82 results for “functional decline”
68y · Male·Obstruction of airways by foodstuffs with contributing alcohol-related dementia
…e under guardianship. He had alcohol-related dementia and Korsakoff's syndrome with significant cognitive decline affecting his ability to manage eating safely. Despite speech pathology assessment, dietary modification,…
63y · Male·complications of hepatic cirrhosis in a man with multiple comorbidities
Michael Faulks, a 63-year-old man with multiple comorbidities including hepatic cirrhosis, hepatitis B, ischaemic heart disease, and intellectual disability, died from complications of cirrhosis while in residential care…
75y · Female·general inanition and pneumonia on a background of end-stage dementia
75-year-old woman with end-stage mixed dementia (vascular and Alzheimer's) died from general inanition and pneumonia. She was detained under a Mental Health Act Inpatient Treatment Order due to severe aggression and beha…
96y · Male·Blunt chest trauma from quad bike accident
…year-old man died from blunt chest trauma sustained in a quad bike accident on his rural property. He had declined in health with poor eyesight, kyphosis, and hand tremors, prompting him to stop driving his car. He chos…
64y · Male·Aspiration event obstruction in a man with oropharyngeal dysphagia and Parkinson…
Richard Ellis, a 64-year-old man with intellectual disability, schizophrenia, Parkinson's disease and oropharyngeal dysphagia, died from aspiration obstruction following a witnessed choking episode while eating. He prese…
89y · Male·peri-prosthetic fracture of right femur
…of sensor alarms for high-risk residents. Key lesson: ensure falls prevention equipment is available and functional for residents identified as high falls risk in aged care settings.
64y · Female·COVID-19 and aspiration pneumonia in a woman with cerebral palsy
…iorating clinical status. The treating team appropriately recognised her condition reflected irreversible decline in baseline function and transitioned to palliative care with family consultation. Clinical management ap…
66y · Male·Complications of metastatic colorectal cancer (palliated)
…nd quality-of-life considerations, he received palliative care at his residential facility. His condition declined from April 2017 with reduced eating, increased sleep, weight loss, and declining mobility. He died peace…
68y · Male·Complications of aspiration pneumonia in a man with intellectual disability (con…
A 68-year-old man with severe intellectual disability and congenital brain injury died from complications of aspiration pneumonia. He had a long history of recurrent aspiration pneumonias and dysphagia. Following admissi…
61y · Male·Pneumonia
…er found no evidence the medication error caused the death, which occurred in the setting of significant functional decline over nine months. However, system failures including inadequate staffing ratios, skill mix, and …
86y · Male·Ischaemic heart disease on a background of valvular heart disease, prostatic enl…
An 86-year-old prisoner with multiple chronic illnesses (COPD, atrial fibrillation, emphysema) died of ischaemic heart disease in a palliative care unit. He was admitted to hospital on 21 April 2019 with end-stage COPD a…
51y · Female·Aspiration pneumonia in a woman with Down syndrome and Alzheimer's dementia
Angela Thompson, a 51-year-old woman with Down syndrome and early-onset Alzheimer's dementia, died from aspiration pneumonia following a shoulder fracture. She was in DHS supported residential care when she suffered freq…
84y · Male·multi-organ failure due to general inanition due to end-stage dementia
Geoffrey Neil Allen, aged 84, died at an aged care facility from multi-organ failure due to general inanition secondary to end-stage dementia. He was subject to guardianship orders with detention powers under the Guardia…
51y · Male·Metastatic small cell lung cancer
David John Scott, a 51-year-old inmate at Port Phillip Prison, died from metastatic small cell lung cancer on 22 December 2013. He presented with chest pain in April 2013, was diagnosed with small cell lung cancer, and u…
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…
90y · Male·aspiration pneumonia, vascular dementia, ischaemic heart disease, congestive car…
…ia, requiring management of aggression with antipsychotic and sedative medications. In his final days, he declined medications for cardiac failure and developed lower limb oedema. He was managed palliatively and died pe…
78y · Male·general inanition on a background of end-stage dementia
…e behavioural disturbance and aggression requiring multiple hospitalisations. His condition progressively declined with development of acute renal failure and swallowing difficulties. A comfort care approach was adopted…
38y · Male·ischaemic heart disease due to severe coronary atherosclerosis
Stuart Murray Chalklen, aged 38, died in Adelaide Remand Centre from ischaemic heart disease due to severe coronary atherosclerosis. He complained of left shoulder pain (a recognised symptom of cardiac disease) to cellma…
74y · Male·Hospital acquired pneumonia complicating chronic lung disease
David Maynard, 74 years old, died from hospital-acquired pneumonia complicating chronic lung disease. He was admitted to Royal Melbourne Hospital in July 2016 with chest pain and delirium attributed to hyponatraemia and …
58y · Male·Septic shock secondary to intra-abdominal collections as sequelae of osteomyelit…
A 58-year-old man with Down syndrome and multiple comorbidities died from septic shock secondary to intra-abdominal collections caused by osteomyelitis/discitis of the spine. He initially presented with a foot bone infec…
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