Coronial

122 results for severe dysphagia

SAaged care2024-06-19

Coroner's Finding: Murphy, Phillip Robin

76y · Male·right lower lobe pneumonia on a background of frontotemporal dementia, chronic o…

A 76-year-old man with frontotemporal dementia, COPD, and osteoporosis died of right lower lobe pneumonia following multiple falls causing pelvic and rib fractures at a nursing home. He was admitted to hospital on 9 Febr…

geriatric medicinepalliative care
QLDhospital2013-04-19

Brockel, Ronald James

64y · Male·aspiration pneumonia following insertion of a jejunostomy tube

Ronald Brockel, a 64-year-old with cerebral palsy, oropharyngeal dysphagia, and recurrent aspiration pneumonia, underwent insertion of a feeding jejunostomy tube (FJT) on 23 Decem…

general surgerygastroenterologyproceduraldiagnosticomeprazole
QLDhospital2024-10-18

Findings into the death of John Ainsworth

68y · Male·Cerebrovascular disease

John Raymond Ainsworth, a 68-year-old prisoner, died of cerebrovascular disease following a severe stroke on 25 November 2020. He had poorly controlled Type II diabetes, hypertension, and high cholesterol.…

neurologyemergency medicinedelaymetformin
VIChome2022-01-03

Finding into death of Patricia Jocelyn Eve Grant

83y · Female·Aspiration bronchopneumonia in a setting of cerebral infarction

…nchopneumonia following cerebral infarction while living with her son and daughter-in-law. She experienced severe neglect and elder abuse in her final years: cessation of epilepsy medication (March 2013), progressive imm…

general practicegeriatric medicinediagnosticsystem
VIChospital2016-06-15

Finding into death of Patricia Mary Russell

76y · Female·Aspiration pneumonia complicating catatonia and depression in the setting of met…

Patricia Russell, a 76-year-old woman with metastatic bladder cancer, catatonia, and severe depression, died from aspiration pneumonia at St Vincent's Hospital. She was a compulsory patient under th…

psychiatrypalliative care
WAhome2014-12-19

Inquest into the Death of Bethany

5y · Female·Epilepsy in association with Cerebral Palsy

A 5-year-old girl with severe cerebral palsy (GMFCS level 5) and intractable epilepsy died at home, likely from a seizure. She had multi…

paediatricsneurology
VIChome2026-03-25

Finding into death of Ian Robert Cameron

73y · Male·Complications of pyelonephritis and hepatocellular carcinoma in a man with epile…

…vealed advanced hepatocellular carcinoma complicated by acute pyelonephritis, intra-abdominal abscess, and severe erosive gastritis. No clinical errors or lapses in care were identified. The case highlights the challenge…

phenytoin
VICaged care2025-07-24

Finding into death of Silvie Marion Burton

89y · Female·Acute upper airway obstruction by food bolus

An 89-year-old woman with dementia died from acute upper airway obstruction by food bolus while being fed lunch at an aged care facility. CCTV footage revealed significant discrepancies between reported actions and actua…

geriatric medicineemergency medicineproceduraldelaycitalopram
VIChospital2014-05-20

Finding into death of Jonathan Mark Smith

55y · Male·recurrent aspiration pneumonia in a man with severe intellectual disability comp…

Jonathan Smith, a 55-year-old man with severe intellectual disability due to childhood encephalitis, died from recurrent aspiration pneumonia. He had ex…

geriatric medicinerespiratory medicineclindamycin
WAhome2016-11-28

Inquest into the Death of JBA (Subject to Suppression Order)

17y · Male·bronchopneumonia following epileptic seizure in a boy with a history of cerebral…

A 17-year-old boy with severe cerebral palsy, global developmental delay, and epilepsy died of bronchopneumonia following an epileptic s…

general practiceorthopaedic surgerysodium valproate
VIChospital2025-10-17

Finding into death of Raymond Charles Levy

75y · Male·Aspiration pneumonia in the setting of epilepsy and cerebral palsy

…er and cough on 18 October 2023 and was admitted with suspected sepsis. He rapidly deteriorated developing severe hypoxia and aspiration pneumonia, despite receiving appropriate antibiotics. A palliative approach was ado…

general medicineemergency medicineceftriaxone
VICcommunity2026-07-15

Finding into death of Guy Edwin Gellibrand

64y · Male·Complications of Severe Cerebral Palsy (Palliated)

Guy Edwin Gellibrand, 64, lived in supported NDIS accommodation with severe cerebral palsy, quadriplegia and non-verbal communication. In late September 2025, he presented to Monash …

general practicegeneral medicine
VIChospital2025-06-02

Finding into death of Julie Elizabeth Bruton

58y · Female·Aspiration pneumonia in association with rapidly progressive frontotemporal deme…

…distributed findings to disability regulators to highlight vulnerability in care provision for people with severe cognitive decline.

palliative caregeriatric medicine
NThospital2012-03-28

Inquest into the death of Master F

17y · Male·pneumonia and respiratory failure associated with choreoathetoid cerebral palsy

A 17-year-old Indigenous male with severe choreoathetoid cerebral palsy, feeding difficulties, and swallowing dysfunction died of pneumonia and resp…

general surgerypaediatricsmedicationbaclofen
SAhospital2020-11-02

Coroner's Finding: NIXON Viola Daphne

92y · Female·decompensated congestive cardiac failure secondary to haemophilus influenzae low…

…espiratory tract infection. She was admitted to psychiatric care under an Inpatient Treatment Order due to severe dementia-related behavioural disturbance and medication non-compliance. The coroner found her detention an…

psychiatryemergency medicine
SAhospital2020-05-28

Coroner's Finding: FRANKLIN Murray Lenard

78y · Male·general inanition on a background of end-stage dementia

…rom end-stage dementia whilst under involuntary psychiatric detention. He had advanced mixed dementia with severe behavioural disturbance and aggression requiring multiple hospitalisations. His condition progressively de…

psychiatrygeriatric medicine
TASaged care2022-08-11

Coroner's Finding: Dora, Bogdan

74y · Male·Aspiration of gastric contents, significantly contributed to by advanced dementi…

…entre, a residential aged care facility for people with dementia. He had advanced dementia, emphysema, and severe atherosclerotic cardiovascular disease. He experienced multiple falls in the weeks preceding death, with t…

geriatric medicinepsychiatry
VIChospital2021-05-21

Finding into death of Robin Frank Henry Wisseling

59y · Male·Pneumonia in a man with Lennox-Gastaut syndrome

A 59-year-old man with Lennox-Gastaut syndrome, spastic quadriplegia, and severe intellectual disability died of pneumonia following aspiration risk. He had persistent respiratory symptom…

respiratory medicinegeneral medicineclobazam
TAShome2021-04-12

Coroner's Finding: Rubenach, Timothy Luke

32y · Male·Aspiration pneumonia and reflux oesophagitis

Timothy Luke Rubenach, aged 32, died of aspiration pneumonia following severe reflux oesophagitis. He had profound intellectual disability and drug-resistant epilepsy from meningococca…

general practicegastroenterologymorphine
VIChospital2025

Finding into death of TBL

81y · Female·Multisystem failure in the setting of hyponatraemia secondary to chronic malnutr…

…d woman with chronic schizophrenia, heart failure, and dementia died from multisystem failure secondary to severe malnutrition and hyponatraemia. Over four years, her son (Medical Power of Attorney) progressively restric…

psychiatrygeneral practicesystemdelayrisperidone

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