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TASaged care2018-09-20

Coroner's Finding: Jones, Gweneth Elsie

84y · Female·left lower lung bronchopneumonia in conjunction with small distal pulmonary embo…

An 84-year-old woman with comorbidities sustained right shoulder and pelvic fractures from an accidental fall. She presented to ED with low oxygen saturation (77%) requiring supplemental oxygen. Despite these injuries an…

emergency medicineorthopaedic surgerycommunicationsystemparacetamol
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
TAShospital2018-03-19

Coroner's Finding: Bessell, Lynne

67y · Female·metastatic carcinoma of the colon

Lynne Maree Bessell, aged 67, died of metastatic colon cancer at North West Regional Hospital on 13 March 2016. She had a history of bipolar affective disorder managed at the Spencer Clinic and was subject to a mental he…

oncologypsychiatry
TAShospital2018-02-05

Coroner's Finding: Mrs F de-identified

91y · Female·pelvic haematoma arising from a fracture of the neck of the left femur sustained…

A 91-year-old woman with dementia, emphysema and cognitive decline was admitted to hospital after a fall. She was assessed as high falls risk but inadequate fall prevention measures were implemented—only verbal advice to…

geriatric medicineemergency medicineproceduralsystemmorphine
TASaged care2018-01-29

Coroner's Finding: Ball, Betty Irene

67y · Female·perforated sigmoid volvulus with peritonitis upon a background of spinocerebella…

Betty Irene Ball, aged 67, died from perforated sigmoid volvulus with peritonitis on 2 February 2016. She had spinocerebellar ataxia and was resident in aged care. She developed constipation from 15 January 2016, but med…

general practiceemergency medicinedelaysystemparacetamol
TASmental health2017-11-17

Coroner's Finding: Smith, Molly Jessie

75y · Female·pyelonephritis and pneumonia

Molly Jessie Smith, a 75-year-old woman with longstanding severe mental illness, died of pyelonephritis and pneumonia on 16 August 2009. She had been in state psychiatric care continuously for 53 years. During her final …

psychiatrygeneral practicediagnosticdelaycefalexin
TASaged care2017-06-12

Coroner's Finding: Bugg, Margaret Evalina

89y · Female·pneumonia and acute renal failure following a fractured right femur due to a fal…

Margaret Evalina Bugg, aged 89, died from pneumonia and acute renal failure following a spiral fracture of her right femur sustained during a fall from a stand-up lifter on 17 December 2015. A mobility assessment in Octo…

emergency medicinegeriatric medicineproceduraldiagnostic
TASaged care2017-05-08

Coroner's Finding: Handasyde, Robert Neil

86y · Male·Sepsis with septic shock, due to urinary tract infection, pyelonephritis (kidney…

An 86-year-old man died from sepsis and septic shock secondary to urinary tract infection, pyelonephritis and prostatic infection. He presented to his GP in March 2015 with dizziness and reported urinary incontinence and…

general practicecardiologydiagnosticmedicationclopidogrel
TAShome2017-03-13

Coroner's Finding: Noble, Murray

81y · Male·asphyxia due to inhalation of products of combustion from a house fire

Murray Geoffrey Noble, 81 years old, died from asphyxia due to inhalation of combustion products in a house fire. With advancing vascular dementia, Mr Noble lit a wood heater on the evening of 7 July 2015 and subsequentl…

forensic medicinegeriatric medicinesystem
TAShospital2017-02-22

Coroner's Finding: Free, Maxwell John

64y · Male·Multiple organ failure due to paracetamol toxicity

A 64-year-old man died from multiple organ failure due to chronic paracetamol toxicity after taking regular paracetamol 500mg four times daily for over 12 years for pain management. He presented with nonspecific symptoms…

general practicegeriatric medicinediagnosticparacetamol
TASaged care2015-11-12

Coroner's Finding: Henri, Paul Lucien

78y · Male·Cerebral infarction and hypoxic brain damage due to the combined effects of isch…

Paul Henri, 78, died from cerebral infarction and hypoxic brain damage following aspiration pneumonia and opioid-related complications. He was admitted to an aged care home and commenced on MS Contin (morphine) 30mg dail…

general practiceneurologymedicationdiagnosticmorphine
TAScommunity2001-01-25

Coroner's Finding: Rallings, Geoffrey

65y · Male·presumed death, actual circumstances unknown

Geoffrey Rupert Rallings, aged 65 years, was reported missing on 22 December 1995 and was presumed deceased. He had Alzheimer's disease with documented cognitive decline, memory impairment, and disinhibited behaviour. Hi…

psychiatrygeriatric medicinesystem

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