The ACT Coroner has heard that a 90-year-old woman died after staff found her covered in dried blood in the courtyard of the aged care facility where she lived.
Staff were unable to determine how long the woman had been outside.
This case raises one of the most difficult conundrums aged care providers face: allowing residents to maintain their dignity of choice, while at the same time ensuring their safety.
According to a report in The Canberra Times, Ruth McKay passed away at Canberra Hospital in January 2015, only six days after the incident.
Coroner Louise Taylor opened an inquiry into the tragic matter on Monday.
Mrs McKay and her husband, Douglas, moved into the Canberra facility in 2009, at first residing in the independent living section.
But six months after Mr McKay passed away, in 2013, Mrs McKay moved into the facility’s memory support unit. She had been diagnosed with advanced dementia, but otherwise remained in good health.
On the morning of 17 January 2015, staff found Mrs Mackay was not in her room. After a brief search, Mrs McKay was found lying under an ornamental car in the memory support unit’s secure courtyard. She was wearing her nightdress and had a substantial cut on her head. Mrs McKay was so weak she was unable to get up herself.
Ms Baker-Goldsmith described the scene, according to the Canberra Times report. “A large pool of dried blood was located on the concrete outside and to the left of the glass exit door, and blood spots led in a direction from the large pool towards the car.”
“A dried blood pool was observed underneath the car where Mrs McKay’s head was resting, as well as vomit observed on the concrete.
“In addition, bloody finger marks were observed on the left door of the car, as well as on a metal pole supporting the car port structure which covered the car.”
Mrs McKay was immediately taken to Canberra Hospital, but tragically she passed away six days later.
A post-mortem found pneumonia was the cause of death. A pathologist noted that a fall and hypothermia may also have contributed to her passing away.
Poniman Tju, a team leader at the facility, told the inquiry he had seen Mrs McKay in bed at 2.10am on the morning of the incident.
He noted that he had checked all external doors over the course of the shift and found they were all secure.
Mr Tju said Mrs McKay had spoken about going to see her parents and was known to have a tendency walk around the facility.
Mrs McKay had a sensor mat beside her bed that was intended to alert staff if she got up, but Mr Tju received no such alert on the night in question.
One of the problems with trying to restrict residents’ choices is facilities may not be prepared when residents act on their own wishes anyway.
The inquest continues.