97 results
65y · Male·aspiration pneumonia
Roger Alan Gibson, a 65-year-old man with advanced Alzheimer's disease and severe behavioural disturbance, died from aspiration pneumonia at the Roy Fagan Centre. He had been admitted following escalating aggression requ…
79y · Male·advanced dementia, atherosclerotic and hypertensive cerebrovascular disease, and…
Philip Patrick Clark, aged 79, died of advanced dementia complicated by atherosclerotic and hypertensive cerebrovascular disease and alcoholism at the Roy Fagan Centre in October 2019. He had lived a peripatetic lifestyl…
87y · Female·closed traumatic head injury from a fall at standing height; significant contrib…
An 87-year-old woman with dementia, congestive cardiac failure, and diabetes sustained a fatal closed head injury from a fall in her aged care room overnight. The coroner found that the responsible ECA did not perform th…
54y · Male·Decompensated liver failure complicating advanced cirrhosis on a background of c…
Shane Reginald Lockley, aged 54, died from decompensated liver failure due to advanced cirrhosis and chronic alcohol dependence. He had a long history of alcohol abuse, intellectual impairment, and was under guardianship…
82y · Male·atherosclerotic and hypertensive cardiovascular disease
Joseph Richard Oakley, aged 82, died from atherosclerotic and hypertensive cardiovascular disease at the Roy Fagan Centre, a psychiatric hospital for older persons. He had advanced Parkinson's disease, dementia, diabetes…
69y · Male·asphyxia due to choking on food
Mr Kettle, a 69-year-old man with significant medical comorbidities (diabetes, amputation, prostate cancer, recent MI) and cognitive impairment, died from asphyxia after choking on food while a resident at Roy Fagan Cent…
90y · Male·aspiration pneumonia due to pulmonary fibrosis and dementia
A 90-year-old man with advanced dementia and terminal pulmonary fibrosis died of aspiration pneumonia at a residential aged care facility. He had experienced multiple suicide attempts including wrist cutting and methylat…
84y · Male·aspiration pneumonia following advanced multifactorial dementia
Laurence Bishop, an 84-year-old man with advanced multifactorial dementia (Alzheimer's and vascular dementia), died of aspiration pneumonia at a specialised aged care facility. He had been admitted to the Roy Fagan Centr…
58y · Female·pneumonia, likely aspiration pneumonia
Mary Marguerite Dickinson, aged 58, died of pneumonia on 20 January 2018 at the Roy Fagan Centre after admission with a complex scapula fracture and severe cognitive decline from alcoholic dementia. The coroner found her…
75y · Female·Airway obstruction due to aspiration occluding a permanent tracheostomy
Feryne Gaylene Hunter, aged 75, died from airway obstruction due to aspiration into her permanent tracheostomy. She had a history of subglottic stenosis, asthma, and gastro-oesophageal reflux disease with a hiatus hernia…
94y · Female·pneumonia due to traumatic left rib fractures, complicated by malignant left ple…
Mrs Standaloft, aged 94, died of pneumonia due to traumatic left rib fractures complicated by malignant pleural effusion and recurrent lung carcinoma, sustained in an unwitnessed fall at a nursing home on 31 December 201…
81y · Female·hypovolemic shock due to haemorrhage during orthopaedic repair of a femur fractu…
Margaret Ann Whitney, an 81-year-old woman with vascular dementia, died from hypovolemic shock due to haemorrhage during orthopaedic surgery for a femoral fracture sustained in a fall at her nursing home. She had been su…
73y · Male·Brain haemorrhage from head injury sustained in mobility scooter crash
Keith Thomas Stewart, aged 73, died from a brain haemorrhage sustained in a mobility scooter crash on 1 July 2018 at Beaconsfield District Health Service. While riding down a steep driveway, Mr Stewart disengaged the gea…
85y · Female·aspiration of gastric contents following vomiting
Joan May Hughes, age 85, died on 16 June 2014 from aspiration of gastric contents following vomiting. She was admitted to the Roy Fagan Centre with psychotic depression and was under a Mental Health Act treatment order. …
78y · Female·Complications arising from a left femur fracture following an unwitnessed fall i…
Doreen Mansfield, a 78-year-old woman with bipolar affective disorder managed with lithium and ECT, was admitted to the Royal Hobart Hospital under a Mental Health Act treatment order. She sustained an unwitnessed fall i…
63y · Male·asphyxia caused by hanging
Gerard Ernest Stefaniw, a 63-year-old man with cerebral palsy, cognitive impairment, and chronic pain, died by asphyxiation while detained at Roy Fagan Centre. He was unhappy about his guardianship order and detention. A…
55y · Male·Cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and…
Nigel Douglas Roberts, a 55-year-old man with chronic schizophrenia, COPD, and cardiomyopathy, died from cardio-respiratory arrest due to mixed prescription drug sedation (clozapine and olanzapine) in the presence of adv…
92y · Male·heart failure secondary to ischaemic heart disease/arrythmia aggravated by a fal…
A 92-year-old man with dementia, Alzheimer's disease and COPD died following a fall from a defective princess chair in aged care. The chair's right armrest had a worn spring mechanism that failed to lock properly, allowi…
85y · Female·ischaemic heart disease due to stenosis of coronary bypass grafts
An 85-year-old woman with significant cardiac history (prior coronary artery bypass graft) presented with gastrointestinal symptoms. Her GP ceased rosuvastatin without direct communication to nursing staff. Care staff id…
81y · Female·acute on chronic subdural haematoma
An 81-year-old woman with Lewy Body Dementia died from acute on chronic subdural haematoma following multiple falls in aged care. The nursing home had appropriately assessed her as high falls risk and implemented reasona…
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