Coronial
SAhospital

Coroner's Finding: DAVIES Brian

Deceased

Brian Davies

Demographics

79y, male

Date of death

2019-03-19

Finding date

2020-11-02

Cause of death

myocardial infarction

AI-generated summary

Brian Davies, 79, died of myocardial infarction while under an Inpatient Treatment Order for Alzheimer's dementia at Noarlunga Hospital. He presented with cognitive decline following his partner's death and developed agitated, paranoid behaviour requiring sedation with benzodiazepines and antipsychotics. He suffered an NSTEMI on 10 March 2019 with rapid atrial fibrillation, managed medically rather than invasively given his dementia and behavioural disturbance. The coroner found care appropriate throughout both admissions. The case illustrates challenges in managing acute cardiac events in elderly patients with advanced dementia and behavioural disturbance, and the tension between cardiac monitoring/intervention and patient quality-of-life goals in this context. No preventable factors were identified.

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

Specialties

geriatric medicinepsychiatrycardiologyemergency medicine

Error types

medication

Drugs involved

oxazepamclonazepamhaloperidolrisperidone

Clinical conditions

Alzheimer's dementiacognitive impairmentmyocardial infarctionnon-st elevation myocardial infarction (nstemi)rapid atrial fibrillationacute grief reactionparanoiaagitationbehavioral disturbance

Contributing factors

  • Alzheimer's dementia with moderate to severe cognitive impairment
  • Non-ST elevation myocardial infarction (NSTEMI) with rapid atrial fibrillation
  • Acute grief and psychological stressor (death of partner 16 days prior)
  • Agitated and paranoid behaviour requiring sedation and antipsychotic medication
  • Patient and family decision against invasive cardiac intervention
  • Patient decision to remain on behavioural management ward without continuous cardiac monitoring
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. Some material may have been redacted or restricted by court order or privacy requirements. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction — report an inaccuracy here.