56 results for “food aspiration risk”
54y · Male·Hypoxic-ischaemic brain injury attributed to cardiac arrest due to choking
A 54-year-old man with paranoid schizophrenia died of hypoxic-ischaemic brain injury from choking on food whilst in seclusion in a psychiatric intensive care unit. Key failures included: unsupervised provision of …
59y · Female·mixed prescription drug and alcohol toxicity (ethanol, diazepam, fluoxetine, and…
Julie Gaye Williams, 59, died from mixed prescription drug and alcohol toxicity with aspiration of gastric contents. She had extensive psychiatric history including depression, PTSD, bipolar disorder,…
80y · Male·aspiration pneumonia complicating inanition of dementia
Arthur Smith, an 80-year-old man with advanced Alzheimer's dementia, died from aspiration pneumonia complicated by inanition (malnutrition/dehydration) at an aged care facility. He had cognitive…
58y · Male·Aspiration pneumonia in a man with a left middle cerebral artery stroke (palliat…
…y in DHS residential care, suffered a left middle cerebral artery stroke on 6 October 2011. He developed aspiration pneumonia complicated by acute respiratory distress syndrome, deep vein thrombosis, and heart failure. D…
42y · Female·Hypoxic brain injury due to choking on food, with Cornelia de Lange Syndrome con…
… recommendations, and recognizing that genetic conditions causing dysphagia require constant, not episodic, risk management.
56y · Female·Hypoxic ischaemic brain injury due to upper airway obstruction by food bolus
… and acquired brain injury died from hypoxic ischaemic brain injury following upper airway obstruction by a food bolus while eating dinner in supported accommodation. She was eating unsupervised in a separate unit while …
53y · Male·aspiration pneumonia on a background of oesophageal cancer and ischaemic heart d…
Anthony Stephen Gibson, aged 53, died in hospital from aspiration pneumonia secondary to oesophageal cancer and ischaemic heart disease. He was serving a prison sentence …
39y · Male·Choking on a food bolus
…villa, a 39-year-old man with severe intellectual disability, epilepsy, and dysphagia, died from choking on food at his day program. He had a documented choking risk but lacked a current mealtime support plan at either h…
69y · Male·bronchopneumonia and hypoxic brain injury following aspiration of food (choking)
…e coroner found the death was accidental and supervision was reasonable, as choking was not identified as a risk despite a previous episode of dysphagia documented four months earlier that had apparently resolved. The ke…
89y · Female·Aspiration pneumonia complicating electroconvulsive therapy for treatment of psy…
…nitial conservative management, compulsory ECT was approved and administered. She subsequently developed aspiration pneumonia and died. The coroner found the decision to proceed with ECT was appropriate given her deterio…
42y · Female·Hypoxic brain injury due to choking on food, in a person with Cornelia de Lange …
…a separation between the SIL provider (Endeavour) and allied health services that contributed to incomplete risk assessment and inadequate staff training on dysphagia management.
83y · Female·Aspiration bronchopneumonia in a setting of cerebral infarction
Ms Patricia Grant, 83, died from aspiration bronchopneumonia following cerebral infarction while living with her son and daughter-in-law. She experi…
2y · Female·Complications of severe anaemia and SARS-CoV2 (COVID-19) infection
…naemic with poor muscle tone and developmental delay. Although Child Development Service identified anaemia risk and recommended GP assessment and iron studies in June 2022, her overwhelmed parents with mental health and…
36y · Female·respiratory depression after loss of consciousness caused by mixed drug toxicity…
…te clear medical deterioration. An ambulance should have been called when Rebecca became unable to complete risk assessment or by 1:34am when she lay down slumping. Dr V.'s evidence indicates she would likely have surviv…
59y · Male·asphyxia due to choking on food
Alexander Pasinski, age 59, died from asphyxia due to choking while an involuntary psychiatric patient in Launceston General Hospital's Northside unit. He had major depression and paranoid schizophrenia with complex psyc…
4y · Male·respiratory failure secondary to pneumonia on a background of Niemann Pick Type …
Lebron Martin was a 4-year-old Aboriginal child with Niemann-Pick Type C disease, a progressive neurodegenerative disorder. He died from respiratory failure secondary to pneumonia in December 2017. Four months prior to h…
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