391 results for “psychiatric medication management”
40y · Male·combined drug toxicity in a man with asthma (undiagnosed) and sleep apnoea
…oaffective disorder, severe sleep apnoea, and undiagnosed asthma, died from combined drug toxicity on a psychiatric high-dependency unit. Critically, his earlier clinical records documenting sleep apnoea were not availa…
43y · Female·Complications of morbid obesity, including progressive respiratory and cardiac f…
…piratory and cardiac failure, exacerbated by smoking and obstructive sleep apnoea. She was subject to a Psychiatric Treatment Order for schizophrenia at time of death. The coroner found care provided by Calvary Hospital…
27y · Male·hanging
…ied by hanging on 22 April 2009 while on a Community Treatment Order (CTO). He had been discharged from psychiatric hospitalization in December 2008 and managed by an outpatient team. The coroner found his care hindered…
54y · Male·quetiapine toxicity in a man with ischaemic heart disease
…an with ischaemic heart disease, died from quetiapine toxicity after deliberately overdosing on multiple medications on 29 June 2021. He had experienced a recent relationship breakdown and presented to Grampians Health (…
22y · Male·Hanging
…clude: severe chronic mental illness is inadequately managed in custodial settings; inmates with recent psychiatric hospitalization require more frequent psychiatrist review (the deceased was prioritized as 'routine' wh…
78y · Male·Ruptured abdominal aortic aneurysm
…ary artery disease and hypertension died from a ruptured abdominal aortic aneurysm while an involuntary psychiatric inpatient. He had presented with late-onset psychosis and benzodiazepine dependence. During psychiatric…
83y · Female·Congestive cardiac failure due to ischaemic and valvular heart disease
…and cardiac disease died from congestive cardiac failure at Royal Adelaide Hospital following accidental medication administration error in a community group home. On 1 July 2007, she received her housemate's psychiatric…
47y · Male·abnormal heart rhythm (arrhythmia) induced by atherosclerosis, occurring in the …
…severe coronary atherosclerosis, sleep apnoea, and morbid obesity, while receiving multiple psychotropic medications. Key clinical lessons: his medical conditions were insufficiently monitored despite significant risk fa…
61y · Male·hanging
…ifelong depression and social phobia, died by hanging on 13-14 January 2020. He had received consistent psychiatric care from an experienced psychiatrist for 16 years using supportive psychotherapy, as he consistently d…
45y · Male·multi-drug toxicity from ingestion of methadone and amitriptyline
…drug toxicity caused by ingesting amitriptyline and methadone in April 2015. He had complex medical and psychiatric comorbidities, substance abuse issues, and was under care of his GP Dr H. for 17 years. Critical clinic…
2y · Male·Asphyxiation due to neck and/or chest compression
…ession inflicted by his mother during an acute manic psychotic episode. The mother had been admitted to psychiatric care in December 2008 with psychosis and was prescribed antipsychotic medication. Following discharge t…
49y · Male·unascertainable; possible explanations include epileptic seizure, cardiac arrhyt…
Ritchie Gordon, a 49-year-old Aboriginal man with chronic schizophrenia, was a long-term involuntary psychiatric patient at Graylands Hospital who died on 12 July 2005 of unascertainable cause. Possible explanations …
32y · Female·hypoxic brain injury as a result of a cardiac arrest due to positional asphyxia …
…spital was unaware of her mental illness. After delivery, she stopped taking clozapine due to inadequate medication management by maternity staff. She developed severe postpartum psychosis and was admitted involuntarily …
59y · Male·asphyxia due to choking on food
Alexander Pasinski, age 59, died from asphyxia due to choking while an involuntary psychiatric patient in Launceston General Hospital's Northside unit. He had major depression and paranoid schizophr…
33y · Male·Cardio-respiratory arrest in the setting of prone restraint of an agitated obese…
… mental health community treatment order was revoked. He was admitted to the ED rather than a dedicated psychiatric unit due to lack of mental health beds. After initial sedation, he was managed with partial restraint a…
31y · Male·hanging
…had a chronic treatment-resistant schizophrenic illness with extensive self-harm history. Following his psychiatric assessment on 20 February 2017, he was never reviewed by a psychiatrist during six weeks in custody. Af…
92y · Female·Consequences of an assault
…sive resident's clinical deterioration, including escalating paranoid ideation, refusal of antipsychotic medications from July to September, and increasing agitation. The deceased sustained a subdural bleed and fractures…
43y · Male·Hanging
…Goulburn Correctional Centre after 183 days in custody. The critical failure was the systemic denial of psychiatric and medical review despite five explicit requests for medication adjustment. GS was triaged as non-urge…
60y · Male·Sepsis due to pressure ulcers due to immobility on a background of advancing fro…
…nd he deteriorated rapidly, requiring hospitalisation where he received surgical debridement and medical management before transitioning to comfort care. The coroner found the care at both the residential facility and ho…
72y · Male·Cranial fracture and intracranial haemorrhage from self-inflicted fall
…and intracranial haemorrhage sustained when he deliberately threw himself backwards onto the floor of a psychiatric ward. He was an involuntary patient in the High Dependency Unit experiencing acute psychotic relapse wi…
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