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VIChome2015-10-30

Finding into death of Christian Jay Sherwood Peck

3y · Male·consistent with drowning in a boy with autism (on historical grounds)

Christian, aged 3 years 11 months with autism spectrum disorder and a significant tendency to abscond, died by drowning in the Yarra River after escaping through an unsecured window at his father's house on 30 October 20…

paediatricsspeech pathologysystemdelaycannabis
VIChospital2015-09-16

Finding into death of Steven John Brown

54y · Male·Aspiration pneumonia in a man with cerebral palsy, epilepsy and recent PEG inser…

Steven John Brown, a 54-year-old man with cerebral palsy, epilepsy, and severe dysphagia, died from aspiration pneumonia on 15 August 2014, one day after PEG tube insertion at Maroondah Hospital. He had experienced recur…

gastroenterologygeneral medicine
VIChospital2015-09-07

Finding into death of Jay Dion Sykes

18y · Male·Aspiration pneumonia in a setting of acquired brain injury from non-accidental h…

Jay Dion Sykes, aged 18, died from aspiration pneumonia in the setting of acquired brain injury sustained non-accidentally as an infant. He had severe cerebral palsy, tetraparesis, aphasia, visual impairment, intellectua…

general medicineemergency medicinecommunicationesomeprazole
VIChospital2015-09-03

Finding into death of James Donohoe

59y · Male·Combined effects of acute on chronic pneumonia and pulmonary thromboembolism

A 59-year-old man with intellectual disability and minimal verbal communication died from acute on chronic pneumonia and pulmonary thromboembolism. He had a long history of recurrent UTIs, chest infections, and significa…

respiratory medicinegeriatric medicine
VIChospital2015-05-11

Finding into death of Stewart Neil Padgham

57y · Male·aspiration pneumonia in an intellectually disabled man

Stewart Padgham, a 57-year-old man with severe intellectual disability, epilepsy, and multiple comorbidities, died from aspiration pneumonia. He presented with vomiting, difficulty swallowing, and respiratory symptoms on…

emergency medicinerespiratory medicinemorphine
VICaged care2015-05-08

Finding into death of Gregory Donald Cole

50y · Male·Cerebral hypoxia and bronchopneumonia post episode of choking

Gregory Donald Cole, age 50, was a Wyndham Lodge aged care resident with significant disabilities including post-stroke paralysis and dysphagia requiring modified diet. He died on 25 June 2009 from cerebral hypoxia and b…

speech pathologysystemcommunication
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
VIC2014-11-24

Finding into death of Diane Maree Wilson

49y · Female·lobar pneumonia in the setting of Down's syndrome and progressive dementia

Diane Wilson, aged 49 years with Down's syndrome and progressive dementia, died of lobar pneumonia following gradual physical deterioration from March to September 2013. She presented to hospital with seizures secondary …

palliative caregeneral medicinesodium valproate
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
VIChospital2011-02-18

Finding into death of David Laba

60y · Male·Hypoxic brain injury secondary to acute laryngeal obstruction (food bolus)

David Laba, 60, lived in a special accommodation home where he required supervised meals due to intellectual disability, previous aspiration pneumonitis, and dysphagia. He had a speech pathologist's assessment recommendi…

emergency medicinegeneral practicecommunicationsystem
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

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