Coronial
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SAaged care2024-05-22

Coroner's Finding: Hough, Robert John

72y · Male·asphyxia due to upper airway obstruction due to choking on food

A 72-year-old man with acquired brain injury, seizure disorder, and dysphasia died from asphyxia due to choking on food while eating eggs and ham on toast at a disability care facility. He had no documented swallowing di…

neurologygeriatric medicine
SAaged care2024-05-22

Coroner's Finding: Kaczaniw, Iwan

93y · Male·general inanition on a background of cognitive impairment, congestive cardiac fa…

A 93-year-old man with dementia, heart failure, and chronic renal disease died of general inanition following a hip fracture sustained in a fall at an aged care facility. He was under a guardianship order with special po…

geriatric medicineorthopaedic surgery
SAaged care2024-05-22

Coroner's Finding: Reid, Betty Lorraine

84y · Female·Alzheimer's disease with subdural haematoma from traumatic head injury as a cont…

Mrs Betty Reid, aged 84 years with advanced Alzheimer's disease, died from Alzheimer's disease with subdural haematoma from traumatic head injury as a contributing factor. She sustained an unwitnessed fall on 1 November …

geriatric medicineneurology
SAaged care2024-01-19

Coroner's Finding: Bell, Aileene

85y · Female·general inanition on a background of vascular dementia and a recent right neck o…

An 85-year-old woman with vascular dementia, congestive cardiac failure, and atrial fibrillation sustained a right neck of femur fracture from a fall at her aged care facility on 5 August 2020, despite being on a sensor …

geriatric medicineorthopaedic surgery
SAaged care2024-01-19

Coroner's Finding: Elliott, Ronald Arthur

80y · Male·aspiration pneumonia on a background of severe oropharyngeal dysphagia and chron…

Ronald Arthur Elliott, aged 80, died of aspiration pneumonia complicated by severe oropharyngeal dysphagia and COPD following a hip fracture. He fell on 12 June 2020, underwent left hip hemiarthroplasty at Flinders Medic…

orthopaedic surgerygeneral medicine
SAaged care2023-12-22

Coroner's Finding: LENS, Christopher

64y · Male·hypoxic-ischaemic encephalopathy and its complications following cardiac arrest …

Christopher Lens, a 64-year-old man with schizophrenia under guardianship at a nursing home, died from hypoxic-ischaemic encephalopathy following cardiac arrest due to upper airway obstruction after choking on a peanut b…

geriatric medicinespeech pathologysystemcommunication
SAhome2023-09-20

Coroner's Finding: Norman, Colin

66y · Male·unascertained (differential diagnosis: chronic alcoholism with alcohol withdrawa…

Colin Norman, a 66-year-old man with significant disability from traumatic brain injury, chronic alcoholism and liver cirrhosis, died at home after failing to receive essential disability support services over a weekend.…

geriatric medicinesystemcommunication
SAaged care2023-08-30

Coroner's Finding: Haynes, Barbara Ann

89y · Female·head injury

Barbara Ann Haynes, aged 89, died from a head injury sustained in a fall at an aged care facility on 29 March 2020, with death occurring 13 days later on 11 April 2020. She had Alzheimer's dementia, osteoporosis, and a h…

geriatric medicineemergency medicine
SAhospital2023-04-11

Coroner's Finding: Rerich, Josef

78y · Male·multi-organ failure complicating neck of femur fracture (operated) on a backgrou…

A 78-year-old man with multiple comorbidities (heart failure, renal disease, COPD) suffered a neck of femur fracture from an unwitnessed fall at an aged care facility. Post-operatively he deteriorated with acute renal fa…

orthopaedic surgerygeneral medicinehaloperidol
SAhome2022-12-22

Coroner's Finding: Abbott, John

69y · Male·plastic bag asphyxia and mixed drug toxicity (oxycodone and pentobarbitone)

John Abbott, aged 69, died from plastic bag asphyxia and mixed drug toxicity (oxycodone and pentobarbitone) while under home detention bail with electronic monitoring. He had a complex medical history including chronic o…

general practicepsychiatryoxycodone
SAhospital2022-12-22

Coroner's Finding: Hammond, Peter Joseph

66y · Male·inanition and probable respiratory tract infection complicating Alzheimer's deme…

