Woman dies after aged care home failed to tell GP of missed medication doses

Coroner says faxes to the GP's practice never made the urgency of the situation clear

A woman died of aspiration pneumonia following uncontrolled seizures after an aged care facility failed to inform her GP that she had missed doses of her regular anticonvulsant due to a medication shortage.

Woman dies after facility fails to tell GP she missed medication doses

Annette Douglass, who had Down Syndrome and Alzheimer’s disease, had not experienced any seizures on her usual regimen of 150 mg twice daily of phenytoin suspension, a coroner's court was told.

However problems began on 2 October 2018 when the

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