A coronial inquest is underway in Victoria to examine the deaths of eight elderly aged care residents, including Michael Karonias, who died in 2021 following incidents of resident-on-resident aggression.
The deaths, which occurred at six separate aged care facilities between March and December 2021, involved frail residents—many with dementia—being pushed or struck by others with cognitive impairments. Karonias was among those whose fatal injuries followed such interactions.
The inquest will assess whether earlier interventions or changes in care could have prevented these deaths. Five of the victims died from hip or pelvis fractures caused by falls after being pushed, while three, including Karonias, suffered subdural haematomas.

“These cases involve cognitive impairment and the presence of dysexecutive function… which results in impulsive behaviour,” said counsel assisting the coroner, Naomi Hodgson.
She emphasised the counterparts did not intend harm or understand the consequences of their actions.
“In each case it appears that if it happened to a younger person without comorbidities, the incident may not have resulted in death or even injury,” Hodgson added.
The inquest, led by Deputy State Coroner Paresa Spanos, will explore whether personal, physiological or environmental factors contributed to the incidents, and whether current aged care systems, particularly those for residents with dementia, are adequate.
Recommendations may be made if existing frameworks are found lacking. The hearing continues.
Source: Herald Sun.