Coronial

71 results for chronic dysphagia

VIChospital2012-05-07

Finding into death of John Harwood

65y · Male·pneumonia and aspiration

John Harwood, a 65-year-old man with Down syndrome, died from aspiration pneumonia following hip prosthesis removal for infection. He experienced multiple aspiration episodes during attempts at nasogastric feeding after …

orthopaedic surgerypalliative care
VICaged care2023-04-28

Finding into death of O S

51y · Female·Complications of Huntington's disease

A 51-year-old woman with advanced Huntington's disease died from respiratory failure at a disability care facility. She was found with a blanket wrapped tightly around her head, though autopsy showed no evidence of neck …

neurologypsychiatryclonazepam
VIChome2022-01-03

Finding into death of Patricia Jocelyn Eve Grant

83y · Female·Aspiration bronchopneumonia in a setting of cerebral infarction

…o proactively follow up when she discontinued care. No reminder systems existed to prompt engagement with chronically ill older patients who stop attending. The coroner recommended RACGP amend standards to encourage GPs…

general practicegeriatric medicinediagnosticsystem
SAaged care2024-06-19

Coroner's Finding: Murphy, Phillip Robin

76y · Male·right lower lobe pneumonia on a background of frontotemporal dementia, chronic o…

A 76-year-old man with frontotemporal dementia, COPD, and osteoporosis died of right lower lobe pneumonia following multiple falls causing pelvic and rib fractures at a nursing home. He was admitted to hospital on 9 Febr…

geriatric medicinepalliative care
VIChospital2018-07-26

Finding into death of Maurice Benedict Costello

89y · Male·Complications of choking on a food bolus in a man with multiple medical comorbid…

…f a food bolus while eating on a geriatric ward three days after a fall. He had documented oropharyngeal dysphagia requiring supervision during oral intake. Speech pathology recommendations evolved during admission, wit…

geriatric medicinespeech pathologycommunicationsystem
VIChospital2015-07-29

Finding into death of Jeffrey John McCarty

40y · Male·Aspiration pneumonia

Jeffrey McCarty, a 40-year-old man with cerebral palsy, severe intellectual disability, dysphagia and recurrent aspiration pneumonia, died from aspiration pneumonia after being placed on a palliative pa…

palliative caregeneral medicinecommunicationsystem
VIChospital2024-05-16

Finding into death of Roderick James Milner

53y · Male·Refractory seizures secondary to Lennox-Gastaut syndrome (palliated); pneumonia

A 53-year-old man with Lennox-Gastaut syndrome and refractory seizures presented to hospital on 30 March 2024 with increased seizure activity. During admission, he could not receive oral anti-epileptics due to poor swall…

neurologypalliative care
VIChospital2024-01-18

Finding into death of Amelia Antonopoulos

60y · Female·Aspiration pneumonia in a woman with Down's syndrome with dementia and epilepsy

A 60-year-old woman with Down syndrome, dementia, and epilepsy died from aspiration pneumonia. She presented to hospital with pneumonia on 1 October, improved, and was discharged on 21 October with documented high aspira…

emergency medicinepalliative care
SAhospital2004-02-13

Coroner's Finding: WHITE Kevin Charles

57y · Male·aspiration pneumonia secondary to small bowel obstruction

A 57-year-old man with chronic schizophrenia, intellectual disability, and history of bowel obstruction presented with faecal vomiting a…

emergency medicinesurgeryquetiapine
VIChospital2016-08-26

Finding into death of Alan William Worrall

47y · Male·Progressive multifocal leukoencephalopathy

…r puncture confirmed JC virus infection. Despite antiretroviral therapy, his condition deteriorated with dysphagia developing. Treatment was withdrawn on 5 September 2015 after multidisciplinary discussion, and he died …

infectious diseasesgeneral medicineanti-retroviral medications
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 Rehabili…

psychiatryemergency medicinesystemcommunicationclozapine
VIC2020-04-28

Finding into death of Justin Dance

47y · Male·Complications of chronic lymphocytic leukaemia in a man with intellectual disabi…

Justin Dance, a 47-year-old man with intellectual disability, epilepsy, and chronic lymphocytic leukaemia, died of complications of his leukaemia while residing in supported disability acco…

palliative carehaematology
QLDhospital2013-04-19

Brockel, Ronald James

64y · Male·aspiration pneumonia following insertion of a jejunostomy tube

Ronald Brockel, a 64-year-old with cerebral palsy, oropharyngeal dysphagia, and recurrent aspiration pneumonia, underwent insertion of a feeding jejunostomy tube (FJT) on 23 Decem…

general surgerygastroenterologyproceduraldiagnosticomeprazole
VICaged care2020-10-22

Finding into death of Phillip Harry Parker

61y · Male·Pneumonia

… significant medical complexity including acquired brain injury, bronchiectasis, pulmonary fibrosis, and dysphagia died from pneumonia 26 days after receiving another resident's slow-release opioid medication in error a…

geriatric medicineemergency medicinemedicationsystemtapentadol sr
SAhospital2005-04-05

Coroner's Finding: HOLLENS Christopher

44y · Male·aspiration pneumonia

Christopher Hollens, a 44-year-old man with chronic schizophrenia, traumatic brain injury, spastic paraparesis, and epilepsy, died of aspiration pneumonia af…

psychiatrygeneral medicinephenytoin
VIChospital

Finding into death of Sydney Hugh Kennedy

66y · Male·Complications of chronic lithium therapy

…a 66-year-old man with intellectual disability and bipolar affective disorder, died from complications of chronic lithium therapy. He had been on lithium for years with annual psychiatric review, but there was inadequat…

psychiatrygeneral practicediagnosticcommunicationlithium
SAhospital2020-11-02

Coroner's Finding: NIXON Viola Daphne

92y · Female·decompensated congestive cardiac failure secondary to haemophilus influenzae low…

A 92-year-old woman with dementia, heart disease, and COPD died from decompensated congestive cardiac failure secondary to haemophilus influenzae lower respiratory tract infection. She was admitted to psychiatric care un…

psychiatryemergency medicine
VIChospital2011-11-29

Finding into death of Ralph James McCracken

65y · Male·complications of end stage chronic obstructive pulmonary disease

Ralph James McCracken, aged 65, died from complications of end-stage COPD following a complex hospital admission. He presented with acute limb ischaemia requiring femoral embolectomy, subsequently developed compartment s…

vascular surgerycolorectal surgeryantibiotics
SAaged care2016-09-12

Coroner's Finding: PETRICH Sandor

76y · Male·General inanition due to end stage Parkinson's disease

Sandor Petrich, aged 76, died of general inanition due to end-stage Parkinson's disease at a nursing home. He had been diagnosed with Parkinson's in 2005 and presented with advanced disease including immobility, incontin…

palliative careneurology
SAhospital2021-11-23

Coroner's Finding: Osborne, Brian Thomas

89y · Male·combined effects of cerebrovascular accident, pneumonia and chronic cardiac fail…

…appropriate and the ITO was lawful. Death resulted from combined cerebrovascular accident, pneumonia, and chronic cardiac failure. Key clinical lessons include appropriate management of post-stroke delirium in elderly p…

cardiologyneurologyinsulin

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