391 results for “psychiatric medication management”
86y · Female·complications of femoral, radial and ulnar fractures; antecedent cause Alzheimer…
…rrals (DBMAS, geriatrician) were not made despite being indicated; and communication between care staff, management, and the GP broke down. Mrs Brockett, who became bedridden weeks before the incident, was not considered…
57y · Male·Head injury from fall; with coronary atherosclerosis and complete heart block wi…
…rder died from head injury following a fall at Toowong Private Hospital. Critical failures in falls risk management were identified: no formal falls risk assessment was completed on admission despite prior fall history, …
51y · Male·complications of opiate toxicity; cardiac and respiratory arrest following drug …
…inter-agency communication regarding custodial orders. Systemic confusion about discharge procedures and medication management also contributed to risk.
37y · Female·exsanguination from incised wounds to right wrist and elbow
…y her mental health and pain history due to inadequate information gathering and systemic failures; pain management was inadequate—she was transitioned from effective Panadeine Forte and tramadol in the community to subo…
34y · Male·Plastic bag asphyxia
A 34-year-old man on remand died by plastic bag asphyxia at Shortland Correctional Centre on 5 May 2020, hours before his release on bail. He had disclosed anxiety and depression, made multiple self-referrals for mental …
38y · Female·multiple stab injuries to the chest and abdomen
A 38-year-old woman was fatally stabbed by her former partner, Bradley Carolus, in May 2010. Three days before the homicide, Carolus had been apprehended by police under mental health legislation following a volatile epi…
64y · Female·hypoxic ischemic encephalopathy caused by neck compression and hanging
…ness that potential ligatures had not been systematically removed from that area. The coroner found the psychiatric care and decision-making were appropriate, but the search process and documentation were significantly …
24y · Male·Massive blood loss caused by incised wounds of left upper extremity
A 24-year-old man with schizophrenia and psychotic symptoms died from massive blood loss after self-inflicted wrist lacerations in prison custody. He called for help twice via the cell alarm system at 9:17pm and 9:23pm, …
55y · Male·Septicaemia due to hydronephrosis and infection
A 55-year-old man with complex medical and social problems died of septicaemia from renal infection. He had a history of cardiac disease requiring anticoagulation, alcohol dependence, depression, and chronic hoarding beh…
41y · Male·Cardiomegaly in a man with WHO Class III obesity
… Clinical care in the days before death was adequate, but systemic failures included: non-optimal weight management despite Michael's stated desire to lose weight; absence of dietitian referral despite repeated requests;…
60y · Female·neck compression by ligature strangulation
Martina Morgan, aged 60, died from ligature strangulation by her own leggings while in police custody at Sturt Police Station in March 2015. She was significantly intoxicated (BAC 0.23%) and taking benzodiazepines when a…
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