Peter Joseph Hammond, aged 66, died from inanition and probable respiratory tract infection complicating advanced Alzheimer's dementia. He was admitted to the Acute Older Persons Mental Health Unit at Flinders Medical Ce…

geriatric medicinepsychiatry
SAhospital2022-12-16

Coroner's Finding: Roocroft, Bryan

84y · Male·acute aspiration complicating periprosthetic fractured right femur (operated) on…

Bryan Roocroft, 84 years old with severe dementia, suffered a periprosthetic right femur fracture after two falls at aged care on 24 December 2020 while on oxazepam. He underwent surgical repair on 25 December and was pl…

geriatric medicineorthopaedic surgeryoxazepam
SAhospital2022-08-15

Coroner's Finding: Kelley, John Michael

83y · Male·General inanition and aspiration pneumonia on a background of end-stage Alzheime…

An 83-year-old man with end-stage Alzheimer's dementia died from general inanition and aspiration pneumonia while subject to a Mental Health Act order in hospital. He had experienced two episodes of aspiration pneumonia …

psychiatrygeriatric medicineantibiotics
SAcommunity2022-04-22

Coroner's Finding: Bentley, John James

80y · Male·Dehydration and the effects of heat with contributing Alzheimer's dementia

An 80-year-old man with advanced Alzheimer's dementia disappeared from a respite care facility on a day of extreme heat (39°C) and died from dehydration and heat exposure. Key failures included: (1) relocation of the day…

geriatric medicineemergency medicinediagnosticsystem
SAaged care2022-04-14

Coroner's Finding: Lauder, Ian Ross

80y · Male·general inanition and pneumonia on a background of advanced vascular dementia, c…

Ian Ross Lauder, aged 80, died at an aged care facility from pneumonia and general inanition on a background of advanced vascular dementia, cerebrovascular disease, and a recently operated right hip fracture. He had suff…

geriatric medicineorthopaedic surgeryproton pump inhibitors
SAhospital2022-03-29

Coroner's Finding: Davies, Allen William Harold

85y · Male·aspiration pneumonia due to dysphagia in a man with multiple spinal fractures an…

Allen William Harold Davies, 85, died of aspiration pneumonia due to dysphagia in the setting of multiple spinal fractures and dementia. He had collapsed at a hotel on 12 June 2019, was admitted to Lyell McEwin Hospital,…

neurosurgerygeriatric medicinehaloperidol
SAhospital2022-03-29

Coroner's Finding: Duthie, Norman Alec

96y · Male·hospital acquired pneumonia on a background of advanced Alzheimer's dementia

Norman Alec Duthie, a 96-year-old man with advanced Alzheimer's dementia, died of hospital-acquired pneumonia following admission to Noarlunga Hospital. He was placed on a Mental Health Act Inpatient Treatment Order due …

geriatric medicinepsychiatry
SAaged care2021-11-25

Coroner's Finding: McCormack, Donald Stewart

81y · Male·pneumonia complicating surgery for left hip fracture on a background of ischaemi…

An 81-year-old man with end-stage dementia, severe frontal lobe injury, and ischaemic heart disease died from pneumonia following hip fracture surgery. He fell while hip protectors were being cleaned after bowel incontin…

geriatric medicineorthopaedic surgery
SAhospital2021-11-23

Coroner's Finding: Beahl, Raymond Saxon

81y · Male·metastatic rectal adenocarcinoma with infected necrotic sacral ulcer

Raymond Saxon Beahl, 81, died of metastatic rectal adenocarcinoma complicated by an infected necrotic sacral ulcer. He was admitted to Oakden Older Persons Mental Health Service with severe dementia-related behavioural d…

psychiatrypalliative carediagnosticcommunicationamoxicillin/clavulanate
SAaged care2021-06-30

Coroner's Finding: KOLAN Zygmunt

91y · Male·intracranial haemorrhage (subdural, subarachnoid and parenchymal) complicating r…

A 91-year-old man with Alzheimer's dementia died from intracranial haemorrhage following recurrent falls at a nursing home. He had multiple comorbidities including metastatic prostate cancer, metallic aortic valve replac…

geriatric medicineneurosurgerywarfarin
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