Coronial

125 results for aggression

VICaged care2019-05-30

Finding into death of S B

87y · Male·Complications of head injuries in setting of dementia

…rooms; this behaviour was a known risk but managed only by redirection. The perpetrator had a history of aggression toward staff and prior violence, though no documented aggression toward residents. An Aged Psychiatry As…

geriatric medicineforensic medicinesystemcommunicationclopidogrel
VICaged care2022-01-14

Finding into death of Margaret Lillian Watkins

84y · Female·Complications of pelvic fractures sustained in a traumatic incident

…and supportive care. The coroner's findings emphasize systemic issues in aged care: resident-to-resident aggression in dementia populations is under-reported due to legislative exemptions when perpetrators have cognitive…

geriatric medicineemergency medicinesystemdelaymorphine
VICaged care2020-05-04

Finding into death of Jane Nola Rolph

90y · Female·Complications of a right fractured neck of femur (operated) sustained in a fall …

…implemented appropriate preventive strategies. However, the finding highlights that resident-to-resident aggression in aged care requires proactive rather than reactive management, and endorses published recommendations …

geriatric medicineorthopaedic surgery
NSWaged care2020-02-11

Inquest into the death of Neville Clutton

78y · Male·complications of head injuries; antecedent cause: dementia

…s included: inadequate documentation of aggressive incidents in behavior charts; failure to report early aggression to the GP; delayed DBMAS referral; incomplete communication between care staff and management; inadequat…

geriatric medicinegeneral practicediagnosticcommunicationrisperidone
VICaged care2020-07-22

Finding into death of Dorothy Boyle

92y · Female·Complications of a fractured left femur (operated), sustained in a fall

…n was not executed properly that evening. The incident highlights gaps in reporting resident-to-resident aggression incidents in aged care and supports implementing recommendations for preventing injury-related deaths in…

geriatric medicineemergency medicinesystemprocedural
VICaged care2024-02-29

Finding into death of P L

92y · Female·Consequences of an assault

A 92-year-old woman with dementia died from consequences of an assault by another resident with unmanaged psychosis in an aged care facility. The assault occurred after the facility failed to adequately monitor, assess, …

geriatric medicinepsychiatrydiagnosticcommunicationantipsychotic medication
VICaged care2024-04-11

Finding into death of Irene Mary Donne

85y · Female·Complications following a fall

…easonably foreseen or prevented. The case highlights ongoing challenges in managing resident-to-resident aggression in aged care settings and the need for continued improvement in prevention and response protocols for fa…

geriatric medicineemergency medicinetramadol
NSWaged care2020-03-03

Inquest into the death of Hazel BROCKETT

86y · Female·complications of femoral, radial and ulnar fractures; antecedent cause Alzheimer…

…re dementia facility). Over months prior, the other resident demonstrated escalating physical and verbal aggression toward staff and residents. Multiple clinical failures prevented intervention: behaviours were inadequat…

geriatric medicinegeneral practicecommunicationdiagnosticbuprenorphine
QLDcommunity2013-03-15

Morgan, Charles Ross Maxwell

18y · Male·Multiple injuries due to train over-run

…xpressed suicidal ideation if she left him, and had risk factors including substance abuse and impulsive aggression. However, he appeared happy to friends that evening and had family support. Key clinical lesson: young p…

psychiatrypsychologycommunicationsystemalcohol
VICaged care2024-04-30

Finding into death of Jean Meyer

96y · Female·complications following a fractured distal right femur

…ely would have occurred regardless. The coroner emphasised the ongoing challenge of resident-to-resident aggression in aged care and the need for improved risk monitoring, assessment, and management processes to prevent …

geriatric medicineorthopaedic surgerysystem
NSWhome2014-01-10

Inquest into the deaths of Nicholas WATERLOW and Chloe HEUSTON - Reasons for Findings

Unknown·Injuries sustained in violent attack by Antony Waterlow (stab wounds caused by k…

…ated paranoid schizophrenia, characterized by persecutory delusions, auditory hallucinations, and severe aggression directed at family members. Despite multiple psychiatric assessments between 2004-2007, Antony was never…

psychiatryemergency medicinesystemdelay
VICaged care2018-11-29

Finding into death of Nikolaos Margelis

82y · Male·Traumatic head injury due to head striking the floor

… as the push was unpredictable. However, the case highlights challenges in managing resident-to-resident aggression in aged care facilities caring for cognitively impaired individuals with behavioural disturbances.

psychiatryemergency medicinequetiapine
SAhospital2009-09-11

Coroner's Finding: VON SPRECKELSEN Hans Heinrich

41y · Male·end-stage liver disease and pneumonia

…tre. He had hepatitis C and alcohol abuse history, with severe hepatic encephalopathy causing confusion, aggression, and impaired judgment. Detention was lawfully ordered due to risk behaviours (aggression, wandering, no…

gastroenterologypsychiatrysystemcommunicationlactulose
VIC2025-11-18

Finding into death of Paul Christian Flegel

61y · Male·Gunshot injury to thigh with transection of left femoral artery resulting in exs…

…to death. The circumstances indicate this was a homicide case involving alcohol intoxication, escalating aggression, and firearm access during an interpersonal dispute.

ethanol/alcohol
VICcommunity2017-09-13

Finding into death of Adam Slomczewski

44y · Male·Cardiac arrhythmia in the setting of struggle, neck compression and amphetamine …

…ute amphetamine intoxication can precipitate dangerous behavioural and physiological changes (agitation, aggression, elevated heart rate and blood pressure) that increase vulnerability to fatal arrhythmias, particularly …

methamphetamine
SAhospital2009-08-07

Coroner's Finding: LAWRENCE Peter David

47y · Male·glioblastoma of the brain (glioblastoma multiforme, left frontal lobe)

…at Lyell McEwin Hospital. His brain tumour in the left frontal lobe caused behavioural changes including aggression, confusion, agitation and poor impulse control. He was detained under the Mental Health Act 1993 on 2 Ju…

palliative carepsychiatryhaloperidol
SAmental health2004-07-30

Coroner's Finding: CURNOW Robert Norman

81y · Male·myocardial infarction

…rdial infarction while detained under Mental Health Act orders at Glenside Hospital. He was admitted for aggression and cognitive deterioration. Over three weeks, his psychiatric medication (olanzapine, carbamazepine) wa…

psychiatrygeneral practiceolanzapine
SAhospital2020-06-25

Coroner's Finding: ASHTON Lorraine June

78y · Female·advanced dementia (end stage)

…. After admission to RGH on 23 August 2017 with escalating behavioural disturbances including agitation, aggression, and falls, she was placed on an Inpatient Treatment Order. She required physical restraint and intramus…

psychiatrygeriatric medicineoxazepam
VICmental health2018-09-17

Finding into death of Paquita Goldberg

87y · Female·intentional inhalation of tissue paper leading to upper airway obstruction and h…

…risk and questioned whether more frequent observations were warranted given her escalating distress, new aggression, trauma disclosure, and repeated statements of fear.

psychiatrygeriatric medicinecommunicationsystemdesvenlafaxine
VIChome2021-04-13

Finding into death of Jason Leslie Smith

44y · Male·Gunshot wound to the head

Jason Smith, 44, was shot in the head by his uncle John Pozzebon in a family violence incident. The coroner found that while Pozzebon had a valid firearms license, his mental health had deteriorated significantly followi…

general practiceforensic medicinecommunicationsystem

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