67 results for “choking risk”
69y · Male·bronchopneumonia and hypoxic brain injury following aspiration of food (choking)
…a and hypoxic brain injury. The coroner found the death was accidental and supervision was reasonable, as choking was not identified as a risk despite a previous episode of dysphagia documented four months earlier that …
80y · Female·Acute upper airway obstruction secondary to aspiration of food bolus
…d at an aged care facility from acute upper airway obstruction and aspiration of a food bolus following a choking episode. Clinical lessons include: (1) documentation of prior choking episodes should trigger dietary mod…
90y · Female·Choking
A 90-year-old woman with dysphagia died from choking after consuming thin fluid (coffee) against medical recommendation. She had been reviewed by a speech pat…
53y · Male·Choking on food bolus in pharynx, with Huntington's disease and coronary atheros…
…rd, aged 53 with Huntington's disease causing cognitive impairment and swallowing difficulties, died from choking on a bread sandwich while unsupervised in his aged care room. His care plan specified minced moist diet w…
45y · Male·choking on food
…ity and psychiatric illness residing in an institutional setting (Strathmont Centre infirmary), died from choking on food. Critical failures in observation and monitoring preceded his death: he received wrong medication…
65y · Female·choking on a tangerine
…ltiple complications from chronic antipsychotic use including dysphagia and tardive dyskinesia, died from choking on a tangerine while an inpatient at Manly Hospital. She had documented choking risk and clear recommenda…
14y · Female·Hypoxic-ischaemic encephalopathy due to choking on food, as a consequence of foe…
…lcohol syndrome, autism, and intellectual impairment died from hypoxic-ischaemic encephalopathy following choking on food during a community outing. She had been in state care since infancy and was largely tube-fed but …
55y · Female·asphyxia due to choking on food (steak)
…luding morbid obesity, schizophrenia, depression, and substance use disorder died from asphyxia caused by choking on food while at a friend's home in supported accommodation. She was on multiple central nervous system d…
77y · Male·hypoxic-ischaemic encephalopathy and cerebral infarction due to upper airway obs…
…sing complete obstruction and severe hypoxia. The death was preventable through: proper communication of at-risk behaviours to agency staff via prominent care plan documentation; removal of potentially harmful items from…
57y · Male·Hypoxic ischaemic encephalopathy secondary to prolonged downtime due to upper ai…
A 57-year-old man with intellectual disability and a documented history of choking died from hypoxic ischaemic encephalopathy following airway obstruction by food at a day activities progr…
59y · Female·Hypoxic-ischaemic encephalopathy due to acute upper airway obstruction
…ain dead. The coroner found no inappropriate care and no recommendations were made. The case highlights the risk of choking in elderly care settings, even without identified swallowing difficulties.
80y · Male·aspiration pneumonia complicating inanition of dementia
…anship in August 2013 due to lack of insight into his care needs. While at the facility he had documented choking episodes requiring soft diet and careful monitoring, low mood, reduced mobility, and signs of respiratory…
64y · Male·Aspiration event obstruction in a man with oropharyngeal dysphagia and Parkinson…
…, Parkinson's disease and oropharyngeal dysphagia, died from aspiration obstruction following a witnessed choking episode while eating. He presented to the ED the same day, was assessed as stable with normal vital signs…
50y · Male·Hypoxic-ischaemic encephalopathy secondary to choking on food bolus
…e brain damage. Clinical lessons include: disability care providers should systematically assess swallowing risks using standardised checklists; carers need training to recognise choking and perform basic airway manoeuvr…
80y · Male·asphyxia due to choking on food
Robert Mather, 80, died from asphyxia due to choking on food while hospitalised with acute psychosis, severe malnutrition, iron deficiency anaemia and urinary…
56y · Male·Aspiration of food bolus
…No issues were identified with the care provided. The case highlights the challenges of managing aspiration risk in vulnerable populations with behavioural and developmental disabilities despite appropriate precautions a…
68y · Male·Obstruction of airways by foodstuffs with contributing alcohol-related dementia
… factors and no lack of appropriate care. A policy suggestion was made regarding clustered seating for high-risk feeders to optimize staff supervision during mealtimes.
62y · Male·Hypoxic ischaemic encephalopathy complicating acute upper airway obstruction by …
John Kamps, a 62-year-old man with intellectual disability, autism, epilepsy, and dysphagia, died from hypoxic ischaemic encephalopathy following airway obstruction by food bolus. He choked on toast at breakfast despite …
54y · Male·Hypoxic-ischaemic brain injury attributed to cardiac arrest due to choking
A 54-year-old man with paranoid schizophrenia died of hypoxic-ischaemic brain injury from choking on food whilst in seclusion in a psychiatric intensive care unit. Key failures included: unsupervised pro…
48y · Female·Hypoxic/Ischaemic Encephalopathy; Aspiration of Food with Respiratory Arrest wit…
…g multiple residents during mealtime with divided attention. A new seating arrangement designed to reduce choking risk had been trialled the previous day but not communicated to staff on duty, so was not implemented. Cl…
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