Coronial

154 results for malnutrition

VIChospital2020-05-05

Finding into death of John Hayle

76y · Male·Bronchopneumonia in a man with ischaemic heart disease and treated spinal crush …

John Hayle, a 76-year-old with Alzheimer's dementia, ischaemic heart disease, and spinal fractures sustained a T11/12 flexion-distraction fracture on 9 June 2017. Over three weeks, he developed progressive bilateral lowe…

neurosurgerygeriatric medicinediagnosticcommunicationmk8931
VIChome2025-11-18

Finding into death of JZA

65y · Female·Combined effects of acute pneumonia, pancreatitis, urinary tract infection, and …

A 65-year-old woman with chronic alcohol use disorder, multiple comorbidities, and progressive functional decline died from combined effects of pneumonia, pancreatitis, urinary tract infection, and severe pressure ulcers…

geriatric medicineinfectious diseasessystemcommunicationpholcodine
WAhome2024-04-04

Inquest into the Death of Child LT (Name Subject to Suppression Order)

11y · Male·unascertained

…d; possible causes included sudden cardiac arrhythmia, seizure-related positional asphyxia, dehydration/malnutrition, or infection. The coroner found that Communities should have arranged medical assessment to establish …

paediatricscardiologycommunicationsystemcocaine
NSWhome2015-10-29

Inquest into the death of Noreen PEACOCK

83y · Female·undetermined (likely hypothermia based on clinical findings)

An 83-year-old woman with advanced Alzheimer's and vascular dementia died alone at home between April-August 2013. The coroner found the direct cause undetermined (likely hypothermia) but highlighted critical preventable…

geriatric medicinegeneral practicedelaycommunicationatorvastatin
VIChospital2026-02-12

Finding into death of Kristy Ann Mitchener

45y · Female·Complications of sepsis secondary to sacral pressure wound in a woman with genet…

Kristy Ann Mitchener, a 45-year-old woman with severe intellectual disability, genetic developmental and epileptic encephalopathy, and oesophageal dysmotility, died from sepsis secondary to a sacral pressure ulcer despit…

general practiceemergency medicinesystemcommunicationantibiotics
SAhospital2020-01-10

Coroner's Finding: KNOWLES Edward James

80y · Male·inanition complicating end stage dementia

An 80-year-old man with end-stage dementia died from inanition (severe malnutrition/dehydration) while subject to Mental Health Act inpatient treatment orders. He had been admitted after …

psychiatrygeriatric medicineantipsychotic medication
NTcommunity2010-01-19

Inquest into the death of Baby Kalib (Child 7)

0y · Male·failure to thrive due to insufficient caloric intake

Kalib died from failure to thrive due to insufficient caloric intake at 7 weeks old. He was born to a mother with a documented history of severe neglect and physical abuse of multiple children over 5 years, during which …

paediatricsgeneral practicesystemcommunication
QLDprison2018-08-03

Wright, Kenneth Douglas

71y · Male·aspiration bronchopneumonia as a consequence of traumatic brain injury from a fa…

Kenneth Wright, a 71-year-old prisoner with acquired brain injury and cognitive impairment from a prior suicide attempt, died of aspiration bronchopneumonia in the Advanced Care Unit of Southern Queensland Correctional C…

emergency medicinepalliative carediagnosticcommunication
VICmental health2009-12-01

Finding into death of Francis John Willcox

81y · Male·myelodysplasia in an elderly man with dementia

Francis Willcox, an 81-year-old man with dementia and myelodysplasia, was admitted to Peter James Centre on 16 June 2008 as an involuntary patient following behavioural difficulties. Over the following week, his physical…

psychiatrygeriatric medicine
QLDaged care2015-06-11

Ms C - Non-inquest findings

90y · Female·Infected sacral ulcer and fluid imbalances in the context of dementia

A 90-year-old woman with dementia, admitted to aged care in September 2012, developed a large necrotic sacral pressure ulcer despite nursing interventions. She was markedly dehydrated and malnourished, repeatedly refusin…

general practicegeriatric medicinecommunicationdelayfentanyl
VICaged care2020-01-30

Finding into death of Adele Di Quinzio

86y · Female·Sepsis complicating sacral decubitus ulceration in the setting of recent surgica…

