51 results for “incontinence”
66y · Female·urinary tract infection with contributing hypertensive heart disease, diabetes m…
…nt with vaginal pain and signs of infection. She had a long-term indwelling catheter placed for urinary incontinence. The ED doctor did not recognize catheter-associated urinary tract infection (CAUTI) despite key clinic…
51y · Female·embolic infarcts complicating infective endocarditis
…ere physical deterioration over three days including swollen feet, respiratory distress, confusion, and incontinence. Despite her son suggesting an ambulance call earlier, paramedics were not contacted until day four. Sh…
82y · Male·Pneumonia in an elderly man with advanced lung cancer (squamous cell carcinoma)
Charles William Mapp, 82, died of pneumonia secondary to advanced lung cancer at Sir Charles Gairdner Hospital. He had been an involuntary psychiatric patient at Graylands Hospital for nine years with chronic schizophren…
69y · Male·Perforated bowel/septicaemia as a result of diverticulitis
A 69-year-old man presented to the ED with abdominal distension, incontinence and dehydration but was discharged with a diagnosis of depression and constipation. He returned 2 days …
69y · Male·right lower lobe pneumonia as a complication of diabetes mellitus
Michael Wayne Reardon, aged 69, died at home from right lower lobe pneumonia as a complication of diabetes mellitus. He was entirely dependent on his siblings for care, with his sister Julie administering medications. He…
66y · Male·Complications arising from the combined features of HIV infection, multiple cere…
Grant Douglas Griffiths, a 66-year-old man with HIV, multiple cerebrovascular accidents, progressive dementia, and other comorbidities, deteriorated significantly after admission to hospital in March 2022 due to function…
88y · Female·sepsis of unknown origin
An 88-year-old woman with multi-infarct dementia and behavioural disturbance was detained under the Mental Health Act following assault of her GP. She presented with abdominal symptoms and deteriorating vital signs, tran…
51y · Male·unascertained; presumed sudden cardiac arrhythmia
…ural changes including excessive drinking, unusual fluid/milk consumption, repeated vomiting and faecal incontinence. Despite timely mental health service involvement and appropriate escalation to ambulance services, he …
62y · Female·Haemorrhage caused by abdominoperineal excision of the rectum
A 62-year-old woman died of uncontrollable haemorrhage following an abdominoperineal excision of the rectum (APER) at a remote hospital. The coroner found the operation itself was inappropriate: performed for undiagnosed…
74y · Male·Sepsis secondary to infected pressure wounds (necrotising fasciitis) in a man wi…
A 74-year-old man with multiple comorbidities (diabetes, obesity, respiratory failure, mental health conditions) died from sepsis secondary to necrotising fasciitis of pressure wounds developed while in aged care. Key cl…
63y · Male·asphyxia caused by hanging
Gerard Ernest Stefaniw, a 63-year-old man with cerebral palsy, cognitive impairment, and chronic pain, died by asphyxiation while detained at Roy Fagan Centre. He was unhappy about his guardianship order and detention. A…
42y · Female·gamma hydroxybutyrate (GHB) toxicity; cardiorespiratory depression
A 42-year-old woman holidaying on a cruise ship died from gamma hydroxybutyrate (GHB) toxicity. She was unknowingly given GHB by male passengers who subsequently engaged in sexual abuse while she was incapacitated. The s…
25y · Male·Sudden Unexpected Death in Epilepsy (SUDEP)
…tly. Dixon was found face-down in his cell with evidence of seizure activity (tongue bite mark, urinary incontinence, aspiration). The coroner found his care appropriate and timely, with no preventable factors, though no…
83y · Female·unascertained
Felicity Ruth Loveday, aged 83, disappeared and is presumed deceased after setting sail from Port Phillip Bay on 11 December 2019 with her son. Ms Loveday had significant medical and cognitive vulnerabilities including s…
82y · Male·hypostatic pneumonia
An 82-year-old man with dementia and multiple comorbidities died of hypostatic pneumonia following complications from a fall at a residential aged care facility. He sustained an L2 compression fracture from an unwitnesse…
53y · Male·Multi-organ failure due to sepsis
…unctory despite significant risk factors and prior health warnings; early recognition of deterioration (incontinence, fever, respiratory distress, elevated vital signs on 10 May) was delayed; no blood tests were performe…
68y · Female·mixed prescription drug toxicity (oxycodone, metoprolol, diazepam)
Ms Heraghty, a 68-year-old woman with multiple comorbidities including obesity (BMI 47.3), atrial fibrillation, COPD, and severe chronic pain, died from mixed prescription drug toxicity (oxycodone, metoprolol, diazepam) …
60y · Female·haemopericardium following thoracic aortic dissection Type A
… 60-year-old woman with hypertension and smoking history, presented to the ED with back pain, vomiting, incontinence, and sore throat. An abnormal ECG was obtained but not appropriately interpreted. She had minimal urine…
49y · Female·Fatal Cardiac Arrhythmia
Melissa Stokes, 49, died from a fatal cardiac arrhythmia one day after successful abdominal hysterectomy and sling surgery. The coroner found the cause was not opioid-induced respiratory depression despite post-operative…
53y · Male·Complications of old brain injury in prior motor vehicle incident
Bruce Vernon Taylor, 53, died from complications of a remote brain injury sustained in childhood motor vehicle accident. He lived in shared disability accommodation and received support through NDIS. In the 12 months bef…
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