A series of unfortunate circumstances led to the death of an 87-year-old woman from Onchan.
An inquest at Douglas courthouse concluded that Joan Terry, a resident at Elder Grange Nursing Home, died from a combination of injuries, a day after falling out of her bed at Noble's Hospital.
Coroner of inquests Alastair Montgomerie recorded a verdict of accidental death.
Mrs Terry was admitted to hospital on January 11 last year, suffering from dehydration.
On January 26, she fell out of her bed and sustained facial injuries. She needed a transfusion due to loss of blood, her condition deteriorated and she passed away the following evening.
A post mortem showed Mrs Terry died due to multiple facial injuries, multiple rib fractures and bleeding in the pelvis area and around her left hip.