Coronial

114 results for severe dysphagia

VIChospital2025-04-10

Finding into death of Hau Bui Nguyen

46y · Male·Aspiration pneumonia complicating epistaxis in the setting of prolonged nasal pr…

Hau Bui Nguyen, a 46-year-old man with severe acquired brain injury, dysphagia, and recurrent aspiration pneumonia, died from aspiration pneumonia compl…

general medicineemergency medicineamoxicillin
VIC2012-06-04

Finding into death of Rosemary McGarrity

49y · Female·Aspiration Pneumonia and Dementia associated with Down Syndrome

…her care and management were reasonable and appropriate. This case highlights the challenges of managing dysphagia and aspiration risk in patients with severe cognitive impairment and multiple comorbidities. Preventive …

palliative caregeriatric medicine
VIChospital2010-06-21

Finding into death of Ashley William Seedsman

34y · Male·Septic shock from aspiration pneumonia; cerebral palsy was a contributing condit…

Ashley Seedsman, a 34-year-old man with severe cerebral palsy, profound intellectual disability, epilepsy, diabetes, and PEG tube feeding, presented to t…

emergency medicinegeneral medicine
VICaged care2022-07-06

Finding into death of Catherine Ann Collier

51y · Female·Aspiration in the setting of end stage down syndrome

Catherine Ann Collier, a 51-year-old woman with Down syndrome, end-stage hydrocephalus, and severe dysphagia, died from aspiration pneumonia following a choking episode while eating. The Disability Service…

neurologyspeech pathologysystemcommunicationsodium valproate
VIChospital2023-04-27

Finding into death of Yvonne Dekkers

53y · Female·Natural causes unascertained

Yvonne Dekkers, a 53-year-old woman with Down syndrome, advanced dementia, congestive cardiac failure, and severe dysphagia, died in hospital from unascertained natural causes. She had experienced progressive deteriorati…

emergency medicinepalliative caresystemcommunicationclonazepam
VICaged care2025-10-10

Finding into death of Christopher Kuric

52y · Male·Aspiration pneumonia in a man with end stage Huntington's disease

…ical lessons include: ensuring timely escalation of respiratory deterioration in high-risk patients with dysphagia; considering early hospital admission when oxygen saturation is borderline despite remote review; and ma…

neurologypalliative carepossibly_preventabledelay
VIC2018-01-17

Finding into death of John Gale

64y · Male·Aspiration pneumonia in a man with dysphagia and acquired brain injury

John Gale, a 64-year-old man with acquired brain injury and severe intellectual disability living in state care, died from aspiration pneumonia following a fall and pneumoni…

general practicegastroenterologysystemdelay
VIChospital2021-07-05

Finding into death of Lorraine Simmons

81y · Female·Aspiration pneumonia in an elderly lady

An 81-year-old woman with intellectual disability, phenylketonuria, and severe dysphagia died from aspiration pneumonia following repeated admissions for the same condition. She had bee…

respiratory medicinespeech pathologysystemcommunication
SAmental health2002-02-05

Coroner's Finding: COCCA Angelo

63y · Male·respiratory arrest caused by bronchopneumonia secondary to swallowing problems c…

…occa, aged 63, died of respiratory arrest caused by bronchopneumonia secondary to swallowing problems from severe dementia. He was an inpatient in a mental health facility under a detention order. The coroner found no qu…

psychiatrygeriatric medicine
VICaged care2013-02-13

Finding into death of Peter Kosciuk

83y · Male·Aspiration pneumonia

An 83-year-old man with stroke, dementia, dysphagia, and multiple comorbidities developed aspiration pneumonia while in aged care. On 1 May 2008, he present…

general practicegeriatric medicinediagnosticcommunicationpenicillin
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 afte…

palliative caregeneral medicinecommunicationsystem
VICcommunity2021-10-01

Finding into death of Stuart Anthony Wills

45y · Male·Aspiration of food bolus, with cerebral palsy as contributing factor

Stuart Wills, a 45-year-old man with cerebral palsy and severe dysphagia, died from aspiration of a food bolus while receiving meal assistance at a supported accommodati…

speech pathologyemergency medicineproceduraladrenaline
VIChospital2015-05-11

Finding into death of Stewart Neil Padgham

57y · Male·aspiration pneumonia in an intellectually disabled man

Stewart Padgham, a 57-year-old man with severe intellectual disability, epilepsy, and multiple comorbidities, died from aspiration pneumonia. He presente…

emergency medicinerespiratory medicinemorphine
VIChospital2024-01-25

Finding into death of Wayne Thomas Jamieson

56y · Male·Aspiration pneumonia, complicated by myocardial infarction and right heart failu…

…death was from natural causes. The case highlights challenges in managing aspiration risk in patients with severe intellectual disability and dysphagia.

respiratory medicinecardiology
SAhospital2004-05-19

Coroner's Finding: WOZNIAKOWSKI Andrzej

83y · Male·inanition with lobar pneumonia

An 83-year-old man with organic brain syndrome and severe malnutrition was detained under the Mental Health Act after being found in severe self-neglect. He was adm…

emergency medicinepsychiatry
VICaged care2022-12-12

Finding into death of Lorraine Earl

71y · Female·Complications of cerebral palsy

…m complications of cerebral palsy at Wantirna Hospital following a palliative care pathway initiated after severe dysphagia developed during a hospital admission. The Disability Services Commissioner investigation identi…

palliative caregastroenterologycommunicationsystem
VIChospital2025-11-18

Finding into death of David William James Hearn

57y · Male·Aspiration pneumonia in a man with cerebral palsy, intellectual disability and L…

…able factors and confirmed death from natural causes. The case highlights the vulnerability of people with severe disability living in supported accommodation and the importance of advance care planning in this populatio…

respiratory medicineemergency medicineantibiotics
VICaged care2012-08-20

Finding into death of Andrew Wilson

44y · Male·aspiration and intellectual disability

Andrew Wilson, a 44-year-old man with intellectual disability, epilepsy, asthma, and severe scoliosis, died from aspiration in a community residential unit. He had been prescribed a laxative and ene…

gastroenterologygeneral practicelamotrigine
VIChospital2019-09-17

Finding into death of Elizabeth Geiger

69y · Female·Aspiration pneumonia in a woman with intellectual disability

…anagement (Coloxyl and increased fluids). She collapsed the same evening and was resuscitated but suffered severe hypoxic brain injury during arrest. Autopsy revealed aspiration pneumonia with risk factors including her …

general practiceintensive carecoloxyl
VIChospital2024-08-12

Finding into death of Heather Maree Smith

64y · Female·Complications of hospital acquired pneumonia and COVID-19 infection

Heather Maree Smith, a 64-year-old woman with severe cerebral palsy and multiple comorbidities residing in specialist disability accommodation, died from compl…

general practiceemergency medicineantibiotics

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