Coronial

43 results for acquired intellectual disability

NSW2016-03-14

Inquest into the death of Michael David John Nolan

30y · Male·Exsanguination due to an incision in the radial vein of his right wrist

…self-inflicted laceration to his radial vein. He had complex mental health needs including schizophrenia, acquired brain injury, developmental delay, and substance abuse history. The coroner concluded that Justice Health…

psychiatrycorrectional healthmethadone
ACThome2012-09-24

Inquest Into The Death Of Stephen Moon

21y · Male·cardiac arrest caused by acute bilateral pneumonia

Stephen Moon, a 21-year-old with autism and intellectual disability, died following wisdom tooth extraction complicated by ventilator-acquired pneumonia. Althou…

anaesthesiaintensive caredelaycommunicationpropofol
VIChospital2017-02

Finding into death of Troy Downey

36y · Male·Pneumonia in the setting of cerebral palsy

Troy Downey, a 36-year-old man with cerebral palsy, intellectual disability, and severe dysphagia managed via PEG tube, died from bilateral pneumonia. He developed a co…

general practiceemergency medicine
VIChospital2025-01-30

Finding into death of Janelle Maree Lavery

56y · Female·Complications of Angelman's syndrome - aspiration pneumonia

Janelle Maree Lavery, a 56-year-old woman with Angelman's syndrome, cerebral palsy, epilepsy, intellectual disability, dysphagia, and severe kyphoscoliosis, died of aspiration pneumonia following a one-month ho…

emergency medicinepalliative care
QLDhome2019-04-17

Davis, John

50y · Male·Hypoxic-ischaemic encephalopathy secondary to choking on food bolus

A 50-year-old man with acquired brain injury and intellectual disability died from hypoxic-ischaemic encephalopathy following aspiration …

emergency medicineparamedicinediagnosticcommunicationmidazolam
VIChospital2010-04-28

Finding into death of Peter John Bannan

54y · Male·Pneumonia

Peter Bannan, age 54, had lifelong quadriplegia and intellectual disability from early childhood encephalitis, with chronic epilepsy and severe aspiration risk. He was …

general medicinepalliative carecommunicationsystem
QLDhome2019-11-06

Follent, Mitchell James - Non-inquest findings

22y · Male·Multiple injuries from fall from height

…days after discharge from his first psychiatric admission for post-ictal/drug-induced psychosis. He had intellectual disability, epilepsy, and acquired brain injury. Critical deficiencies included: inadequate risk assess…

psychiatryneurologydiagnosticcommunicationolanzapine
VIChospital2015-09-07

Finding into death of Jay Dion Sykes

18y · Male·Aspiration pneumonia in a setting of acquired brain injury from non-accidental h…

Jay Dion Sykes, aged 18, died from aspiration pneumonia in the setting of acquired brain injury sustained non-accidentally as an infant. He had severe cerebral palsy, tetraparesis, aphasia…

general medicineemergency medicinecommunicationesomeprazole
VIChospital2012-08-15

Finding into death of Vanessa Jenner

38y · Female·Septicaemia, urosepsis, and Lennox Gastaut syndrome

Vanessa Jenner, a 38-year-old woman with severe intellectual disability, cerebral palsy, and Lennox-Gastaut epilepsy, died from septicaemia and urosepsis following …

intensive caregeneral medicine
QLDcommunity2014-02-14

Caulton, Van Edward

62y · Male·Undetermined

Van Edward Caulton, a 62-year-old man with intellectual disability and serious cardiac disease (congestive cardiac failure), disappeared in 2005-2006 while liv…

systemdelay
VIC2009-05-13

Coroner's Finding: Paul Wayne Carter

33y · Male·Multiple injuries consequent upon being struck by a truck

Paul Wayne Carter, a 33-year-old Aboriginal man with intellectual disability and mental health history, died on 7 August 2006 after being struck by a truck on the Sturt …

alcohol
VICaged care2014-11-20

Finding into death of Gerald Quinane

82y · Male·bronchopneumonia

Gerald Quinane, an 82-year-old man with intellectual disability living in state-managed residential care, died from bronchopneumonia. He presented with resp…

general practiceemergency medicinecommunicationdelay
VICcommunity2012-08-16

Finding into death of Janice King

45y · Female·Epilepsy

45-year-old woman with chronic epilepsy and intellectual disability died following a prolonged seizure with cardiac arrest at a supported accommodation facility…

intensive careemergency medicinesodium valproate
VICcommunity2016-08-31

Finding into death of Leigh Joseph Riley

30y · Male·Head injury; severe traumatic brain injury with global cerebral ischaemic injury…

Leigh Joseph Riley, a 30-year-old man with intellectual disability and substance abuse history, died from severe head injury following a physical altercation. …

forensic medicinepathologyalcohol
VIC2018-10-24

Finding into death of Sydney Dale Stanfield

55y · Male·Aspiration pneumonia arising as a consequence of severe acquired brain injury

Sydney Dale Stanfield, 55, died from aspiration pneumonia secondary to severe acquired brain injury sustained in childhood. He resided in a disability accommodation service group home and had …

palliative caregeneral practicesystemamoxicillin
TASaged care2023

Coroner's Finding: Tweedie, Valma Ann

72y · Female·Pneumonia following cervical spine injuries sustained in an unwitnessed mechanic…

…ie, aged 72, died from pneumonia following cervical spine injuries sustained in an unwitnessed fall at a disability support facility. She had a known history of falls, mobility problems, and probable dementia. While in h…

emergency medicinetrauma surgerydiagnosticcommunication
VIChome2025-07-03

Finding into death of Stephanie Rebernik

69y · Female·Effects of fire

Stephanie Rebernik, aged 69, died in a house fire in 2023. She had an acquired brain injury from 1980 with cognitive decline, poor risk identification, and a documented five-year histo…

occupational therapypsychiatrysystemdelayoxazepam
VIChospital2015-09-03

Finding into death of James Donohoe

59y · Male·Combined effects of acute on chronic pneumonia and pulmonary thromboembolism

A 59-year-old man with intellectual disability and minimal verbal communication died from acute on chronic pneumonia and pulmonary thromboe…

respiratory medicinegeriatric medicine
VIChospital2025-04-17

Finding into death of Graeme William Dimsey

62y · Male·Septic arthritis complicating left knee joint prosthesis in the setting of statu…

…th negative blood cultures. The team also failed to diagnose a hip fracture after he fell from his bed. Intellectual disability and delirium complicated assessment, but the coroner found the death preventable because ear…

orthopaedic surgeryinfectious diseasesdiagnosticproceduralceftriaxone
NSWhome2010-08-26

Coroner's Finding: Kate Therese Bugmy

26y · Female·Streptococcal Sepsis resulting from Skin Ulceration and complications of Cerebra…

Kate Therese Bugmy, a 26-year-old woman with cerebral palsy, epilepsy, and intellectual disability, died on 28 June 2007 of Streptococcal sepsis from infected pressure ulcers. She was cared f…

general medicineemergency medicinesystemcommunication

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