73y · Female·Pneumonia (palliated)
Barbara Grace Bright, 73, died of pneumonia at Frankston Hospital. She was a long-term resident of specialist disability accommodation with cerebral palsy, dysphagia, epilepsy, and intellectual disability. From July 2024…
47y · Male·unascertained
Eric Donald Brandrick, a 47-year-old man with significant disability from a right thalamic intracerebral haemorrhage stroke in September 1988, was last confirmed alive on 31 December 1989 at Royal Perth Hospital Emergenc…
82y · Male·Ischaemic and hypertensive heart disease
An 82-year-old man with extensive medical comorbidities including ischaemic heart disease, triple vessel coronary artery disease (previously bypass grafted), diabetes, chronic kidney disease, and dementia died suddenly i…
86y · Male·End-stage congestive cardiac failure on a background of dilated cardiomyopathy
Mark Lewis, aged 86, died from end-stage congestive cardiac failure in custody at Long Bay Hospital Aged Care Unit. He had multiple chronic conditions (dilated cardiomyopathy, chronic kidney disease, diabetes, ischemic h…
65y · Female·Combined effects of acute pneumonia, pancreatitis, urinary tract infection, and …
A 65-year-old woman with chronic alcohol use disorder, multiple comorbidities, and progressive functional decline died from combined effects of pneumonia, pancreatitis, urinary tract infection, and severe pressure ulcers…
65y · Male·Unascertained (Natural Causes) - most likely myocardial infarction or pulmonary …
Brian Livingstone Clark, aged 65, died of natural causes while residing in specialist disability accommodation. He had early-onset Alzheimer's disease diagnosed in May 2023 and required full-time care. On 18 June 2025, s…
86y · Male·Oesophageal perforation
An 86-year-old man with treatment-resistant paranoid schizophrenia residing in a secure psychiatric unit died from oesophageal perforation. He experienced two unwitnessed falls on 20 October 2024 and declined post-fall m…
90y · Female·Right acute on chronic subdural haematoma sustained in a fall in the setting of …
A 90-year-old woman on warfarin for atrial fibrillation suffered an unwitnessed fall with head strike at an aged care facility. She presented to hospital where a small subdural haemorrhage was not detected on initial CT …
86y · Female·Hypostatic pneumonia due to the consequences of a right pubic rami fracture and …
An 86-year-old woman with advanced dementia and frailty suffered an unwitnessed fall at her aged care facility. Initial assessment failed to identify pubic rami and hip fractures. Post-fall documentation was insufficient…
57y · Male·Pneumonia with contributing factors of trisomy 21 and early Alzheimer's dementia
Graham Keith Moore, a 57-year-old man with Down syndrome and early Alzheimer's dementia, died of pneumonia at Bendigo Hospital on 11 February 2025. He resided in specialist disability accommodation and received NDIS-fund…
65y · Male·Ischaemic heart disease in a man with epilepsy
Richard Paul Atkins, a 65-year-old man with intellectual disability and epilepsy living in specialist disability accommodation, died from ischaemic heart disease. Post-mortem examination revealed moderate to severe tripl…
64y · Male·Aspiration event obstruction in a man with oropharyngeal dysphagia and Parkinson…
Richard Ellis, a 64-year-old man with intellectual disability, schizophrenia, Parkinson's disease and oropharyngeal dysphagia, died from aspiration obstruction following a witnessed choking episode while eating. He prese…
74y · Male·Congestive heart failure on a background of recent influenza A infection, end st…
Frederick William Boyle, aged 74, died of congestive heart failure in the setting of influenza A infection, end-stage dementia, and Parkinson's disease while in Port Phillip Prison. He had been transferred from St Vincen…
81y · Male·COVID-19 infection on a background of Type 2 Diabetes and end stage chronic kidn…
Robert Sievers, an 81-year-old man incarcerated since 2001, died from COVID-19 infection on a background of type 2 diabetes and end-stage chronic kidney disease. Despite multiple warnings about vaccination, Sievers refus…
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…
89y · Female·acute-on-chronic renal failure on a background of ischaemic heart disease, hyper…
An 89-year-old Aboriginal woman with chronic renal impairment and congestive cardiac failure was prescribed gentamicin intramuscularly for a urinary tract infection caused by Klebsiella aerogenes. Gentamicin is nephrotox…
78y · Female·Complications of mandibular fractures sustained in a fall, in the setting of mal…
Frances Hayden, 78, died from complications of mandibular fractures sustained in a fall at an aged care facility. She had long-standing schizoaffective disorder with associated anorexia, resulting in severe malnutrition …
77y · Female·Complications of malnutrition in a woman with paranoid delusions
A 77-year-old woman with complex medical and psychiatric history died from complications of malnutrition while an inpatient with paranoid delusions and delirium. She was admitted following falls and required compulsory t…
80y · Female·Fractured left neck of femur on a background of rectal carcinoma and dementia
An 80-year-old woman with dementia and undiagnosed rectal carcinoma died from complications of a fractured left neck of femur sustained during a fall in her aged care facility's memory support unit. She had sustained thr…
54y · Male·Complications of pelvic and spinal fractures sustained in a fall in man with Dow…
Andrew William Barr, a 54-year-old man with Down syndrome and Alzheimer's dementia, died from complications of pelvic and spinal fractures sustained in a fall. Following his mother's death in January 2021 and his Februar…
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