58y · Male·Aspiration pneumonia in a man with a left middle cerebral artery stroke (palliat…
Brian Lench, a 58-year-old man with intellectual disability in DHS residential care, suffered a left middle cerebral artery stroke on 6 October 2011. He developed aspiration pneumonia complicated by acute respiratory dis…
65y · Male·aspiration pneumonia
Roger Alan Gibson, a 65-year-old man with advanced Alzheimer's disease and severe behavioural disturbance, died from aspiration pneumonia at the Roy Fagan Centre. He had been admitted foll…
18y · Male·Aspiration pneumonia in a setting of acquired brain injury from non-accidental h…
…piration pneumonia in the setting of acquired brain injury sustained non-accidentally as an infant. He had severe cerebral palsy, tetraparesis, aphasia, visual impairment, intellectual disability, epilepsy, and gastro-oe…
72y · Female·Obstruction of the airways of the neck
A 72-year-old woman with moderate-severe expressive and receptive dysphasia following an acute left middle cerebral artery stroke died by hanging t…
53y · Male·Gastrointestinal haemorrhage complicating recent PEG insertion with stroke as a …
Tan Van Tran, a 53-year-old man with prior stroke causing severe dysphagia, died from gastrointestinal haemorrhage complicating recent PEG insertion. He was admitted with …
29y · Female·peritonitis caused by ischaemia of the bowel due to gastrointestinal torsion (tw…
Shona Hookey, a 29-year-old Aboriginal woman with severe intellectual disability and aphasia, died of peritonitis secondary to bowel torsion. Critical failures occ…
61y · Male·Creutzfeldt-Jakob disease
…trophy on MRI. A neurology referral was arranged, and he was admitted to hospital on 22 February 2018 with severe neuropsychiatric symptoms requiring restraint and one-to-one nursing. Lumbar puncture confirmed sporadic C…
55y · Female·Plastic bag suffocation
Alison Copeland, aged 55, died by plastic bag suffocation after living with severe physical disability and depression since suffering a subarachnoid haemorrhage in 1995. She had made multip…
94y · Male·aspiration pneumonia due to stroke following surgery to repair fracture of neck …
…acility. While the pushing incident itself was unpredictable and difficult to prevent given the resident's severe dementia, the coroner identified that the aggressive resident required earlier specialist assessment and m…
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