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VIChospital2014-09-11

Finding into death of Llona Elizabeth Doolan

54y · Female·Complications of progressive dysphagia in a woman with Down syndrome and dementi…

Llona Doolan, a 54-year-old woman with Down syndrome and dementia, died from complications of progressive dysphagia. She was admitted to Western Hospital with difficulty swallowing and poor oral intake. A multidisciplina…

general medicinegastroenterologyceftriaxone
VIChospital2014-05-02

Finding into death of Lawrence Steele Billing

57y · Male·Type 2 respiratory failure secondary to aspiration pneumonia

A 57-year-old man with Down syndrome, dementia, and a history of aspiration pneumonia died from type 2 respiratory failure secondary to aspiration pneumonia. He had been in Department of Human Services residential care a…

emergency medicinegeneral medicine
VICaged care2014

Finding into death of Marjorie Hall

75y · Female·Aspiration of food in a woman with dementia

A 75-year-old woman with advanced dementia died from aspiration of food in an aged care facility. Despite being on a thickened diet and requiring full supervision due to documented swallowing difficulties and a tendency …

geriatric medicinespeech pathologysystemcommunicationrisperidone
VIC2013-08-20

Finding into death of PETER MALLIA

47y · Male·Severe Community Acquired Pneumonia; Aspiration; Critical Care Neuropathy; Cereb…

Peter Mallia, a 47-year-old man with cerebral palsy and intellectual disability, died of severe community-acquired pneumonia, aspiration, and critical care neuropathy on 31 July 2011, while in intensive care at Northern …

general practicespeech pathologydiazepam
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 December 2004 to bypass his stomach and improv…

general surgerygastroenterologyproceduraldiagnosticomeprazole
VICaged care2013-02-13

Finding into death of Peter Kosciuk

83y · Male·Aspiration pneumonia

An 83-year-old man with stroke, dementia, dysphagia, and multiple comorbidities developed aspiration pneumonia while in aged care. On 1 May 2008, he presented with acute swallowing difficulty and was examined by his GP w…

general practicegeriatric medicinediagnosticcommunicationpenicillin
VIC2012-10-10

Finding into death of Christopher Barca

57y · Male·Aspiration of gastric content (due to choking on food)

Christopher Barca, a 57-year-old man with Down syndrome and intellectual disability living in a Department of Human Services group home, died from aspiration of gastric content. He had oropharyngeal dysphagia, epilepsy, …

speech pathologygeneral practice
QLDaged care2008-09-25

Warren, Michael

64y · Male·Sepsis and lung collapse precipitated by burns to 35% of body sustained while sm…

Michael Warren, a 64-year-old man with rapidly progressive Motor Neurone Disease (MND), died from sepsis and respiratory complications following severe burns sustained while smoking in a hospital courtyard. He was alone,…

neurologyemergency medicinediagnosticsystem
SAaged care2007-08-02

Coroner's Finding: LESLIE Mona Belle

95y · Female·asphyxia due to glottic obstruction by food

A 95-year-old female with advanced dementia died from asphyxia caused by food impaction in the glottis. She was prescribed a soft diet (soft vegetables, vitamised meat) but was served and fed a meal containing large unco…

geriatric medicinespeech pathologydiagnosticcommunicationcitalopram
SAhospital2005-11-15

Coroner's Finding: DAMIANOU Dimitra

79y · Female·cardio-respiratory arrest consequent upon the aspiration of food

A 79-year-old woman with post-stroke dysphagia died from aspiration of food while hospitalised. A speech pathologist prescribed a minced diet after an unsuccessful soft diet trial, but the patient received a soft diet me…

speech pathologyneurologycommunicationsystem
WAhospital2004-11-12

Inquest into the Death of Mortensen

60y · Female·Aspiration of food in a woman with cerebral atrophy

Jytte Mortensen, a 60-year-old woman with multi-infarct dementia and schizoaffective disorder, died at Graylands Hospital from aspiration of food. She had documented dysphagia requiring a pureed diet and one-to-one super…

psychiatryspeech pathologycommunicationsystem
SAhospital2004-05-19

Coroner's Finding: WOZNIAKOWSKI Andrzej

83y · Male·inanition with lobar pneumonia

An 83-year-old man with organic brain syndrome and severe malnutrition was detained under the Mental Health Act after being found in severe self-neglect. He was admitted to hospital where he received comprehensive multid…

emergency medicinepsychiatry
VIChome

Finding into death of Andrew Simon Beare

33y · Male·Cerebral haemorrhage

A 33-year-old man with Lowes syndrome (rare genetic disorder causing intellectual disability, blindness, epilepsy, and feeding difficulties) died from cerebral haemorrhage while in supported accommodation. He had been re…

general medicineneurologyatenolol

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