33 results for “recurrent falls”
78y · Female·advanced dementia (end stage)
…ion to RGH on 23 August 2017 with escalating behavioural disturbances including agitation, aggression, and falls, she was placed on an Inpatient Treatment Order. She required physical restraint and intramuscular medicat…
91y · Male·Cholangiocarcinoma
…he Melbourne City Mission team from his 2019 cancer diagnosis. In his final month, he experienced multiple falls due to declining health, prompting staff to create a health management plan and refer for occupational the…
56y · Female·Blunt head injury, with hyoid bone fracture being a significant condition contri…
Deborah Spencer, a 56-year-old woman with a history of heavy alcohol use and previous falls, died from blunt head injury with hyoid bone fracture. She was found unconscious near Lemongrove Bridge in…
80y · Male·general inanition and pneumonia on a background of advanced vascular dementia, c…
…bleeding, and worsening delirium. Upon discharge, he continued to refuse food and medication, with further falls. Palliative care was commenced on 29 October 2019 and he died the following day. The coroner found no conc…
75y · Female·multiple injuries due to or as a consequence of motor vehicle collision
…had multiple medical conditions including diabetes, sleep apnoea, chronic back pain, osteoarthritis, and recurrent falls. Despite a previous licence cancellation in 2012 due to poor mobility and slow reaction times—supp…
47y · Female·Traumatic closed head injury likely sustained in a fall from standing
…he had alcohol-induced cirrhosis, previous head injuries with subdural haematomas, and multiple documented falls. Clinical lessons include: recognition that chronic malnutrition and alcoholism cause osteoporosis and inc…
84y · Male·multi-organ failure due to general inanition due to end-stage dementia
Geoffrey Neil Allen, aged 84, died at an aged care facility from multi-organ failure due to general inanition secondary to end-stage dementia. He was subject to guardianship orders with detention powers under the Guardia…
83y · Male·General inanition and aspiration pneumonia on a background of end-stage Alzheime…
…no concerns identified. The death resulted from natural progression of end-stage dementia complicated by recurrent aspiration pneumonia.
58y · Female·Acute subdural haemorrhage due to blunt force trauma to the head
…ute subdural haemorrhage following blunt head trauma. She had chronic alcoholism and documented history of falls when intoxicated. The coroner could not definitively determine whether the fatal head injury resulted from…
74y · Female·Subdural haemorrhage following a fall in a woman with multiple medical comorbidi…
…g was insufficient. The coroner identified systemic failures in incident investigation, communication, and falls management protocols.
93y · Female·Subdural haemorrhage in the setting of a fall (palliated)
A 93-year-old woman with a history of falls was discharged from hospital following treatment for subdural haematoma from a prior fall. Discharge plann…
89y · Male·Cervical spine trauma
…e during night hours when GP unavailable. The facility has since implemented improved incident monitoring, falls management guidelines, clinical deterioration protocols, and staff training on dementia behaviour manageme…
51y · Female·Aspiration pneumonia in a woman with Down syndrome and Alzheimer's dementia
…umonia following a shoulder fracture. She was in DHS supported residential care when she suffered frequent falls due to her deteriorating condition. Her complex medical needs—including severe anxiety in medical environm…
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