210 results for “falls risk”
78y · Male·Neck injuries received in a fall
… caused by dizziness from Ménière's disease or by unstable ladder placement. The coroner noted that ladder falls among older males doing home maintenance represent a significant public health problem, with approximately…
93y · Male·general inanition on a background of cognitive impairment, congestive cardiac fa…
…pneumonia and delirium requiring an inpatient treatment order. After discharge, he had further unwitnessed falls and progressive decline, leading to comfort care. The coroner found the guardianship order lawful, the car…
87y · Male·asphyxia due to neck entrapment between bedpole and mattress
An 87-year-old man with dementia and a history of falls died from asphyxia when his neck became entrapped between a bedpole and the mattress after falling from be…
70y · Male·hypovolaemic shock due to the consequences of fractured femur
… hypovolaemic shock. The coroner found the care workers' response inadequate—they should have followed the Falls Management Procedure, sought medical review post-fall, and reported concerns properly to incoming staff. K…
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…
90y · Female·Hospital acquired pneumonia in the setting of recent fractures of neck of humeru…
A 90-year-old woman with multiple comorbidities residing in aged care sustained a hip fracture from a fall in January 2018. Following surgical repair and initial hospital treatment, she was transferred to a rehabilitatio…
68y · Male·Ischaemic heart disease (operated); severe native coronary artery atheroma with …
…ile subject to a Mental Health Act inpatient treatment order at Flinders Medical Centre. He presented with falls, confusion, and agitation following a head injury. Key clinical issues included excessive MS Contin consum…
78y · Female·Complications arising from a left femur fracture following an unwitnessed fall i…
…l in her room on 1 August 2015, fracturing her left femur, and died from complications on 2 August 2015. A falls risk assessment completed on admission classified her as medium-low risk based on accurate information sho…
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…
59y · Male·Urosepsis and aspiration pneumonia (with Trisomy 21 as underlying condition)
… and aspiration pneumonia. He had experienced progressive functional decline over 12+ months with multiple falls, recurrent respiratory infections, urinary retention requiring indwelling catheterization, and aspiration …
54y · Male·Klebsiella pneumoniae pneumonia in a man with Huntington's Disease, with contrib…
… respiratory distress. The coroner found no clinical management failures by care staff. The case highlights risks of aspiration and respiratory infection in patients with Huntington's Disease, progressive neurological de…
73y · Female·fractured neck of femur (operated) on a background of Alzheimer's dementia
…lated to the cause of death. The investigation identified no deficiencies in care. This case highlights the risks of falls in dementia patients despite preventive measures, and the importance of appropriate pain and psyc…
87y · Male·acute renal failure and two major haemorrhagic strokes
…ic strokes after three months in an aged care facility. During his stay at Plumpton Villa, he suffered two falls and sustained a significant thermal burn to his arm from a wall heater, and developed aspiration pneumonia…
84y · Female·complications of a fractured left hip suffered in an unwitnessed fall in aged ca…
…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-operatively, her family requested comfort care and she was transfe…
73y · Male·subdural haematoma from fall
…ing. In elderly anticoagulated patients with head trauma, even minor head injury requires CT imaging due to risk of delayed bleeding. Early imaging would have allowed warfarin reversal and potentially different managemen…
56y · Female·Blunt head injury, with hyoid bone fracture being a significant condition contri…
Deborah Spencer, a 56-year-old woman with a history of heavy alcohol use and previous falls, died from blunt head injury with hyoid bone fracture. She was found unconscious near Lemongrove Bridge in…
93y · Female·Catastrophic subdural haemorrhage resulting from head strike sustained in a witn…
…sical and mental deterioration in the weeks prior to death, along with increasing agitation, created a high-risk situation. However, the coroner was satisfied that staff supervision was adequate, the temporary absence of…
82y · Female·traumatic closed head injury (subdural haematoma) resulting from a fall from sta…
…the consultant's discharge letter, which was misfiled. The combination of anticoagulants increased bleeding risk. Metoprolol and flecainide also contributed to symptomatic bradycardia and cognitive decline, though her co…
52y · Male·Head injury sustained in a fall following excessive consumption of alcohol
…tress disorder, was found deceased at home following a fall with head injury. He had a history of frequent falls while intoxicated. At the time of his death, he had recently been arrested for drunkenness and was in the …
43y · Male·intra-abdominal haemorrhage due to traumatic rupture of splenic blood vessels du…
Michael Joseph Joy, a 43-year-old man with Wilson's disease requiring wheelchair mobility and residential care, died from intra-abdominal haemorrhage due to splenic vessel rupture following a fall in his bathroom on 24 F…
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