-temporal dementia
AI-generated summary
54-year-old woman with frontotemporal dementia and Parkinson's disease died from pulmonary thromboembolism complicating deep venous thrombosis. She fell during the night at a disability accommodation facility and was found on the floor at 5:30 am by night shift staff. The care worker failed to follow her care plan (which required two-person assist for any movement), did not provide timely first aid, did not contact after-hours services for guidance, and left her on the floor for 30+ minutes before day shift arrived. The coroner found her care was not reasonable in her final moments. Clinical lessons include the critical importance of adhering to individualised care plans, recognising immobility as a VTE risk factor in vulnerable populations, and ensuring appropriate escalation and first aid response to falls, particularly in clients with complex needs.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
Procedures
87y · Female·Complications of head injuries and left proximal femur fracture sustained in a f…
An 87-year-old woman with Parkinson's disease sustained an unwitnessed fall at a residential aged care facility, resulting in head injuries and a hip fracture. Critical clinical lessons emerged: (1) neurological observat…
39y · Male·Mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) with contribut…
Kevin Thomas Maloney, a 39-year-old man with complex mental health conditions and substance use disorder, died from mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) while residing in a supported resident…
65y · Female·Combined effects of acute pneumonia, pancreatitis, urinary tract infection, and …
A 65-year-old woman with chronic alcohol use disorder, multiple comorbidities, and progressive functional decline died from combined effects of pneumonia, pancreatitis, urinary tract infection, and severe pressure ulcers…
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