Eric Arthur Maggs, aged 85, died of ischaemic heart disease at Royal Adelaide Hospital. He was profoundly deaf from birth and had dementia. Admitted with acute chest pain and difficulty breathing, he became distressed and was refusing oxygen therapy. A Level 1 Inpatient Treatment Order was authorised to facilitate treatment. Communication was severely hampered by his deafness and the lack of immediate interpreter availability. Staff used arm restraints, which further impeded his ability to communicate via sign language. The coroner found that hospital staff provided appropriate care and treatment, sought interpreter assistance promptly, and used restraints only when necessary. No preventability issues were identified. The case highlights the challenge of caring for deaf patients with dementia in acute settings, particularly regarding communication access and the compounding effect of physical restraints on their ability to express themselves.
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