113 results for “behavioural disturbance”
82y · Male·Traumatic head injury due to head striking the floor
…esident-to-resident aggression in aged care facilities caring for cognitively impaired individuals with behavioural disturbances.
29y · Male·Unascertained
AR was a 29-year-old man with autism, developmental disability and epilepsy living in a residential disability care facility. He was found unconscious and died suddenly on 30 August 2010. Initial post-mortem findings sug…
13y · Male·Hanging
… boy, died by hanging at Royal Children's Hospital after a year-long escalation of gaming addiction and behavioural problems. He had become increasingly dependent on gaming platforms (Roblox, Minecraft, Clash of Clans, …
49y · Male·Stab wound to the chest
… (complaints of breathing difficulty, change from aggression to drowsiness) as medical emergencies, not behavioural issues, enabling timely removal of restraints and QAS assessment.
50y · Male·Hanging
…se died by hanging in a psychiatric inpatient unit while on a Temporary Treatment Order. His mental and behavioural symptoms were secondary to Parkinson's disease and its treatments rather than primary psychiatric illne…
32y · Male·1(a) Aspiration of gastric contents; 1(b) Combined drug toxicity
A 32-year-old Eritrean refugee died on 22 August 2017 in a mental health unit from aspiration of gastric contents and combined drug toxicity. During his six-day admission, Mr SWX received 64 doses of 11 medications with …
21y · Male·Compression of the neck consequent upon hanging
…t acute psychiatric beds leading to prolonged ED stay. The coroner recommended implementing a dedicated behavioural assessment room, expanding mental health inpatient capacity, and improving clinical history-taking and …
60y · Male·Respiratory obstruction (choking by food)
…. He had been admitted for management of clozapine-induced constipation and urinary retention following behavioural disturbance. His mumbling and slurred speech, which concerned his sister, was thoroughly investigated i…
91y · Female·dementia complicated by subdural haemorrhage
A 91-year-old woman with advanced dementia under guardianship order died from dementia complicated by subdural haemorrhage. She sustained a fall at an aged care facility in July 2021, resulting in a 6mm subdural haematom…
66y · Male·Bronchopneumonia and influenza A complicating cardiac and renal failure associat…
…, requiring an Inpatient Treatment Order. He received intramuscular olanzapine and opioid analgesia for behavioural management and pain. Clinical lessons include: recognising that hypoxia and CNS vasculitis can cause de…
70y · Female·bronchopneumonia
Margaret Jane Gardiner, aged 70, died from bronchopneumonia while an involuntary inpatient at an aged psychiatry unit. She had longstanding anxiety, depression, and eating disorder with recent significant physical and me…
62y · Male·multiple co-morbidities including dementia, Parkinson's disease, undernourishmen…
Michael Nelson, 62, died at Westmead Hospital on 3 May 2014 with multiple comorbidities including early-onset dementia, Parkinson's disease, neck dystonia (torticollis), and undernourishment. He presented to ED with inab…
63y · Male·pancreatic carcinoma
…f diabetes, alcohol abuse, and self-harm. Initial assessment identified frontal lobe encephalopathy and behavioural disturbance warranting detention. A frontal meningioma was subsequently diagnosed; neurosurgery was pla…
54y · Female·malignant melanoma with brain metastases
…the detention necessary. Key lesson: advanced malignant disease with brain involvement may present with behavioural disturbance requiring involuntary detention to enable medical assessment and management.
93y · Female·Catastrophic subdural haemorrhage resulting from head strike sustained in a witn…
Dayle Patricia Weldon, a 93-year-old woman with dementia, fell in the secure suite of an aged care facility and sustained a catastrophic subdural haemorrhage from which she died three days later. The coroner found that M…
31y · Male·Status epilepsy secondary to cerebral cavernoma
…sitioning and monitoring practices represent learning opportunities for out-of-hospital care in complex behavioural emergencies.
75y · Male·Ischaemic Heart Disease and Cardiomegaly
Robert Conkie Gray, a 75-year-old man with significant cardiac disease (ischaemic heart disease, cardiomegaly, triple vessel coronary atherosclerosis with right coronary artery thrombosis), died suddenly on a psychiatric…
83y · Male·aspiration pneumonia and delirium complicating surgery for left total knee repla…
An 83-year-old man with dementia and ischaemic heart disease underwent elective left total knee replacement under spinal anaesthesia to avoid general anaesthesia, as advised by geriatrician. Despite optimal anaesthetic t…
57y · Female·Metastatic triple negative breast cancer
…ioning to best supportive care in June 2023. Admitted in August 2023 with escalating distress, pain and behavioural disturbance, she was managed with symptomatic medications and trialled on brivaracetam for seizure cont…
50y · Male·in-hospital cardiac arrest on a background of seizures and atheroembolic cerebro…
…c arrest on a background of seizures and atheroembolic cerebrovascular disease. He presented with acute behavioural disturbance, confusion and seizures in August 2021. MRI revealed subacute lacunar infarcts of unclear s…
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