Coronial

65 results for advanced frailty

NSWhospital2025-12-01

Inquest into the death of Malcolm Baker

76y · Male·complications of cerebrovascular accident on a background of atrial fibrillation

Malcolm George Baker, a 76-year-old prisoner serving a life sentence, died from complications of cerebrovascular accident on a background of atrial fibrillation. He had suffered two prior strokes (2020, 2021) leaving him…

emergency medicineneurology
TASaged care2020-06-19

Coroner's Finding: Konstantinidis, Agis

90y · Male·aspiration pneumonia due to pulmonary fibrosis and dementia

A 90-year-old man with advanced dementia and terminal pulmonary fibrosis died of aspiration pneumonia at a residential aged care facility…

geriatric medicinepalliative careantidepressant medication
TASaged care2026-01-07

Coroner's Finding: Bird, Allan Roy

92y · Male·Consequences of accidental fall at RACF: post-operative delirium, left femoral i…

A 92-year-old man resident in an aged care facility sustained an unwitnessed fall resulting in left hip fracture, requiring surgical fixation. He developed post-operative delirium and died 8 days later. The coroner ident…

geriatric medicineorthopaedic surgerydiagnosticsystembenzodiazepine
SA2021-01-15

Coroner's Finding: MITTIGA Saverio

89y · Male·multi-organ failure on a background of advanced dementia and small cell lung can…

An 89-year-old prisoner with advanced dementia and small cell lung cancer died from multi-organ failure whilst in lawful custody at Yatala Labo…

general practicepalliative caremorphine
TASaged care2016-01-28

Coroner's Finding: Delaney, Maxwell

91y · Male·Hypostatic pneumonia due to traumatic fracture of C7 and subluxation of C6/7, re…

…maging revealed a traumatic C7 fracture with C6/7 subluxation. Surgery was not feasible given his age and frailty. He developed pneumonia and died on 28 January 2015. The coroner identified systemic safety failures: ina…

geriatric medicinegeneral medicinesystemprocedural
TASaged care2023-05-22

Coroner's Finding: Courtney, Wesley Paton

84y · Male·Head and neck injuries sustained in a fall; specifically facial bone fractures a…

An 84-year-old man with primary progressive aphasia and cognitive decline residing in aged care sustained fatal head and neck injuries from a fall on 13 May 2020. He had experienced seven documented falls over 2.5 months…

geriatric medicineemergency medicine
SAaged care2025-08-28

Coroner's Finding: Andrysik, Anne Carol

80y · Female·Fractured left neck of femur on a background of rectal carcinoma and dementia

…ls over 25 days; the final fall on 24 September 2022 resulted in the hip fracture. In accordance with her Advanced Care Directive and family wishes, she was not transferred to hospital for imaging or surgical interventio…

geriatric medicinegeneral practicenorspan patch
NSWaged care2018-07-10

Inquest into the death of Mr Stephen John

68y · Male·Chronic lung disease

…ed no concerns about his care. The death was from natural causes, representing the expected trajectory of advanced respiratory disease.

respiratory medicinepalliative care
TAShome2018-07-13

Coroner's Finding: Mackozdi, Janet Lois

77y · Female·hypothermia from environmental cold exposure with contributing factors of advanc…

…om hypothermia in an uninsulated shipping container at Mount Lloyd, Tasmania, on 23-24 July 2010. She had advanced Alzheimer's dementia and required 24-hour care. The coroner found her death was preventable through multi…

geriatric medicinegeneral practicesystemcommunication
SAhospital2017-12-12

Coroner's Finding: HODGINS William Albert

95y · Male·multi-organ failure due to sepsis and general inanition on a background of advan…

…bert Hodgins, aged 95, died of multi-organ failure due to sepsis and general inanition on a background of advanced vascular dementia and ischaemic heart disease. He was admitted under a Level 2 Inpatient Treatment Order …

psychiatrygeneral medicine
TASaged care2023-11-20

Coroner's Finding: Gray, Laurence Keith

96y · Male·Traumatic closed head injuries sustained in a fall

A 96-year-old man with cognitive impairment and previous traumatic brain injury from a 2021 fall was admitted to residential aged care on 16 February 2022. He had a minor slip from his chair on admission day without inju…

geriatric medicinegeneral practice
WAcommunity- 19 May 2014

Inquest into the Death of Arnold James KING

84y · Male·Unknown

Arnold James King, an 84-year-old man, disappeared from Ravensthorpe, Western Australia between 7-13 November 2011. He was grieving his wife's death, had recently been treated for depression with hospitalization, was in …

SAhospital2026-03-13

Coroner's Finding: Schlaefer, Norbert

69y · Male·disseminated urothelial carcinoma of the bladder (palliated), bilateral lung ade…

A 69-year-old man died in prison custody from disseminated urothelial carcinoma of the bladder, bilateral lung adenocarcinoma, and severe emphysema. He had a significant smoking history and prior asbestos exposure. His l…

oncologyrespiratory medicine
NSWhospital2021-11-18

Inquest into the death of James Sampson DORAN

85y · Male·metastatic prostate cancer

An 85-year-old man died of metastatic prostate cancer while in custody serving a sentence for historical child sexual offences. He had declined investigation and treatment for prostate cancer when an enlarged prostate wa…

palliative caregeriatric medicinezoludex
QLDhospital2023-07-05

Conlon, Edgar

75y · Male·End-stage renal disease, with hypertension, ischaemic heart disease, and diabete…

…H and nursing staff at Wolston CC, managed by a multidisciplinary approach including cultural liaison. An Advanced Resuscitation Plan was in place. The coroner concluded the death was natural, expected, and not preventab…

nephrologycardiologyaspirin
VIChospital2023-03-16

Finding into death of Reginald William Griggs

84y · Male·Respiratory failure complicating hospital acquired pneumonia following surgical …

…d pneumonia following surgery for recurrent mandibular squamous cell carcinoma. Key clinical lessons: (1) Advanced Care Plans (ACPs) must be actively sought and documented during pre-operative assessment, particularly in…

oncologyENT surgerycommunicationsystemhydromorphone
SAhospital2020-07-02

Coroner's Finding: SWINGLER Yvonne Mary

86y · Female·multi-organ failure due to sepsis

…dration, antibiotics, and attempted feeding tube placement, her condition deteriorated rapidly. Given her frailty, advanced age, and multiple comorbidities, a 'not for resuscitation' decision was made in consultation wi…

psychiatryemergency medicinemorphine
NSW2022-03-22

Inquest into the death of John Little

76y · Male·Pleuropulmonary Malignancy on the background of End-Stage Obstructive Pulmonary …

John Little, a 76-year-old man in custody, died from pleuropulmonary malignancy on a background of end-stage COPD. He had significant long-standing health problems including COPD related to smoking and asbestos exposure,…

oncologyrespiratory medicinemorphine
QLDhospital2008-11-05

Deceased prisoner

85y · Male·Cachexia due to esophagitis due to HIV infection

An 85-year-old prisoner with long-standing HIV infection died from cachexia due to esophagitis while receiving palliative care at a hospital secure unit. He had been admitted with falls and back pain, and investigations …

infectious diseasespalliative careantiretroviral medication
VIC2021-12-13

Finding into death of H V

79y · Male·Complications of ischaemic heart disease

HV was a 79-year-old man who died in custody at Port Phillip Prison from complications of ischaemic heart disease. He had significant cardiac history including previous myocardial infarction, atrial fibrillation, pulmona…

cardiologypsychiatrysertraline

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