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SAaged care2017-05-30

Coroner's Finding: ABBOTT Raymond

70y · Male·chronic obstructive lung disease with emphysema on a background of advanced vasc…

Raymond Abbott, a 70-year-old man with chronic obstructive pulmonary disease, emphysema, vascular dementia, opioid addiction and alcohol abuse, died of COPD with emphysema at a residential care facility. He was admitted …

respiratory medicinegeneral medicinemidazolam
SAaged care2017-05-30

Coroner's Finding: FORGIONE Maria Eufemia

89y · Female·multi-organ failure on a background of urinary sepsis

Maria Eufemia Forgione, aged 89, died of multi-organ failure secondary to urinary sepsis at a nursing home. She had longstanding paranoid schizophrenia and was subject to a guardianship order. This inquest was mandatory …

geriatric medicinepsychiatryantibiotics
SAaged care2017-05-30

Coroner's Finding: McKEEVER David Michael

69y · Male·aspiration pneumonia on a background of ischaemic heart disease and diabetes

A 69-year-old man with dementia, ischaemic heart disease, and poorly controlled diabetes died of aspiration pneumonia in aged care. He had been subject to guardianship orders after assessment showed he lacked capacity to…

geriatric medicinepsychiatry
SAaged care2017-05-30

Coroner's Finding: NOCKOLDS Dorothy Ellen

93y · Female·dehydration with hypernatremia and acute renal failure with metabolic acidosis

Dorothy Ellen Nockolds, a 93-year-old woman with vascular dementia living in aged care, died from dehydration with hypernatremia and acute renal failure. She suffered a transient ischaemic attack on 8 July 2015, followed…

geriatric medicineneurology
SAaged care2017-05-30

Coroner's Finding: SMITH Arthur

80y · Male·aspiration pneumonia complicating inanition of dementia

Arthur Smith, an 80-year-old man with advanced Alzheimer's dementia, died from aspiration pneumonia complicated by inanition (malnutrition/dehydration) at an aged care facility. He had cognitive decline from 2011, with p…

geriatric medicinepsychiatry
SAcommunity2017-05-29

Coroner's Finding: WESTWOOD John Laurence

63y · Male·neck compression due to hanging

A 63-year-old man with treatment-resistant depression died by hanging. His wife had been maintaining a 'suicide watch' for six weeks prior to his death and telephoned his GP on the morning of his final appointment, expli…

general practicepsychiatrydiagnosticcommunicationmorphine
SAaged care2017-05-18

Coroner's Finding: HUNT Ian James (Full)

82y · Male·end stage dementia

An 82-year-old man with end-stage vascular dementia died in an aged care facility under a guardianship detention order. He had resided at Helping Hand Mawson Lakes for two years with progressive cognitive decline, mobili…

geriatric medicinepsychiatryantipsychotic medication
SAhospital2017-05-11

Coroner's Finding: ROBINSON Scott Alexander

44y · Male·neck compression consistent with hanging

Scott Alexander Robinson, a 44-year-old man with treatment-resistant schizophrenia and obsessive-compulsive disorder, died by hanging while on an Inpatient Treatment Order at Royal Adelaide Hospital on 1 February 2014. H…

psychiatrypaliperidone
SAhospital2017-05-11

Coroner's Finding: SCOLERI Daniel Peter

31y · Male·acute neck compression due to hanging

A 31-year-old man with depression, substance use history, and prior suicide attempts presented to the Emergency Department after a motor vehicle accident on 23 July 2014. He expressed suicidal ideation and was appropriat…

emergency medicinepsychiatrycommunicationoxazepam
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, lead…

general medicinepsychiatrymorphine
SAhospital2017-04-19

Coroner's Finding: ANNS William James

69y · Male·end-stage interstitial lung disease and chronic congestive cardiac failure

