Coronial

40 results for swallowing impairment

TAS2020-12-17

Coroner's Finding: Kettle, Terrence Michael

69y · Male·asphyxia due to choking on food

… with significant medical comorbidities (diabetes, amputation, prostate cancer, recent MI) and cognitive impairment, died from asphyxia after choking on food while a resident at Roy Fagan Centre, a psychiatric hospital f…

geriatric medicineemergency medicine
VIChospital2022-12-06

Finding into death of John Sloots

58y · Male·Aspiration pneumonia in a man with Down's syndrome and dementia

… man with Down's syndrome and dementia, died from aspiration pneumonia. He had a documented longstanding swallowing impairment that had been deteriorating, and was identified as high-risk for aspiration. Following pneumo…

general medicinerespiratory medicine
VIC2025-05-29

Finding into death of Gary Mayrhofer

54y · Male·Complications following an old prior cerebrovascular accident - aspiration pneum…

Gary Mayrhofer, a 54-year-old man with cerebral palsy, intellectual disability, epilepsy and visual impairment, died from aspiration pneumonia following a stroke in September 2023 that caused right-sided paralysis a…

neurologydisability medicine
VIChospital2024-01-18

Finding into death of Amelia Antonopoulos

60y · Female·Aspiration pneumonia in a woman with Down's syndrome with dementia and epilepsy

…ically, this case highlights the challenge of managing aspiration risk in patients with severe cognitive impairment and swallowing dysfunction. Key lessons include: ensuring clear communication of high aspiration risk to…

emergency medicinepalliative care
VIChospital2024-05-16

Finding into death of Roderick James Milner

53y · Male·Refractory seizures secondary to Lennox-Gastaut syndrome (palliated); pneumonia

…with increased seizure activity. During admission, he could not receive oral anti-epileptics due to poor swallowing, and there were difficulties administering intravenous anti-epileptics. He was transferred to palliative…

neurologypalliative care
VIChome2026-03-03

Finding into death of Jacqueline Stott

60y · Female·Aspiration pneumonia in the setting of advanced Huntington's disease

…on pneumonia is a known risk in advanced neurodegenerative diseases like Huntington's, particularly when swallowing reflexes are compromised. Clinicians managing patients with advanced Huntington's should ensure comprehe…

palliative careneurologybuprenorphine
SAhospital2017-04-19

Coroner's Finding: ADAMSON Jean Anne

78y · Female·aspiration on a background of psychogenic dysphagia, intellectual impairment and…

Jean Anne Adamson, aged 78, died from aspiration on a background of psychogenic dysphagia, intellectual impairment, and chronic schizophrenia. She had experienced a swallowing phobia that recurred in September 2014, lea…

general medicinepsychiatrymorphine
VIChospital2025-07-28

Finding into death of Juvetta Pedruco Columbine

47y · Female·Aspiration pneumonia in the setting of type 1 diabetes mellitus, previous cerebr…

…ey clinical lessons include recognition that aspiration risk is significant in post-stroke patients with swallowing difficulties and cognitive impairment, and that end-of-life care planning should address anticipated com…

infectious diseasesrespiratory medicine
VIChospital2012-10-15

Finding into death of Neil Douglas Emonson

57y · Male·Pneumonia in a man with epilepsy secondary to childhood meningitis

…Emonson, a 57-year-old man with intellectual disability, epilepsy secondary to childhood meningitis, and swallowing difficulties, died from aspiration pneumonia. He was admitted to palliative care on 12 April 2012 for ma…

palliative caregeneral practice
VIChome2025-09-02

Finding into death of Noel John Biggs

66y · Male·Undetermined (natural causes)

…old man with multiple chronic conditions including Parkinson's disease, spastic gait syndrome, cognitive impairment, atrial fibrillation, and swallowing difficulties died at his supported disability accommodation home on…

general practiceforensic medicinelevetiracetam
QLDcommunity2016-09-10

C, a child aged 14 - Non-inquest findings

14y · Female·Hypoxic-ischaemic encephalopathy due to choking on food, as a consequence of foe…

A 14-year-old girl with foetal alcohol syndrome, autism, and intellectual impairment died from hypoxic-ischaemic encephalopathy following choking on food during a community outing. She had …

paediatricsemergency medicinesystemcommunication
TAShome2018-02-26

Coroner's Finding: King, David John

59y · Male·aspiration pneumonia

… of death likely contributed to the fall, but the death resulted from aspiration due to his pre-existing swallowing difficulties. The coroner found no deficiency in care provided by the group home, ambulance service, or …

emergency medicinegeneral medicinealcohol
VICaged care2014-01-30

Finding into death of Bernadette Angelina Rogers

65y · Female·Aspiration pneumonia with Down syndrome as underlying condition

…ulations. Better preventive strategies for aspiration pneumonia in high-risk patients, including regular swallowing assessment and positioning, might have reduced recurrent episodes. The inquest confirmed expected natura…

general practicepalliative caresystemsalbutamol
VIChospital2018-05-21

Finding into death of Eric Vincent Craig

66y · Male·Aspiration pneumonia

… pneumonia with Down's syndrome as a contributing factor. The case highlights the challenges in managing swallowing and aspiration risk in intellectually disabled adults with progressive functional decline. Clinical less…

general medicinerespiratory medicine
VIChospital2022-03-10

Finding into death of SMW

48y · Male·Aspiration Pneumonia in the setting of Fahr's Disease

…ion, managed in a group home with disability services. He became unwell on 17 March 2020 with difficulty swallowing medication, was transported to hospital, and died the same evening. A Disability Services Commissioner i…

respiratory medicineneurology
VIChospital2026-02-16

Finding into death of Marcello Sardo

60y · Male·Aspiration pneumonitis in a man with Down Syndrome

Marcello Sardo, a 60-year-old man with Down syndrome and early-onset Alzheimer's dementia, died from aspiration pneumonitis at Austin Hospital. He had been receiving palliative care in the community following his geriatr…

geriatric medicinepalliative care
VIC2012-08-16

Finding into death of Rosemary Auchettl

52y · Female·Respiratory failure due to recurrent aspiration pneumonia; Down syndrome as unde…

…ome 5 days later while seated in the lounge. Clinical lessons include the need for careful assessment of swallowing and feeding safety in patients with intellectual disability and aspiration risk, regular review of palli…

respiratory medicinepalliative care
VIChospital2025-08-17

Finding into death of Stephen Feltscheer

61y · Male·aspiration pneumonia in a man with Down syndrome and early onset dementia

…that aspiration pneumonia remains a serious complication in individuals with intellectual disability and swallowing difficulties, despite appropriate supportive care. Early recognition of terminal decline and timely pall…

palliative careinfectious diseasesmidazolam
VIChome2019-03-07

Finding into death of Ryan Myers

28y · Male·Aspiration pneumonia in a man with cerebral palsy

Ryan Myers, a 28-year-old man with cerebral palsy, treatment-resistant epilepsy, cortical vision impairment and global developmental delay, died from aspiration pneumonia. He developed a cough on 24 August 2017 a…

general practiceemergency medicinemidazolam
VICaged care2025-03-11

Finding into death of Dianne Elizabeth Harper

64y · Female·Aspiration pneumonia in a woman with multiple comorbidities

… No systemic failures or preventable errors were identified. Key lessons include early identification of swallowing disorders in vulnerable populations and ongoing monitoring during functional decline, though the death a…

geriatric medicinespeech pathology

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