Coronial

16 results for deconditioning

WAcommunity2020-06-03

Inquest into the Suspected Death of Wilfred Arthur BARRETT

81y · Male·Open finding - unable to determine whether natural causes, exhaustion and disori…

Wilfred Arthur Barrett, an 81-year-old recluse, disappeared in May 1984 from Mount Monger, Western Australia. In the months preceding his disappearance, he was found wandering confused and disoriented on at least two occ…

SAhospital2014-11-28

Coroner's Finding: BLAIN Kathleen Olive Florence

79y · Female·acute myocardial infarction and acute pulmonary oedema

…teriorated. She had poor engagement with rehabilitation, reduced oral intake, and progressive physical deconditioning. The coroner found her medical treatment was appropriate throughout and made no recommendations. The c…

psychiatrycardiologymirtazapine
TAShospital2025-04-30

Coroner's Finding: Warn, Kenneth

86y · Male·aspiration pneumonia following injuries sustained in a motor vehicle crash and p…

…hypertension and polycythaemia rubra vera. His hospital course was complicated by progressive frailty, deconditioning, decreased oral intake, and terminal delirium. He died on 27 May 2024 from aspiration pneumonia. No cl…

emergency medicineorthopaedic surgery
WAcommunity2020-06-03

Inquest into the Suspected Death of Anthony JOHNSTONE

33y · Male·Exposure to the elements whilst in a mentally unstable state; manner of death Op…

Anthony Johnstone, a 33-year-old Aboriginal man, disappeared in late October 1996 from Wyndham, Western Australia, while in an acutely unstable mental state associated with chronic alcohol use disorder, withdrawal sympto…

alcohol
VICaged care2024-03-28

Finding into death of Shirley Hill Jones

85y · Female·Complications of a left ankle fracture (operated)

…was not directly infected at the time of death, it contributed to pain, anxiety, reduced mobility, and deconditioning. Shirley subsequently experienced multiple medical complications including orthostatic hypotension, ur…

geriatric medicineorthopaedic surgerycommunicationdelayoxycodone
WAhospital2022-06-23

Inquest into the Death of Lee MILCHERDY

75y · Female·Complications including acute pancreatitis and refractory intra-abdominal sepsis…

Lee Milcherdy, 75, died from complications including acute pancreatitis and refractory intra-abdominal sepsis following an unnecessary ERCP procedure. An MRCP scan on 12 October 2018 showed no gallstone, making the plann…

gastroenterologygeneral surgerycommunicationdiagnostic
SAhospital2020-06-18

Coroner's Finding: WILKS Deslandes

79y · Male·Pneumonia complicating ischaemic heart disease and dementia

A 79-year-old man with advanced Alzheimer's disease, ischaemic heart disease, and behavioural disturbance died of pneumonia while on a Level 2 Inpatient Treatment Order at Flinders Medical Centre. He was admitted from a …

geriatric medicinepsychiatryrisperidone
VICmental health2015-06-16

Finding into death of John Wilfred Knight

71y · Male·Sepsis due to bronchopneumonia and sacral ulcer

Mr John Knight, aged 71, died from sepsis secondary to bronchopneumonia in a psychiatric inpatient unit after five months admission for frontotemporal dementia management. His complex behavioural and cognitive decline re…

psychiatrygeriatric medicineolanzapine
SAaged care2026-06-19

Coroner's Finding: Creek, Ronald Thomas

89y · Male·Traumatic intracranial haemorrhage and skull fractures following a fall, on a ba…

Ronald Thomas Creek, aged 89 with dementia, fell at St Basil's Aegean Village aged care facility on 9 January 2023, striking his head on a doorframe despite wearing protective headgear. CT imaging showed traumatic intrac…

geriatric medicinepalliative care
ACThome2022-05-19

Inquest into the Death of PAMELA VANCE

83y · Female·pneumonia with generalised atherosclerosis as a significant contributor

Pamela Vance, 83, died from pneumonia with generalised atherosclerosis as a significant contributor. She had multiple comorbidities including COPD, asthma, sleep apnoea and heart disease, complicated by recent falls and …

respiratory medicinegeneral practice
TAShospital2020-04-03

Coroner's Finding: Hargraves, Audrey Doreen

80y · Female·sudden cardiac arrest due to multiple post-operative complications including myo…

An 80-year-old woman died from multiple post-operative complications following reversal of a Hartmann's procedure for diverticulitis. She had undergone a complex 8-hour surgery complicated by extensive adhesions (frozen …

colorectal surgerycardiologydiagnosticmedicationerythromycin
VIChospital2023-03-16

Finding into death of Reginald William Griggs

84y · Male·Respiratory failure complicating hospital acquired pneumonia following surgical …

An 84-year-old man died from respiratory failure due to hospital-acquired pneumonia following surgery for recurrent mandibular squamous cell carcinoma. Key clinical lessons: (1) Advanced Care Plans (ACPs) must be activel…

oncologyENT surgerycommunicationsystemhydromorphone
VIChospital2021-02-26

Finding into death of Ian Fraser

68y · Male·Complications of retroperitoneal haemorrhage due to inadvertent administration o…

Ian Fraser, 68, died from retroperitoneal haemorrhage following inadvertent dual anticoagulation with apixaban and enoxaparin. On 29 November 2019, a respiratory registrar attempted to prescribe discharge apixaban but mi…

respiratory medicinecardiothoracic surgerymedicationsystemapixaban
TAShome2026-01-22

Coroner's Finding: Kerrie Dawn Grant

72y · Female·acute on chronic renal failure due to sepsis and chronic left leg cellulitis

Kerrie Dawn Grant, a 72-year-old woman with multiple comorbidities including pulmonary hypertension, cardiac failure, COPD, and myelofibrosis, had a well-documented history of recurrent falls with prolonged periods unabl…

general medicinecardiologydischargecommunication
WAhospital2023-01-11

Inquest into the Death of Colin Albert WINTER

71y · Male·End-stage chronic obstructive pulmonary disease and atherosclerotic heart diseas…

Colin Albert Winter, a 71-year-old prisoner who died from end-stage COPD and atherosclerotic heart disease, received comprehensive medical care during 33 years of incarceration at Casuarina Prison. Key clinical lessons i…

respiratory medicinecardiologycommunicationsystem
VIChospital2025-08-21

Finding into death of Andrew William Barr

54y · Male·Complications of pelvic and spinal fractures sustained in a fall in man with Dow…

Andrew William Barr, a 54-year-old man with Down syndrome and Alzheimer's dementia, died from complications of pelvic and spinal fractures sustained in a fall. Following his mother's death in January 2021 and his Februar…

orthopaedic surgerypalliative carecommunicationsystemanti-epileptic medication

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