Mrs Di Quinzio, an 86-year-old woman with multiple comorbidities, was discharged from hospital to a supported residential service (SRS) after hip fracture surgery. She required two-person assistance for mobility and was …

geriatric medicineorthopaedic surgerysystemcommunicationcefalexin
SAhospital2016-08-02

Coroner's Finding: SMITH Gordon Charles

91y · Male·Multi-organ failure due to inanition complicating prolonged delirium of uncertai…

Gordon Charles Smith, 91, died from multi-organ failure due to severe malnutrition (inanition) complicating prolonged delirium of unknown cause at Repatriation General Hospital on 30 Jul…

psychiatrygeneral medicinecommunicationsystemmirtazapine
VIChome2024-08-19

Finding into death of Siya Yogin Patel

0y · Female·hyperviscosity-related brain injury secondary to hypernatraemic dehydration

Siya Patel, a 23-day-old neonate, died from hyperviscosity-related brain injury secondary to severe dehydration caused by insufficient breastfeeding. Her family were recent emigrants without Medicare eligibility, creatin…

neonatologygeneral practicediagnosticcommunication
QLDhospital2018-05-11

Orton, David - Non-inquest findings

41y · Male·Cerebral hypoxia and bronchopneumonia; contributing factors: toxic megacolon, ce…

David Orton, a 41-year-old man with cerebral palsy, intellectual disability, and severe kyphoscoliosis, died from cerebral hypoxia and bronchopneumonia complicated by toxic megacolon and Salmonella infection. Over 18 mon…

general medicinegastroenterologydiagnosticcommunicationmovical
SAaged care2018-09-28

Coroner's Finding: ROLLBUSCH Graham

70y · Male·combined effects of severe pulmonary emphysema, ischaemic heart disease and rece…

A 70-year-old man with severe COPD, dementia and a history of sexually inappropriate behaviour died following an assault by another resident with dementia. The coroner found institutional failures in care standards inclu…

geriatric medicinepsychiatrydiagnosticcommunicationolanzapine
TAShome2018-07-13

Coroner's Finding: Mackozdi, Janet Lois

77y · Female·hypothermia from environmental cold exposure with contributing factors of advanc…

Mrs Janet Mackozdi, aged 77, died from hypothermia in an uninsulated shipping container at Mount Lloyd, Tasmania, on 23-24 July 2010. She had advanced Alzheimer's dementia and required 24-hour care. The coroner found her…

geriatric medicinegeneral practicesystemcommunication
WAhospital2022-06-23

Inquest into the Death of Lee MILCHERDY

75y · Female·Complications including acute pancreatitis and refractory intra-abdominal sepsis…

Lee Milcherdy, 75, died from complications including acute pancreatitis and refractory intra-abdominal sepsis following an unnecessary ERCP procedure. An MRCP scan on 12 October 2018 showed no gallstone, making the plann…

gastroenterologygeneral surgerycommunicationdiagnostic
SAaged care2016-09-05

Coroner's Finding: PUTSEY Doreen Mary

84y · Female·pneumonia with contributing Alzheimer's dementia

Doreen Mary Putsey, aged 84, died of pneumonia with contributing Alzheimer's dementia at an aged care facility where she was subject to guardianship orders. She had been in declining health with cough and dyspnoea from m…

geriatric medicinegeneral practiceantibiotics
SAhospital2025-05-20

Coroner's Finding: Lane, Kevin Roy

81y · Male·inanition complicating traumatic brain injury and disseminated malignancy

An 81-year-old man with metastatic bowel cancer suffered a traumatic brain injury from a fall, resulting in multiple intracerebral haemorrhages and cerebral contusions. He was delirious and presented challenging behaviou…

neurosurgerygeneral medicine
SAhospital2024-06-19

Coroner's Finding: Kennedy, Beulah Laura

95y · Female·end-stage dementia and inanition complicated by fractured neck of femur (operate…

Mrs Beulah Kennedy, aged 95, died from end-stage dementia and inanition complicated by a fractured neck of femur. She was admitted to Royal Adelaide Hospital on 10 September 2021 with agitation and falls. An inpatient tr…

geriatric medicinepsychiatry
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