165 results
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 …
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…
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…
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.…
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…
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…
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…
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…
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…
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 …
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…
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…
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,…
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 …
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…
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…
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…
84y · Male·general inanition on a background of end-stage dementia and a fractured neck of …
84-year-old man with end-stage dementia died from general inanition following a fractured neck of femur sustained while under a Level 2 Inpatient Treatment Order. He was admitted in January 2019 with confusion and agitat…
76y · Female·left lower lobe pneumonia complicating metapneumovirus infection
Maria Astachnowicz, aged 76, died from left lower lobe pneumonia complicating metapneumovirus infection at Lyell McEwin Hospital. She had extensive psychiatric history (schizoaffective disorder/bipolar) with chronic ment…
72y · Male·ischaemic heart disease on a background of end-stage renal failure and frontotem…
Brenton Dutschke, aged 72, died of ischaemic heart disease on a background of end-stage renal failure and frontotemporal dementia while on a Level 3 Inpatient Treatment Order at Oakden Mental Health's Makk House. He had …
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