Coronial
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Coroner's Finding: JEISMAN Leonie Faye

Deceased

Leonie Faye Jeisman

Demographics

45y, female

Date of death

2015-01-30

Finding date

2018-04-26

Cause of death

Type 2 respiratory failure and aspiration pneumonia on a background of end-stage chronic obstructive lung disease and schizoaffective disorder

AI-generated summary

Leonie Jeisman, a 45-year-old woman with chronic obstructive pulmonary disease (COPD), schizoaffective disorder, obesity, and obstructive sleep apnoea, died from Type 2 respiratory failure and aspiration pneumonia. She was admitted to Royal Adelaide Hospital in August 2014 with haemophilus pneumonia and remained as an inpatient for five months until her death. Her condition progressively worsened despite treatment, complicated by poor CPAP compliance, ongoing smoking, and inability to be discharged to alternative care settings. Palliative care was appropriately initiated given her terminal respiratory illness and poor prognosis. The coroner found no deficiency in her hospital care. The case highlights the challenges of managing patients with multiple comorbidities, mental health issues, and poor health compliance in an acute hospital setting.

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

Specialties

respiratory medicinegeneral medicinepalliative carepsychiatry

Clinical conditions

chronic obstructive pulmonary diseaseType 2 respiratory failureaspiration pneumoniaschizoaffective disordermorbid obesityobstructive sleep apnoeahypertensionType 2 diabeteshaemophilus pneumoniadeep vein thrombosis

Contributing factors

  • poor CPAP compliance
  • obstructive sleep apnoea
  • obesity hypoventilation syndrome
  • ongoing smoking
  • chronic hypoxia
  • multiple comorbidities
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