Coronial
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SAaged care2026-06-19

Coroner's Finding: Creek, Ronald Thomas

89y · Male·Traumatic intracranial haemorrhage and skull fractures following a fall, on a ba…

Ronald Thomas Creek, aged 89 with dementia, fell at St Basil's Aegean Village aged care facility on 9 January 2023, striking his head on a doorframe despite wearing protective headgear. CT imaging showed traumatic intrac…

geriatric medicinepalliative care
SAaged care2026-06-19

Coroner's Finding: Fowle, Colleen Margaret

78y · Female·urinary tract infection and pneumonia on a background of facial fractures and de…

A 78-year-old woman with mixed dementia living in aged care suffered an unwitnessed fall on 22 March 2023, sustaining facial fractures and eye laceration. The fractures were not identified during her initial hospital ass…

general practicegeriatric medicinediagnostic
SAhospital2026-06-02

Coroner's Finding: Leditschke, John Murray

79y · Male·acute aspiration of food on a background of Alzheimer's dementia

John Murray Leditschke, aged 79 with Alzheimer's dementia, died from acute aspiration of food while eating in hospital. He was admitted to Lyell McEwin Hospital on 22 March 2023 with low oxygen saturation and suspected p…

general medicinegeriatric medicineamoxicillin
SAhospital2026-04-23

Coroner's Finding: Wilson, Charles Thomas

85y · Male·Sepsis due to Staphylococcus aureus bacteraemia due to septic arthritis of left …

An 85-year-old man died in custody from sepsis due to Staphylococcus aureus bacteraemia arising from septic arthritis of the left shoulder, on a background of congestive heart failure. While receiving generally adequate …

cardiologygeriatric medicinemedicationcommunicationmetoprolol
SAaged care2026-02-12

Coroner's Finding: D Angelo, Adelina

88y · Female·Acute on chronic renal failure due to dehydration on a background of Lewy body d…

An 88-year-old woman with Lewy body dementia, Parkinson's disease and congestive cardiac failure died from acute kidney injury precipitated by severe dehydration in aged care. June 2020 blood tests showed mild hypernatra…

general practicegeriatric medicinediagnosticcommunicationfurosemide
SA2025-12-08

Coroner's Finding: Mountford, Raymond Malcolm Edward

82y · Male·Ischaemic and hypertensive heart disease

An 82-year-old man with extensive medical comorbidities including ischaemic heart disease, triple vessel coronary artery disease (previously bypass grafted), diabetes, chronic kidney disease, and dementia died suddenly i…

cardiologygeriatric medicinefurosemide
SAaged care2025-09-11

Coroner's Finding: Glenn, Millicent

89y · Female·acute-on-chronic renal failure on a background of ischaemic heart disease, hyper…

An 89-year-old Aboriginal woman with chronic renal impairment and congestive cardiac failure was prescribed gentamicin intramuscularly for a urinary tract infection caused by Klebsiella aerogenes. Gentamicin is nephrotox…

general practicegeriatric medicinemedicationdiagnosticgentamicin
SAaged care2025-08-28

Coroner's Finding: Andrysik, Anne Carol

80y · Female·Fractured left neck of femur on a background of rectal carcinoma and dementia

An 80-year-old woman with dementia and undiagnosed rectal carcinoma died from complications of a fractured left neck of femur sustained during a fall in her aged care facility's memory support unit. She had sustained thr…

geriatric medicinegeneral practicenorspan patch
SAaged care2025-03-31

Coroner's Finding: Kettlestring, Jacqueline Collette

64y · Female·acute bronchopneumonia complicating Alzheimer's dementia with head injury

A 64-year-old woman with advanced Alzheimer's dementia died from acute bronchopneumonia following a head injury sustained in an unwitnessed fall. She was under a guardianship order with special powers at the time. Follow…

geriatric medicinegeneral medicine
SAhospital2024-09-13

Coroner's Finding: Icke, Frances Veronica

74y · Female·Intracranial haemorrhages (non-operated) on a background of dementia

