The article reads with giving the supposition of her own statements and other. That she was in the shower, with the presumed reason she inserted the shower head to use it as a douching. Now I would assume this was one the hand held shower heads. Now it can be supposed in either way of either getting off on it or having a obsession with cleanliness. She was at it for a bit. So while still with the inserted shower head, had slipped and thus impaled herself and caused the damage. Then in her haste, because instant realization she had really fucked up. She pulls the shower head from herself, goes to get out so she can call out for help. But she has been taking a shower. An it can be concluded it was in a bathtub, not a shower stall. So she slips falls and hits her head. This is the bump that is heard, and causes the guy to come and investigate. So she basically bled out internally. An this is how the court seen it with the ruling.
It hurts to think about. I am glad I took a shower already and that it is a fixed fixture, not that I try such.