Coronial
VICother

Finding into death of Flora June Rasmussen

Deceased

FLORA JUNE RASMUSSEN

Demographics

87y, female

Coroner

Coroner Peter White

Date of death

2015-05-16

Finding date

2015-10-16

Cause of death

coronary artery disease

AI-generated summary

Flora June Rasmussen, an 87-year-old woman with a history of congestive cardiac failure living in a disability residential facility, was found unresponsive on the floor while getting dressed on 16 May 2015. She had reported normal sleep and was observed by staff during showering. Paramedics attempted resuscitation but were unsuccessful. Autopsy confirmed coronary artery disease as the cause of death with no evidence of injury. The coroner found that Ms Rasmussen received appropriate care in the residential facility and that her medical treatment was appropriate. This case highlights the unpredictable nature of acute cardiac events in elderly patients with known cardiac disease, even in supervised settings with attentive care.

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

Specialties

general practiceemergency medicinepathology

Contributing factors

  • history of congestive cardiac failure
  • deterioration in health in weeks prior to death
Full text

IN THE CORONERS COURT OF VICTORIA AT MELBOURNE

Court Reference: COR 2015 2397

FINDING INTO DEATH WITHOUT INQUEST

Form 38 Rule 60(2) Section 67 of the Coroners Act 2008

I, PETER WHITE, Coroner having investigated the death of FLORA JUNE RASMUSSEN

without holding an inquest:

find that the identity of the deceased was FLORA JUNE RASMUSSEN born on 7 June 1927

and the death occurred on 16 May 2015

at 83 Williams Road, Wangaratta, Victoria

from:

1(a) CORONARY ARTERY DISEASE

Pursuant to section 67(1) of the Coroners Act 2008 I make findings with respect to the following circumstances:

1;

Flora June Rasmussen was an 87 year old lady who resided in a community residential unit for people with disabilities run by the Department of Health and Human Services (DHHS) in Wangaratta. Ms Rasmussen had a mild intellectual disability and in 1966, she went to live in a care facility. She lived in a range of accommodation facilities and moved to the Wangaratta facility in January 2012.

Ms Rasmussen was regularly taken to see her general practitioner at the Ovens Medical Clinic. She had a history of congestive cardiac failure and in the weeks leading up to her death, she was experiencing a deterioration in her health.

On the morning of 16 May 2015, Richard Kendall, the shift supervisor for the day shift, liaised with the outgoing night shift house supervisor and ascertained that it had been an uneventful night. At about 7.15am, Mr Kendall spoke to Ms Rasmussen. She said that she had a normal nights sleep. At approximately 8am, Ms Rasmussen went to have a shower.

Mr Kendall checked on her while she was having a shower and again when she exited the shower and was getting dressed. A short time later, he checked on her again and found her lying on the floor and non responsive. He immediately called emergency services.

  1. An ambulance unit and a MICA paramedic arrived a short time later. They attempted resuscitation however they were unable to revive Ms Rasmussen.

  2. Ms Rasmussen’s death was reported to the Coroners Court of Victoria by her general practitioner, Dr Patrick O’Connor. Senior Pathologist, Dr Michael Burke of the Victorian Institute of Forensic Medicine, performed a post mortem medical examination. Dr Burke’s autopsy report noted that the examination showed coronary artery disease. There was no evidence of any injury that would have contributed or Jed to death. Dr Burke concluded that the cause of Ms Rasmussen’s death was 1(a) coronary artery disease. I adopt Dr Burke’s findings in relation to the medical cause of death.

  3. As Ms Rasmussen resided in a DHHS residential facility, I caused the coroner’s investigator to prepare a coronial brief of evidence. I have relied on the statements in that brief in this finding. I received a comprehensive statement from Dr O’Connor in relation to Ms Rasmussen’s medical history and treatment. I also received a statement from Mr Kendall. I am satisfied that Ms Rasmussen received appropriate care while residing in the DHHS accommodation facility. I am also satisfied that her medical treatment was appropriate.

Pursuant to section 73(1B) of the Coroners Act 2008 I order that this finding be published on the website in accordance with the rules.

I direct that a copy of this finding be provided to the following:

Ms Rasmussen’s family Dr Patrick O’Connor

Leading Senior Constable Anthony Handley, coroner’s investigator

2 > ae Signature: _peoe > let. Eh L { & PETER WHITE BASS yi CORONER OF Viens ey ‘ Date: 16 October 2015 ee Srenere Zz

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