A 69-year-old male Vietnam veteran with end-stage interstitial lung disease, biventricular heart failure, ischaemic heart disease, diabetes, and chronic renal impairment died at Flinders Medical Centre. He had a history …

cardiologyrespiratory medicine
SAhome2017-04-19

Coroner's Finding: BOOGAR Kumana

42y · Male·sudden unexpected death in epilepsy (SUDEP)

A 42-year-old Aboriginal man with longstanding epilepsy, double-leg amputation, and alcohol abuse history died at home from sudden unexpected death in epilepsy (SUDEP). He was under Guardianship and Administration Act or…

neurologyforensic medicinecarbamazepine
SAhospital2017-04-19

Coroner's Finding: FIRTH Angela Beryl

63y · Female·metastatic adenocarcinoma of the lung

Angela Beryl Firth, aged 63, died from metastatic adenocarcinoma of the lung with brain metastases while subject to a Level 1 Inpatient Treatment Order at Royal Adelaide Hospital. She presented with behavioural disturban…

oncologypsychiatry
SAaged care2017-04-19

Coroner's Finding: HAYDEN Phillip Maxwell

80y · Male·General inanition due to advanced Alzheimer's dementia

Phillip Maxwell Hayden, aged 80, died of general inanition due to advanced Alzheimer's dementia at a nursing home. He had been admitted to hospital in June 2014 with behavioural and psychological symptoms of dementia, re…

geriatric medicinepsychiatrymorphine
SAhospital2017-04-19

Coroner's Finding: O'REILLY Raymond John

91y · Male·pneumonia on a background of chronic congestive cardiac failure and chronic obst…

A 91-year-old man with chronic cardiac failure, COPD and atrial fibrillation presented with confusion, agitation and dyspnoea. Admitted with pneumonia and delirium, he exhibited combative behaviour and resisted oxygen th…

geriatric medicineemergency medicineolanzapine
SAhospital2017-04-19

Coroner's Finding: RAYNER Augustine Durham

88y · Male·bilateral acute bronchopneumonia on a background of chronic obstructive airways …

An 88-year-old man with chronic obstructive pulmonary disease and chronic schizophrenia died of bilateral acute bronchopneumonia while subject to a Mental Health Act detention order at a teaching hospital. He was admitte…

psychiatrygeneral medicine
SAhospital2017-04-07

Coroner's Finding: MAYELL Edward John

83y · Male·pneumonia and severe acute respiratory distress syndrome caused by Legionella ba…

An 83-year-old man died from pneumonia and respiratory distress caused by Legionella bacterium. He presented with abdominal symptoms and was initially misdiagnosed as having aspiration pneumonia rather than community-acq…

emergency medicinegeneral practicediagnosticmedicationceftriaxone
SA2017-02-17

Coroner's Finding: MCPHERSON Lewis Mike

18y · Male·Gunshot wound to chest

An 18-year-old man (Lewis McPherson) was fatally shot by a 17-year-old (Liam Humbles) on New Year's Eve 2012. The coroner found the death was preventable. Humbles had illegally possessed a handgun for months, dealt drugs…

communicationsystemcannabis
SAhospital2017-02-01

Coroner's Finding: KLINGBERG Briony Caitlin

10y · Female·Multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infecti…

A 10-year-old girl died from multi-organ failure secondary to overwhelming herpes simplex virus (HSV) infection. She presented to the Women's and Children's Hospital on day 3 of pharyngitis with ulceration of the tonsill…

paediatricsemergency medicinediagnosticcommunicationceclor
SAmental health2016-11-17

Coroner's Finding: ALCOCK, Ross Matthew

22y · Male·aspiration pneumonia complicating resuscitation for cardiac arrest due to neck c…

A 22-year-old male with acute psychosis was admitted to a mental health ward under a Level 1 treatment order. Despite half-hourly observations, he hung himself using an electrical cord in his wardrobe. The ward layout ha…

psychiatryintensive caresystemcommunicationolanzapine
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