Coronial
VIChospital

Finding into death of Nicole Buckley

Deceased

Nicole Buckley

Demographics

53y, female

Coroner

Deputy State Coroner Paresa Spanos

Date of death

2024-06-13

Finding date

2026-03-03

Cause of death

Metastatic breast cancer

AI-generated summary

Nicole Buckley, a 53-year-old Wurundjeri woman with complex medical needs including Dandy-Walker syndrome, intellectual disability, and metastatic breast cancer, died of her malignancy at Sunshine Hospital. She was admitted on 11 June 2024 with shallow breathing, lethargy, coughing, and decreased functioning. Clinical assessment revealed hypoactive delirium, dehydration, hypernatraemia, abnormal liver function, and multiple hepatic metastases. Despite IV fluids and antibiotics, her condition deteriorated with hypoxia and hypotension. Palliative care was involved on 12 June, and goals of care discussions occurred with family and carers who supported transition to comfort care. She died on 13 June 2024. This case illustrates appropriate end-of-life care decision-making in a patient with advanced malignancy, with timely palliative involvement and family engagement in shared decision-making.

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

Specialties

palliative caregeneral medicineoncology

Clinical conditions

metastatic breast cancerhepatic metastaseshypoactive deliriumdehydrationhypernatraemiahypoxiahypotensionDandy-Walker syndromeintellectual disability

Contributing factors

  • advanced metastatic disease with hepatic metastases
  • dehydration
  • hypernatraemia
  • hypoactive delirium
  • hypoxia
  • hypotension
Full text

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