Finding into death of John Mackenzie

IN THE CORONERS COURT OF VICTORIA AT MELBOURNE

Court Reference: COR 2012 004145

FINDING INTO DEATH WITH INQUEST

Form 37 Rule 60(1) Section 67 of the Coroners Act 2008

Inquest into the Death of: JOHN MACKENZIE

Delivered On: 8 AUGUST 2013 and PUBLISHED ON 8 OCTOBER 2013

Delivered At: MELBOURNE

Hearing Dates: § AUGUST 2013

Tindings of: CORONER K.M.W. PARKINSON

Place of death/Suspected death: THE BASIN, VICTORIA

Counsel Assisting LEADING SENIOR CONSTABLE AMANDA

MAYBURY

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I, K M. W. PARKINSON, Coroner

having investigated the death of MR JOHN MACKENZIE

AND having held an inquest in relation to this death on 8 AUGUST 2013 at MELBOURNE

find that the identity of the deceased was JOHN MACKENZIE

born on 6 MARCH 1962

and the death occurred on 2 OCTOBER 2012

at THE BASIN, VICTORIA

from:

LA, COMPLICATIONS OF END STAGE RENAL FAILURE (PALLIATED) IN A MAN WITH DOWN’S SYNDROME AND POST TRAUMATIC STRESS DISORDER

in the following circumstances:

A summary inquest was held in relation to the circumstances of the death of Mr John Mackenvie in circumstances where Mr Mackenzie was in care. The inquest is a mandatory

inquest.

Mr Mackenzie was 50 ycars of age at the time of this death. He resided in a care facility and had been in the care of the Department of Human Services (‘DHS’) since the time of his

birth.

At the time of his death, Mr Mackenzie resided at 12 Arcadia Avenue, The Basin, a facility

operated by DHS. He had been residing at this location for approximately 21 ycars.

Mr Mackenzie had a medical history of Down’s Syndrome, severe intellectual disability, celiac disease and post traumatic stress disorder. He had a recent medical history and had been admitted to the Angliss Hospital with a diagnosis of pneumonia and chronic renal failure. He was discharged from hospital for palliation on 19 September 2012 in renal

failure.

Mr Mackenzie was managed palliatively in the facility and medicated in that context. He was located on Tuesday 2 October at approximately 5.00 a.m. by his carer, unresponsive.

An ambulance was called and he was unable to be resuscitated.

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6. Dr Jacqueline Lee, forensic pathologist with the Victorian Institute of Forensic Medicine, has reported that the cause of death was Complications to End-Stage Renal Failure

(Palliated) in a man with Down’s Syndrome and Post Traumatic Stress Disorder.

7. In those circumstances, I am satisfied that the cause of death was natural. There are no suspicious circumstances. | am satisfied that the medical treatment and management and

care provided to Mr Mackenzie was reasonable and appropriate.

8. T direct that a copy of this finding be provided to the Interested Parties and to the

Investigating Police Officer.

Signature:

KM. W. PARKINSON CORONER 8 October 2013

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