Coronial

103 results for early dementia

VIChospital2023-09-11

Finding into death of Catherine Mary Lyons

59y · Female·Complications of Trisomy 21

…, Oxazepam, Mirtazapine) requires careful assessment; considering cardiac complications in trisomy 21; and early recognition of deterioration in vulnerable patients with limited communication. No clinical errors were id…

general practiceemergency medicineamoxicillin/clavulanate
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. Sh…

emergency medicinepalliative caresystemcommunicationclonazepam
VICaged care2022-06-17

Finding into death of Brent Andrew Newman

58y · Male·Pneumonia and urosepsis

Brent Newman, a 58-year-old man with Down syndrome and early-onset dementia, died from pneumonia and urosepsis following inadequate care at an aged care facility. His …

geriatric medicinegeneral practicecommunicationsystemcefalexin
NSWaged care2020-02-11

Inquest into the death of Neville Clutton

78y · Male·complications of head injuries; antecedent cause: dementia

An 78-year-old man with dementia died from head injuries sustained in a push by his roommate, also with dementia, at an aged care facility…

geriatric medicinegeneral practicediagnosticcommunicationrisperidone
VIChospital2016-11-10

Finding into death of Beverley Joy Leggett

79y · Female·Pulmonary thromboembolism in the setting of right elective total hip replacement

…ndergoing elective right total hip replacement. She received multimodal VTE prophylaxis including aspirin, early mobilisation, mechanical foot compression, and hypotensive anaesthesia. Post-operatively, she had delirium…

orthopaedic surgeryanaesthesiasystemaspirin
VICaged care2016-02-25

Finding into death of Ena Edith Vickers

76y · Female·Complications of head and neck injuries sustained in a fall

Mrs Ena Vickers, 76, with dementia and Parkinson's disease, suffered an unwitnessed fall at Embracia nursing home on 30 July 2012, sustainin…

geriatric medicinegeneral practicediagnosticsystemaspirin
VIChospital2015-04-23

Finding into death of Ian Kenneth Pye

56y · Male·Cerebral hypoxia in a man with respiratory insufficiency and Down's Syndrome

A 56-year-old man with Down syndrome, dementia, schizophrenia, and severe cervical stenosis residing in supported care presented to hospital with respir…

respiratory medicineneurologyolanzapine
NSW2010-12-14

Maryannroberts281 05 finding14december2010

73y · Female·Bacterial endocarditis organism arising from a staphylococcal infection that ent…

… Roberts, aged 73, received a 5-year custodial sentence in September 2004. She had complex medical needs: dementia from previous strokes, diabetes requiring insulin monitoring, and Warfarin use. Justice Health provided i…

correctional healthgeriatric medicinediagnosticcommunicationwarfarin
WAaged care2016-06-23

Inquest into the Death of Brian Keith WOOD

84y · Male·upper airway obstruction in a man with a clinical history of dementia

…way obstruction due to choking on softened toast while residing in an aged care facility. He had advanced dementia and was unable to make healthcare decisions. The food provided was appropriate for his soft diet; his air…

geriatric medicineemergency medicine
ACTaged care2023-04-06

Inquest into the Death of Ruth McKay

90y · Female·acute bronchopneumonia caused by Staphylococcus aureus

…cessing the external courtyard of the Memory Support Unit (MSU) at an aged care facility undetected in the early morning of 17 January 2015. She was found under a stationary vehicle with a head injury and was transferre…

geriatric medicineemergency medicinesystemcommunicationamitriptyline
NSWcommunity2026-04-10

Inquest into the suspected death of Youliang Lin

84y · Male·The available evidence does not allow for any finding to be made as to the cause…

An 84-year-old man with Alzheimer's dementia and a history of wandering left his home on 15 September 2017 and was never found alive. The coroner dete…

geriatric medicinegeneral practicedelaycommunication
NThospital2003-07-17

Inquest into the death of Lennie Pinawrut

67y · Male·acute renal failure with associated severe acidosis and hyperkalemia

A 67-year-old Aboriginal male with dementia was discharged from Royal Darwin Hospital on 4 November 2001 following cystoscopy and bladder neck incisi…

urologysurgerycommunicationdelaygentamicine
VICaged care2023-03-22

Finding into death of Margaret Alice Cook

88y · Female·Complications of a stage 3 sacral pressure ulcer in a woman with dementia

Margaret Alice Cook, an 88-year-old woman with end-stage dementia, died from complications of a stage 3 sacral pressure ulcer at a palliative care unit. She had resided at…

geriatric medicinegeneral practicesystemcommunicationflucloxacillin
SAaged care2011-03-18

Coroner's Finding: HEATH Dawn Patricia

78y · Female·Severe burns sustained while smoking

A 78-year-old woman with dementia and significant manual dexterity deficits suffered fatal burns while smoking unsupervised in an aged care…

systemcommunication
TASaged care2023

Coroner's Finding: Tweedie, Valma Ann

72y · Female·Pneumonia following cervical spine injuries sustained in an unwitnessed mechanic…

… fall at a disability support facility. She had a known history of falls, mobility problems, and probable dementia. While in hospital, there was a delayed identification of her C4-C6 spinal injury (approximately two week…

emergency medicinetrauma surgerydiagnosticcommunication
NTaged care2020-12-18

Inquest into the death of Barbara Francis

78y · Female·cardiorespiratory failure, ischaemic and hypertensive heart disease together wit…

Barbara Francis, a 78-year-old resident with dementia at Pearl Supported Care in the dementia unit (Dinah), was punched by another resident (Mr A) on 4 Septemb…

geriatric medicineorthopaedic surgerysystemcommunication
SAaged care2007-08-02

Coroner's Finding: LESLIE Mona Belle

95y · Female·asphyxia due to glottic obstruction by food

A 95-year-old female with advanced dementia died from asphyxia caused by food impaction in the glottis. She was prescribed a soft diet (soft vegetabl…

geriatric medicinespeech pathologydiagnosticcommunicationcitalopram
NSWaged care2025-01-24

Inquest into the deaths at Newmarch House

Unknown·COVID-19 infection with various comorbidities as contributing factors

This inquest examined 19 COVID-19 deaths at Newmarch House residential aged care facility in April-May 2020. Deaths occurred during inadequate infection control, severe staffing shortages, and suboptimal clinical managem…

geriatric medicineinfectious diseasessystemdiagnosticmorphine
VICaged care2023-03-22

Finding into death of S M

91y · Male·Complications of cerebrovascular and ischaemic heart disease in a man post anaph…

… allergy records. The geriatrician relied on the patient's verbal denial of allergies despite significant dementia, without consulting medical records, the in-house GP, or family. The prescription progressed through mult…

geriatric medicinegeneral practicediagnosticmedicationdiltiazem
VICaged care2019-02-04

Finding into death of Margaret Elizabeth Barton

83y · Female·Pneumonia complicating rib and pelvic fractures sustained in the setting of mult…

Margaret Barton, 83, died of pneumonia complicating rib and pelvic fractures from multiple falls. Critical clinical lessons: (1) The Oxazepam regimen directly contributed to her death. Dr C. tripled her dose from 15mg to…

general practicegeriatric medicinemedicationcommunicationoxazepam

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