Deceased
Murray Lawrence Abinett
Demographics
81y, male
Date of death
2011-05-11
Finding date
2015-08-13
Cause of death
Aspiration pneumonia complicating end stage fronto-temporal dementia on a background of chronic obstructive lung disease, ischaemic heart disease and chronic renal failure
AI-generated summary
Murray Lawrence Abinett, aged 81, died of aspiration pneumonia complicating end-stage fronto-temporal dementia with chronic obstructive lung disease, ischaemic heart disease and chronic renal failure. He was detained under the Mental Health Act following behavioural deterioration after medication changes (cessation of risperdal). During admission to Lyell McEwin Hospital, he had a witnessed vomiting episode on 29 April 2011 with undigested food, assessed by the surgical intern as having no ill effects. A chest X-ray on 3 May 2011 was clear, but pneumonia developed by 9 May 2011. The coroner found the level of care satisfactory. Clinical learning: in elderly patients with dementia on medication changes, careful monitoring for swallowing dysfunction and aspiration risk is essential, particularly when vomiting episodes occur. Early swallowing assessment and precautions may have been beneficial.
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Specialties
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Drugs involved
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