139 results for “cognitive decline”
83y · Male·inanition with lobar pneumonia
…dly progress to fatal pneumonia even with intensive hospital care, particularly in elderly patients with cognitive decline and difficulty swallowing. Early recognition of self-neglect and earlier intervention might have…
99y · Female·pneumonia due to a fractured right neck of femur (hip) sustained in a fall
A 99-year-old woman with advanced dementia resident in aged care fell and sustained a right femoral neck fracture. Despite being assessed as high falls risk with multiple prevention measures in place, she was not wearing…
100y · Female·frailty and fracture of the right neck of femur
… armchair on 25 June 2022, fracturing her right neck of femur. Despite orthopaedic surgery, her condition declined post-operatively and she died on 30 June 2022 from frailty and the hip fracture. The coroner identified …
57y · Male·Pneumonia with contributing factors of trisomy 21 and early Alzheimer's dementia
Graham Keith Moore, a 57-year-old man with Down syndrome and early Alzheimer's dementia, died of pneumonia at Bendigo Hospital on 11 February 2025. He resided in specialist disability accommodation and received NDIS-fund…
53y · Male·sepsis due to spontaneous bacterial peritonitis on a background of end stage liv…
Kevin Arnold Cailes, 53, died from sepsis due to spontaneous bacterial peritonitis on a background of end-stage liver failure. He had cirrhosis diagnosed in 2011 with alcoholism as the likely cause, and despite repeated …
83y · Male·end stage Alzheimer's disease (dementia)
An 83-year-old man with end-stage Alzheimer's disease died at a nursing home where he had resided since 2011. He was subject to guardianship orders including detention powers under section 32 of the Guardianship and Admi…
86y · Female·Multiple organ failure following sepsis due to infected pressure ulcer of the hi…
…s difficult and may have begun earlier with minimal symptoms. Mrs Reardon's children, well-motivated but cognitively limited carers, respected her refusal of medical care and failed to recognize the severity of her decl…
60y · Female·Focal pneumonia in a woman with emphysema and ischaemic heart disease
…lessons include the challenge of managing medically complex patients with severe psychiatric disease and cognitive decline, the risk of sedating vulnerable patients with multiple comorbidities, and the importance of fre…
57y · Male·Right acute subdural haematoma following a fall
Gary Desmond Frost, a 57-year-old man with intellectual disability, dementia, and schizophrenia, died from a right acute subdural haematoma following a fall while in supported residential care. He experienced multiple fa…
78y · Female·Severe burns sustained while smoking
…ty deficits suffered fatal burns while smoking unsupervised in an aged care facility. Despite documented cognitive impairment and physical limitations preventing independent cigarette handling, she was left alone to smo…
79y · Male·Complications of peripheral vascular disease with Type 2 Diabetes Mellitus, atri…
…nd multiple comorbidities. Mr Wright received appropriate medical care throughout his hospitalisation and declined further surgical intervention. The coroner found no suspicious circumstances and no recommendations for …
54y · Female·Aspiration pneumonia secondary to Alzheimer's dementia complicating Down's Syndr…
…on 6 December. The clinical lesson highlights the challenge of managing recurrent aspiration in severely cognitively impaired patients with Down Syndrome, the importance of early palliative care discussions, and appropr…
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…
89y · Female·Multiple organ failure with cachexia on a background of chronic lower limb ulcer…
…llenges in managing non-compliant elderly patients with complex wounds, hearing impairment, and possible cognitive decline. Early establishment of capacity assessment and advance care planning might have clarified treat…
80y · Male·Atherosclerotic cardiovascular disease, with dementia, diabetes mellitus and hyp…
…to his death. The death was inevitable given his significant pre-existing natural disease and progressive decline.
50y · Female·mixed tablet overdosage (quetiapine and venlafaxine with codeine)
…nurse, died from mixed tablet overdose (quetiapine and venlafaxine) following a progressive mental health decline. After work-related stress in late 2002, she developed depression and anxiety. While individual clinician…
82y · Male·sepsis due to infected sacral ulcer with osteomyelitis and necrotising fasciitis
An 82-year-old man with multiple comorbidities developed a sacral pressure injury during admission to a private hospital for investigation of leg weakness. Despite being assessed as high-risk for pressure injury, he was …
59y · Female·Aspiration pneumonia and urosepsis complicating Alzheimer's dementia in setting …
Michelle Anne Leiper, aged 59 with Down syndrome and Alzheimer's dementia, died from aspiration pneumonia and urosepsis. She had significant dysphagia and was largely bedbound in her final years. After a February 2025 ho…
89y · Male·multi-organ failure on a background of advanced dementia and small cell lung can…
…casions. By 2015, his health was deteriorating significantly; he was certified unfit for work and showed cognitive decline (15/30 on mental state examination). Following recommendations from medical staff and case revie…
90y · Male·Pneumonia complicating injuries sustained in a motor vehicle incident
A 90-year-old man died from pneumonia following injuries sustained in a motor vehicle collision. He had multiple reportable medical conditions including atrial fibrillation, coronary artery disease, chronic kidney diseas…
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