97 results
80y · Male·asphyxia due to choking on food
Robert Mather, 80, died from asphyxia due to choking on food while hospitalised with acute psychosis, severe malnutrition, iron deficiency anaemia and urinary retention. He had schizophrenia with 40+ year history and poo…
96y · Female·Decompensated frailty syndrome following right femoral neck fracture from fall
Margaret Wood, a 96-year-old resident of St Ann's aged care facility, died from decompensated frailty syndrome following a fall that resulted in a right femoral neck fracture. She was a frail elderly woman with multiple …
68y · Male·Sudden Unexpected Death in Epilepsy (SUDEP)
Christopher Ronald Donnelly, aged 68, died of Sudden Unexpected Death in Epilepsy (SUDEP). He had a 5-year history of seizures managed with antiepileptic medications, including a recent switch from valproate to levetirac…
90y · Female·Multiple rib and pelvic fractures due to a fall from a wheelchair on sloping lan…
Cynthia Stevens, aged 90, died from multiple fractures sustained when her wheelchair rolled uncontrolled down a steep slope in a medical car park. The primary clinical lessons include: (1) inadequate application of wheel…
82y · Male·bronchopneumonia
William Garnet Phillips, an 82-year-old widower with cardiac history, died from bronchopneumonia while frail and underweight (58 kg). He lived alone, was socially isolated, and refused all offers of assistance from famil…
83y · Female·Hospital-acquired pneumonia caused by injuries from fall; frailty and osteoporos…
An 83-year-old woman died from hospital-acquired pneumonia following spinal fractures sustained in a fall from a mobility hoist at an aged care facility. The hoist failed when the spreader bar detached due to a worn and …
81y · Male·pneumonia due to traumatic internal bleeding of the chest wall sustained in fall…
An 81-year-old man with Parkinson's disease, dementia, and multiple comorbidities residing in aged care suffered an unwitnessed fall on 6 June 2021, sustaining a right-sided chest wall haematoma. Staff found him at 7:40a…
66y · Male·sepsis following bacteraemia caused by transurethral catheter insertion
A 66-year-old man with severe dementia and multiple comorbidities died from sepsis following bacteraemia after a routine indwelling urinary catheter change at a nursing home. The catheter insertion was traumatic, resulti…
69y · Male·Chronic obstructive pulmonary disease, congestive cardiac failure and injuries s…
A 69-year-old man with severe COPD, congestive cardiac failure, epilepsy and high falls risk died following a fall from his motorised scooter at a post office. He had left his nursing home alone without direct staff cont…
58y · Female·aspiration pneumonia following palliative treatment for frontotemporal dementia
Jillian Ann Woolley, aged 58, died of aspiration pneumonia on 18 September 2014 at Roy Fagan Centre following palliative sedation for terminal frontotemporal dementia. She had been severely distressed with uncontrolled b…
74y · Male·Aspiration of gastric contents, significantly contributed to by advanced dementi…
Mr Bogdan Dora, aged 74, died from aspiration of gastric contents while residing at Roy Fagan Centre, a residential aged care facility for people with dementia. He had advanced dementia, emphysema, and severe atheroscler…
80y · Female·terminal exacerbation of congestive cardiac failure due to a fracture of the rig…
An 80-year-old woman resident in an aged care facility fell in her room and sustained a neck of femur fracture. She was conscious after the fall with no evidence of head injury. She declined hospital transfer. A geriatri…
73y · Male·aspiration pneumonia following advanced dementia
Rodney Kirk, aged 73, died of aspiration pneumonia following advanced dementia at the Roy Fagan Centre in February 2021. He had been cared for in this specialist facility since October 2019 due to behavioural symptoms to…
69y · Male·right lower lobe pneumonia as a complication of diabetes mellitus
Michael Wayne Reardon, aged 69, died at home from right lower lobe pneumonia as a complication of diabetes mellitus. He was entirely dependent on his siblings for care, with his sister Julie administering medications. He…
86y · Male·pulmonary embolism following deep vein thrombosis
Rex Rouse, 86, died from pulmonary embolism following deep vein thrombosis while admitted to the psychiatric unit at Launceston General Hospital on 26 May 2020. He was admitted under a Mental Health Act assessment order …
63y · Female·sepsis and pneumonia due to immobility with sacral ulcer resulting from schizoph…
Sandra Shields, aged 63, died of sepsis and pneumonia secondary to a sacral pressure ulcer in the context of treatment-resistant catatonic schizophrenia. She was admitted to Launceston General Hospital in February 2019 w…
78y · Male·Aspiration pneumonia complicating advanced multifactorial dementia
Alec Bester, a 78-year-old man with advanced dementia (primarily alcohol-related), chronic alcoholism, emphysema, and ischaemic heart disease, died of aspiration pneumonia at the Roy Fagan Centre. He vomited after his ev…
84y · Female·complications of a fractured left hip suffered in an unwitnessed fall in aged ca…
An 84-year-old woman with dementia and osteoporosis residing in aged care suffered an unwitnessed fall in a corridor, sustaining a left hip fracture. She underwent high-risk surgical repair on day 3 post-fall. Post-opera…
91y · Female·Pelvic haematoma complicating a fracture of the neck of the left femur
Mrs Fowler, a 91-year-old woman with dementia, poor hearing, and documented high fall risk, was admitted to Royal Hobart Hospital after a home fall. She fell from her hospital bed on 4 December 2015, fracturing her hip a…
90y · Male·aspiration pneumonia, vascular dementia, ischaemic heart disease, congestive car…
Raymond Albert Daly, aged 90, died of aspiration pneumonia complicated by vascular dementia, ischaemic heart disease, congestive cardiac failure and chronic renal failure whilst a resident at the Roy Fagan Centre under a…
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