Coronial
SAhospital

Coroner's Finding: BLACK Colin Dean

Deceased

Colin Dean Black

Demographics

85y, male

Date of death

2015-03-19

Finding date

2018-03-29

Cause of death

Pneumonia on a background of end stage Alzheimer's disease

AI-generated summary

Colin Dean Black, aged 85, died from pneumonia on a background of end-stage Alzheimer's disease at Repatriation General Hospital. He was admitted with agitated behaviour requiring mental health detention orders. His clinical course involved progressive decline with swallowing difficulties, falls, and ultimately terminal respiratory failure. A palliative care approach was implemented consistent with his advance directives. The investigating officer and coroner found his hospital care was appropriate and of good standard. His detention under the Mental Health Act was lawful and did not contribute to his death. No clinical errors or preventable factors were identified. This case illustrates typical end-stage dementia management in an elderly patient with appropriate consideration of comfort care and advance wishes.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • end-stage Alzheimer's dementia
  • swallowing difficulties
  • terminal respiratory failure
  • poor oral intake
  • falls
Full text

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