39 results for “behavioural difficulties”
62y · Female·Ischaemic heart disease secondary to diabetes
… cause of death as reasonable. Clinical lesson: patients with intellectual disability and communication difficulties require thorough assessment despite behavioural challenges; inability to obtain key vital signs should …
80y · Male·aspiration pneumonia complicating inanition of dementia
…alnutrition/dehydration) at an aged care facility. He had cognitive decline from 2011, with progressive behavioural difficulties including refusal to cooperate with care activities, poor dietary intake, and multiple fal…
15y · Male·Neck compression due to hanging
…support for non-Aboriginal foster carers. Yakamurro had complex trauma, PTSD, and intellectual/language difficulties. Years of institutional failures isolated him from family while he struggled with severe behavioural dy…
22y · Female·Complications of megacolon due to chronic constipation in a woman with cerebral …
…on due to chronic constipation. She attended respite care over a weekend and became unwell with feeding difficulties and abdominal distension. Staff contacted her mother and an on-call coordinator but did not call a locu…
48y · Female·Hypoxic/Ischaemic Encephalopathy; Aspiration of Food with Respiratory Arrest wit…
…0 May 2018 and died from hypoxic-ischaemic encephalopathy on 16 May 2018. She had documented swallowing difficulties requiring modified food consistency and supervision during meals. On the morning of the incident, a sin…
74y · Female·Subdural haemorrhage following a fall in a woman with multiple medical comorbidi…
…h normal neurological observations. Later that afternoon, staff noted increased sleepiness and mobility difficulties but did not escalate concerns appropriately. She deteriorated that evening and was found unresponsive w…
69y · Male·bronchopneumonia and hypoxic brain injury following aspiration of food (choking)
…four months earlier that had apparently resolved. The key clinical lesson is that documented swallowing difficulties, even when apparently resolved, should be revisited and monitored during periods of concurrent illness …
39y · Male·Infective endocarditis, with intravenous drug use as a contributing factor
Marc Vella, a 39-year-old man with schizophrenia and intravenous drug use, presented to St Vincent's Hospital with respiratory symptoms and chest pain. Clinical assessment identified pneumonia, septicaemia, and possible …
18y · Female·Multiorgan failure complicating malnutrition in a female with liver cirrhosis, o…
…untreated malnutrition and chronic disease related to extreme obesity and dietary restriction driven by behavioural rigidity. The key clinical lesson is that children with severe developmental disabilities require proac…
50y · Female·mixed tablet overdosage (quetiapine and venlafaxine with codeine)
…isuse (which significantly complicated her condition), and insufficient early engagement with cognitive-behavioural therapy. Dr T.'s March 2003 assessment clearly recommended specialist psychiatry and psychology, yet ap…
87y · Male·Complications of head injuries in setting of dementia
An 87-year-old man with vascular dementia died from complications of head injuries sustained in assaults by a fellow nursing home resident. The deceased had a documented tendency to wander and enter other residents' room…
14y · Female·ligature compression of the neck (hanging)
Child RK, aged 14, died by suicide while in Department of Communities care at a therapeutic residential group home on 20 April 2022. She had Complex PTSD from childhood trauma and presented multiple times to emergency de…
Female·self-inflicted death
… in out-of-home care since infancy, died by suicide in 2014. She had early childhood trauma, attachment difficulties, and anxiety managed by a psychologist from age 5. Critical clinical lessons: (1) Complete medical and …
26y · Female·compression of the neck consequent upon hanging
Amanda Kennedy, a 26-year-old woman with a history of trauma, substance abuse, depression, and multiple suicide attempts, died by hanging in the Northern Psychiatry Unit on 24 June 2010 while under involuntary psychiatri…
27y · Male·Multiple gunshot wounds
Damon Savage, 27, died from multiple gunshot wounds during a police response to a domestic violence incident. He had called police while assaulting his partner, armed himself with two large knives, advanced towards offic…
51y · Female·Aspiration pneumonia in a woman with Down syndrome and Alzheimer's dementia
Angela Thompson, a 51-year-old woman with Down syndrome and early-onset Alzheimer's dementia, died from aspiration pneumonia following a shoulder fracture. She was in DHS supported residential care when she suffered freq…
19y · Male·hypoxic brain injury following asphyxia due to hanging
Jordan Kirkwood, a 19-year-old male, died by hanging on 30 April 2019 after being admitted to a newly established community-based mental health program (MHHITH) on 3 April 2019. He presented with depression, cannabis wit…
13y · Male·Hanging
Lachlan John Howe, aged 13, died by hanging at his home on 18 May 2018 after being transported to Royal Children's Hospital. He had experienced significant family violence from his father, including emotional abuse, cont…
21y · Male·Suffocation from hanging
Shannon Robert Camden, a 21-year-old with longstanding mental health difficulties and previous suicide attempts, died by hanging in cell A1 of the Belconnen Remand Centre on 15 April 19…
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