Frances Veronica Icke, aged 74, died from intracranial haemorrhages on a background of dementia. She fell at home on 31 December 2021 and was admitted to hospital with two brain bleeds. Neurosurgery determined she was no…

geriatric medicineneurosurgerycommunication
SAhospital2024-09-13

Coroner's Finding: Zarrella, Dominic

88y · Male·aspiration pneumonia complicating vascular dementia and metastatic prostate canc…

An 88-year-old man with vascular dementia, metastatic prostate cancer, and chronic kidney disease died of aspiration pneumonia 15 days after admission to hospital under a Mental Health Act inpatient treatment order. He w…

oncologypsychiatry
SAaged care2024-06-19

Coroner's Finding: Coom, William Cyril Denver

92y · Male·unascertained

A 92-year-old man with advanced dementia died in aged care following an unwitnessed fall on 3 December 2021. He deteriorated rapidly after a second fall at 11:45pm and died shortly after. The precise cause of death remai…

geriatric medicinegeneral practicecommunicationsystem
SAaged care2024-06-19

Coroner's Finding: Harmer, Valerie Fay

91y · Female·dementia complicated by subdural haemorrhage

A 91-year-old woman with advanced dementia under guardianship order died from dementia complicated by subdural haemorrhage. She sustained a fall at an aged care facility in July 2021, resulting in a 6mm subdural haematom…

neurosurgeryemergency medicine
SAhospital2024-06-19

Coroner's Finding: Kennedy, Beulah Laura

95y · Female·end-stage dementia and inanition complicated by fractured neck of femur (operate…

Mrs Beulah Kennedy, aged 95, died from end-stage dementia and inanition complicated by a fractured neck of femur. She was admitted to Royal Adelaide Hospital on 10 September 2021 with agitation and falls. An inpatient tr…

geriatric medicinepsychiatry
SAaged care2024-06-19

Coroner's Finding: Murphy, Phillip Robin

76y · Male·right lower lobe pneumonia on a background of frontotemporal dementia, chronic o…

A 76-year-old man with frontotemporal dementia, COPD, and osteoporosis died of right lower lobe pneumonia following multiple falls causing pelvic and rib fractures at a nursing home. He was admitted to hospital on 9 Febr…

geriatric medicinepalliative care
SAaged care2024-06-19

Coroner's Finding: Perkins, Ann

77y · Female·general inanition on a background of dementia, chronic subdural haematoma and ri…

Mrs Ann Perkins, aged 77, died from general inanition with dementia, chronic subdural haematoma, and fractured neck of femur as contributing factors. She sustained an unwitnessed fall at her aged care facility in Decembe…

geriatric medicineorthopaedic surgery
SAaged care2024-06-19

Coroner's Finding: Saberton, Linda Eileen

73y · Female·fractured neck of femur (operated) on a background of Alzheimer's dementia

Linda Eileen Saberton, aged 73, died from complications of a fractured neck of femur sustained in a fall at her aged care facility, on a background of advanced Alzheimer's dementia. She had suffered two hip fractures wit…

geriatric medicineorthopaedic surgerymedicationrisperidone
SAaged care2024-06-19

Coroner's Finding: Whelan, Brian John

84y · Male·head and pelvic injuries with contributing ischaemic and valvular heart disease …

An 84-year-old man under guardianship with dementia, cardiac disease, and on anticoagulation suffered an unwitnessed fall at an aged care facility and sustained head and pelvic injuries. Following the fall, a registered …

geriatric medicineemergency medicinesystemcommunicationanticoagulation medication
SAaged care2024-05-22

Coroner's Finding: Donato, Anthony

85y · Male·blunt craniocerebral trauma following a fall

Anthony Donato, aged 85, died from blunt craniocerebral trauma following an unwitnessed fall at an aged care facility. He had dementia, hypertension, sleep apnoea, and previous falls. He was assessed as medium fall risk …

geriatric medicineemergency medicine
SAaged care2024-05-22

Coroner's Finding: Feldstein, Victoria

87y · Female·General inanition complicating mixed vascular and Alzheimer's dementia on a back…

Victoria Feldstein, 87, died of general inanition complicating mixed vascular and Alzheimer's dementia following a left humeral fracture sustained in aged care. She fell on 16 August 2020, initially managed conservativel…

geriatric medicineorthopaedic surgery
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