Coronial

31 results for oropharyngeal dysphagia

SAaged care2016-09-01

Coroner's Finding: PERTZ Zvonka

81y · Female·aspiration pneumonia on a background of severe dysphagia and right hemiplegia

An 81-year-old woman with severe dysphagia and right hemiplegia from previous stroke died of aspiration pneumonia after vomiting while sleeping fol…

geriatric medicinepalliative care
VIChome2020-08-05

Finding into death of Maxwell Rowllings

69y · Male·Complications of Downs syndrome and dementia (palliated)

…n. He had complex medical needs including intellectual disability, Alzheimer's disease, epilepsy, severe dysphagia, and aspiration risk. Following hospital admission in September 2018 for declining health and a prolonge…

general practiceemergency medicineatropine
QLDhospital2013-04-19

Brockel, Ronald James

64y · Male·aspiration pneumonia following insertion of a jejunostomy tube

Ronald Brockel, a 64-year-old with cerebral palsy, oropharyngeal dysphagia, and recurrent aspiration pneumonia, underwent insertion of a feeding jejunostomy tube (FJT)…

general surgerygastroenterologyproceduraldiagnosticomeprazole
SAhome2026-07-07

Coroner's Finding: Morland-Shearer, Debra

64y · Female·choking on food on a background of Alzheimer's disease and antipsychotic therapy

…d while living in supported community care under a Guardianship Order. She had Alzheimer's disease, mild dysphagia diagnosed in November 2022 following a previous choking incident, and was taking antipsychotic medicatio…

speech pathologypsychiatryquetiapine
VIChospital2025-02-04

Finding into death of Tan Van Tran

53y · Male·Gastrointestinal haemorrhage complicating recent PEG insertion with stroke as a …

Tan Van Tran, a 53-year-old man with prior stroke causing severe dysphagia, died from gastrointestinal haemorrhage complicating recent PEG insertion. He was admitted with aspirati…

gastroenterologyemergency medicinepiperacillin-tazobactam
VIChospital2024-08-07

Finding into death of Georgios Stamkos

68y · Male·Complications of a witnessed airway obstruction from food bolus in a man with dy…

A 68-year-old man with dysphagia and bipolar disorder died from airway obstruction and aspiration pneumonia after choking on a sandwich b…

psychiatryspeech pathologyrisperidone
VICaged care2022-12-12

Finding into death of Lorraine Earl

71y · Female·Complications of cerebral palsy

…ations of cerebral palsy at Wantirna Hospital following a palliative care pathway initiated after severe dysphagia developed during a hospital admission. The Disability Services Commissioner investigation identified sys…

palliative caregastroenterologycommunicationsystem
NSWaged care2026-02-27

Inquest into the deaths of Dimosthenis Gesios and Maureen McGreevy

Unknown·Choking; Mr Gesios: large bolus of bread and scrambled eggs causing complete air…

…found obstructing her airway. Critical failures included: inadequate staff training and understanding of dysphagia management and the IDDSI Framework; inconsistent communication of dietary restrictions; nursing staff de…

speech pathologygeneral practicesystemcommunication
VIChospital2025

Finding into death of TBL

81y · Female·Multisystem failure in the setting of hyponatraemia secondary to chronic malnutr…

An 81-year-old woman with chronic schizophrenia, heart failure, and dementia died from multisystem failure secondary to severe malnutrition and hyponatraemia. Over four years, her son (Medical Power of Attorney) progress…

psychiatrygeneral practicesystemdelayrisperidone
VICcommunity2022-02-18

Finding into death of Roger David Batchelor

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 program. Despite having a choking man…

general practicespeech pathologycommunicationsystempantoprazole
VIChospital2023-11-24

Finding into death of Vikki Michelle Prenc

59y · Female·Asphyxial aspiration with upper airways obstruction by vomitus

Ms Prenc, a 59-year-old woman with spina bifida, died from asphyxial aspiration with upper airway obstruction by vomitus while hospitalised for urosepsis. The critical clinical issue was a Goals of Care (GOC) document co…

general practicegeneral medicinecommunicationsystemondansetron

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