Coronial

10 results for pressure ulcer stage 4

VICaged care2023-03-22

Finding into death of Margaret Alice Cook

88y · Female·Complications of a stage 3 sacral pressure ulcer in a woman with dementia

Margaret Alice Cook, an 88-year-old woman with end-stage dementia, died from complications of a stage 3 sacral pressure ulcer at a palliative care unit. She had re…

geriatric medicinegeneral practicesystemcommunicationflucloxacillin
NSWaged care2019-09-27

Inquest into the death of Sylvia CONFOS

87y · Female·Natural causes in the context of multiple co-morbidities including a sacral ulce…

87-year-old woman died in aged care with a stage 4 sacral ulcer and multiple comorbidities. Key clinical lessons: (1) Systematic communication failures—fam…

geriatric medicinegeneral practicecommunicationsystemrozex
TAShome2024-03-07

Coroner's Finding: Dorothy Jean Atkins

83y · Female·meningitis with sepsis with the likely source of infection being a large and dee…

Dorothy Jean Atkins, aged 83, died on 9 July 2017 from meningitis and sepsis secondary to a large stage 4 sacral decubitus ulcer. Autopsy revealed severe malnutrition (24.5kg, BMI 13), poor hygiene with faecal …

geriatric medicinepathologydiagnosticcommunicationirbesartan
SAhospital2021-11-23

Coroner's Finding: Beahl, Raymond Saxon

81y · Male·metastatic rectal adenocarcinoma with infected necrotic sacral ulcer

…ymond Saxon Beahl, 81, died of metastatic rectal adenocarcinoma complicated by an infected necrotic sacral ulcer. He was admitted to Oakden Older Persons Mental Health Service with severe dementia-related behavioural di…

psychiatrypalliative carediagnosticcommunicationamoxicillin/clavulanate
TASaged care2026-05-19

Coroner's Finding: de-identified BE

85y · Male·systemic sepsis due to infected right perineal ulcer and associated perianal abs…

An 85-year-old man with dementia and multiple comorbidities died of sepsis caused by an infected sacral pressure ulcer that developed and deteriorated while resident at an aged care facility. Initially assessed as stag…

geriatric medicinegeneral practicedelaymedication
SAhospital2018-09-07

Coroner's Finding: MCBRIDE Peter James

86y · Male·multi-organ failure due to sepsis on a background of sacral pressure ulcer

An 86-year-old man died from multi-organ failure due to sepsis from a stage 4 sacral pressure ulcer after 61 days in a regional hospital. Critical failures included delayed pressure

general practicegeriatric medicinediagnosticproceduralolanzapine
QLDhospital2024-11-20

Non-inquest findings into the death of Mr W

82y · Male·sepsis due to infected sacral ulcer with osteomyelitis and necrotising fasciitis

An 82-year-old man with multiple comorbidities developed a sacral pressure injury during admission to a private hospital for investigation of leg weakness. Despite being assessed a…

general medicinegeriatric medicinediagnosticcommunicationendone 2.5mg
QLDaged care2024-10-22

Non-inquest findings into the death of MH, an aged care resident

98y · Female·Sepsis due to sacral pressure ulcer complicated by osteomyelitis against a backg…

A 98-year-old woman with dementia and multiple comorbidities died from sepsis secondary to a sacral pressure ulcer that progressed to osteomyelitis while in residential aged care. The coroner identified systemic cl…

geriatric medicinegeneral practicediagnosticsystemwarfarin
WAhome2016-11-22

Inquest into the Death of Maria Carmel NICEFORO

75y · Female·organ failure due to sepsis, likely from infected pressure sores, in the context…

…olled diabetes and ischaemic heart disease, died from septic shock secondary to extensive infected sacral pressure wounds. She received home care through KinCare for approximately 9 months, during which her condition det…

general practiceemergency medicinecommunicationsystem
QLDaged care2017-09-20

Mr RO'H - Non-inquest findings

69y · Male·septic shock due to infected decubitus ulcers complicated by osteomyelitis

A 69-year-old man with Parkinson's disease died from septic shock caused by infected pressure ulcers (stage 4 decubitus ulcers with osteomyelitis) that developed in aged care. Pressure sores appeared…

geriatric medicinegeneral practicediagnosticsystemdicloxacillin

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