Coronial

40 results for swallowing impairment

QLDaged care2018-06-05

Milward, Paul Joseph

53y · Male·Choking on food bolus in pharynx, with Huntington's disease and coronary atheros…

Paul Joseph Milward, 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 r…

geriatric medicinespeech pathologycommunicationsystemsodium valproate
SAaged care2017-05-30

Coroner's Finding: McKEEVER David Michael

69y · Male·aspiration pneumonia on a background of ischaemic heart disease and diabetes

…guardianship orders after assessment showed he lacked capacity to make living decisions due to cognitive impairment and risk-taking behaviour. During his stay at Edenfield Family Care, his condition deteriorated with mul…

geriatric medicinepsychiatry
SAaged care2016-09-05

Coroner's Finding: BANNISTER Alfred Geoffrey

84y · Male·general inanition on a background of dementia with contributing ischaemic and hy…

…progressive cognitive decline following prostate cancer treatment in 2008, diagnosed with mild cognitive impairment in 2009. By 2013 he developed behavioural disturbance with nocturnal wandering. Following a hospital adm…

geriatric medicinepsychiatry
VIChospital2015-09-07

Finding into death of Jay Dion Sykes

18y · Male·Aspiration pneumonia in a setting of acquired brain injury from non-accidental h…

…ury sustained non-accidentally as an infant. He had severe cerebral palsy, tetraparesis, aphasia, visual impairment, intellectual disability, epilepsy, and gastro-oesophageal reflux. After transitioning to community care…

general medicineemergency medicinecommunicationesomeprazole
VICaged care2016-06-14

Finding into death of Wendy Maree Jones

51y · Female·Bronchopneumonia and cerebral infarction in a woman with cerebral palsy

A 51-year-old woman with cerebral palsy, epilepsy, and swallowing difficulties suffered a stroke on 10 July 2015, presenting with right-sided facial droop and hemiparesis…

neurologyemergency medicinemorphine
SAaged care2019-06-12

Coroner's Finding: SINCLAIR Colin George

68y · Male·Obstruction of airways by foodstuffs with contributing alcohol-related dementia

Colin George Sinclair, aged 68, died from airway obstruction by food while in high-level aged care under guardianship. He had alcohol-related dementia and Korsakoff's syndrome with significant cognitive decline affecting…

geriatric medicinespeech pathology
VICaged care2012-09-18

Finding into death of Brian Lench

58y · Male·Aspiration pneumonia in a man with a left middle cerebral artery stroke (palliat…

Brian Lench, a 58-year-old man with intellectual disability in DHS residential care, suffered a left middle cerebral artery stroke on 6 October 2011. He developed aspiration pneumonia complicated by acute respiratory dis…

emergency medicineneurologyantibiotics
NThospital2012-10-29

Inquest into the death of Name 'N'

9y · Female·Aspiration pneumonia due to cerebral palsy and seizures

Nine-year-old Aboriginal girl with severe cerebral palsy, cognitive impairment, and seizure disorder died of aspiration pneumonia in ICU following status epilepticus. She had complex …

paediatricsintensive caresystemanti-epileptic medication
NSWhospital2021-12-23

Inquest into the death of Shelley YOUNG

65y · Female·choking on a tangerine

Ms Shelley Young, a 65-year-old woman with long-standing schizoaffective disorder and multiple complications from chronic antipsychotic use including dysphagia and tardive dyskinesia, died from choking on a tangerine whi…

psychiatrygeriatric medicinecommunicationsystemclozapine
WAhome2026-02-23

Inquest into the Death of Child MML

11y · Male·Bronchopneumonia and small bowel necrosis with perforation, in a boy with multic…

…astrophic abusive head trauma at eight months old in December 2010, causing severe lifelong neurological impairment including cerebral palsy, uncontrolled seizures, and blindness. The cause of the initial injury remains …

neurologypaediatricscommunicationsystem
VIChome2024-12-09

Finding into death of Sonya Marshman

53y · Female·Recurrent aspiration pneumonitis secondary to cerebrovascular accident and conge…

Sonya Marshman, a 53-year-old woman with cerebrovascular accident and congenital rubella, died from recurrent aspiration pneumonitis at her specialist disability accommodation residence. She declined in February 2023, wa…

general practicepalliative care
VIChospital2024-09-22

Finding into death of Carl Edward Medlyn

51y · Male·Aspiration pneumonia secondary to traumatic brain injury arising from a scooter …

…isks, particularly without safety precautions, and management of aspiration risk in patients with severe swallowing dysfunction.

neurosurgerytrauma surgerycannabis
VIChospital2024-10-11

Finding into death of Maria Presti

62y · Female·Aspiration pneumonia secondary to cerebral palsy

…prevention unit and coroner found the care appropriate and reasonable. Clinical lessons include: careful swallowing assessment in cerebral palsy patients; early recognition of aspiration risk; multidisciplinary decision-…

respiratory medicineinfectious diseasesantibiotics
VIChospital2017-06-27

Finding into death of Clifford Norrie Wall

79y · Male·Aspiration pneumonia in the setting of small bowel obstruction

…inical lessons: early recognition of aspiration risk in patients with bowel obstruction and neurological impairment; careful weighing of surgical risks in elderly patients with multiple comorbidities.

general medicineemergency medicine
VIC2026-03-03

Finding into death of Susan June Mahoney

74y · Female·Acute renal failure complicating decreased oral intake in the setting of Angelma…

… progressively declining oral intake. From April 2025, staff observed reduced food and fluid intake with swallowing difficulties. Despite initial GP assessment and two hospital admissions where reversible causes were exc…

general practiceemergency medicine
VIC2023-01-09

Finding into death of Andrew John Martin

57y · Male·Aspiration pneumonia complicating large bowel volvulus in a man with chronic dys…

… to palliative care at Wantirna Health for observation before returning to disability accommodation. His swallowing was further impaired post-illness. He developed aspiration pneumonia on day 20 of admission and died rec…

general surgerypalliative care
TAS2019-01-11

Coroner's Finding: Dunster, Kenneth Francis

52y · Male·asphyxia due to choking on food

Kenneth Dunster, a 52-year-old man with chronic schizophrenia and cognitive decline, died from asphyxia due to choking on food at Millbrook Rise Rehabilitation Centre. He had a documented, well-known choking risk due to …

psychiatryemergency medicinesystemcommunicationclozapine
VIChospital2026-04-16

Finding into death of Damien Mark Stone

53y · Male·Aspiration pneumonia in the setting of Down syndrome and pelvic fractures

…e care but not causal to death. Key preventive actions: implement pain assessment training for cognitive impairment, use Health Passports to guide care planning, and engage Disability Liaison Officers early.

emergency medicineneurologydiagnosticcommunicationoxycodone
SA2003-03-28

Coroner's Finding: DISARIO Antonio

26y · Male·gastric aspiration

A 26-year-old remanded prisoner died from gastric aspiration at Adelaide Remand Centre. He was a heroin user experiencing withdrawal, having been offered but declined infirmary treatment and methadone on arrival. Cellmat…

correctional healthemergency medicineheroin
VIC2023-07-19

Finding into death of Angela Cuthbert

59y · Female·complications of abscesses following dental extraction, in a woman with cerebral…

… lessons include: patients with dysphagia require modified post-operative instructions specific to their swallowing impairment; careful post-operative monitoring is essential after oral surgery in vulnerable populations;…

oral and maxillofacial surgerydentistrycommunicationsystem

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.