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Coroner's Finding: BOES Johannes Josephus

Deceased

Johannes Josephus Boes

Demographics

92y, male

Date of death

2017-09-08

Finding date

2020-06-18

Cause of death

pulmonary thromboembolic disease on a background of infective exacerbation of chronic obstructive pulmonary disease

AI-generated summary

A 92-year-old man with chronic obstructive pulmonary disease, vascular dementia, and heart disease died from pulmonary thromboembolism complicated by respiratory infection. He was admitted after a fall at home, became agitated and confused, and was placed on a Mental Health Act inpatient treatment order to facilitate medical care. A lung clot was diagnosed but he deteriorated rapidly. The coroner found his care at Flinders Medical Centre was appropriate and the treatment order lawful. No clinical errors or preventable factors were identified. The case demonstrates challenges in managing elderly patients with dementia, delirium, and multiple comorbidities during acute illness.

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

Specialties

respiratory medicineemergency medicinepsychiatrygeriatric medicine

Drugs involved

haloperidol

Clinical conditions

pulmonary embolismchronic obstructive pulmonary diseaserespiratory syncytial virus infectionpneumoniavascular dementiadeliriumchronic kidney diseaseheart disease

Procedures

CT scan

Contributing factors

  • age 92 years
  • chronic obstructive pulmonary disease
  • acute respiratory infection
  • vascular dementia with delirium
  • chronic kidney disease
  • heart disease
Full text

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