Coronial
VIChospital

Finding into death of Eileen May Howell

Deceased

EILEEN MAY HOWELL

Demographics

68y, female

Coroner

Deputy State Coroner Paresa Spanos

Date of death

2008-12-27

Finding date

2010-05-20

Cause of death

intracerebral haemorrhage

AI-generated summary

Eileen May Howell, a 68-year-old woman with intellectual disability and history of cerebral haemorrhage in 2004, suffered a fatal intracerebral haemorrhage on 25 December 2008 while at her brother's home. She had been predicted to have another stroke within five years of her first event. No warning signs were noted by carers or family in the preceding weeks, except for being slightly slower and quieter. She was admitted to ICU at Western Hospital but died two days later. The coroner found no evidence that her death was causally related to her status in Department of Human Services care. No systemic failures in care delivery were identified. This case illustrates the natural progression of cerebrovascular disease in patients with prior haemorrhagic stroke and the limited preventability of recurrent events despite appropriate monitoring.

AI-generated summary — refer to original finding for legal purposes. Report an inaccuracy.

Specialties

neurosurgeryintensive care

Contributing factors

  • history of previous cerebral haemorrhage in 2004
  • known prognosis of likely recurrent stroke within five years
Full text

Rule 60(1)

FORM 37

FINDING INTO DEATH WITH INQUEST

Section 67 of the Coroners Act 2008

Court reference: 5801/08

Inquest into the Death of EILEEN MAY HOWELL

Delivered On:

Delivered At:

Hearing Dates:

Findings of:

Representation:

Place of death:

Appearances:

20th May, 2010

Coroners Court of Victoria at Melbourne

Hearing Room

Level 1, 436 Lonsdale Strect

Melbourne

Victoria 3000

12th May, 2010

PARESA ANTONIADIS SPANOS

N/A

Western Hospital, 176 Furlong Road, St Albans 3021

Senior Constable Kelly RAMSEY State Coroners Assistants Unit

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FORM 37 Rule 60(1)

FINDING INTO DEATH WITH INQUEST Section 67 of the Coroners Act 2008 Court reference: 5801/08 In the Coroners Court of Victoria at Melbourne

I, PARESA ANTONIADIS. SPANOS, Coroner,

having investigated the death of:

Details of deceased: Surname: HOWELL Firstname: EILEEN Address: Community Residential Unit la First Avenue, Melton, Victoria 3338

AND having held an inquest in relation to this death on 12th May, 2010 at Melbourne

find that the identity of the deceased was EILEEN MAY HOWELL born on the 24th August, 1940

and death occurred on the 27th December, 2008 from: Ma) INTRACEREBRAL HAEMORRHAGE in the following circumstances:

  1. Ms Howell was a sixty-two year old woman who resided in the care of the Department of Human Service. Ms Howell was born with an intellectual disability which meant she had limited language and communications skills and required full time care for her whole life. During her teenage years, while still living with her family, she was maimed when three of her [ingers were caught in a plough. Ms Howell remained in the care of her family until they were no longer able to care for her and she came into the care of the Department of Human Services (DHS).

Since 1993, she had resided at the above Community Residential Unit (CRU).

2, Other than her intellectual disability and the injury to her fingers referred to above, Ms Howell enjoyed good general health and had no major health concerns until 2004 when she had a cerebral haemorrhage which required surgery. As a result she lost control of the right side of her body, was wheelchair bound and required more assistance with all the activities of daily living,

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The prognosis was that it was likely that she would have another stroke within five years of the first.

  1. Ms Howell received regular visits from her brother and sister-in-law. On 25th December 2008 she went to her brother’s house in Melton West for Christmas lunch, While seated in her wheelchair in the rear courtyard, she had a collapse which was witnessed by her brother and

sister-in-law. They called emergency services and Ms Howell was taken to Western Hospital where a CT scan of the brain revealed a haemorrhage. Ms Howell was admitted to the Intensive Care Unit where she was treated conservatively until her death at 6:53am on 27th December, 2008.

4, © Neither Ms Howell's carers nor her family members had noticed anything to raise concerns’ about her health in the period preceding her collapse on 25th December, 2008.

According to family members there had been nothing to indicate major illness, apart from Ms Howell being slightly slower and quieter during the two weeks preceding her death.

  1. There was no autopsy as I allowed the family’s objection to autopsy pursuant to section 29 of the Coroners Act 1985, However, Forensic Pathologist Dr Sarah Parsons from the Victorian Institute of Forensic Medicine performed an external examination in the mortuary, reviewed the circumstances as reported by the police and post-mortem CT scanning of the whole body and advised that it would be reasonable to attribute the cause of death as “intracereral haemorrhage”.

  2. I find that Ms Howell died from an intracerbral haemorrhage and find no evidence to support a finding of any causal connection or contribution between her death and her status as a person in the care of DHS when she died.

Signature:

PARHSA ANTONIADIS SPANOS

Coroner Date: 20th May, 2010

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