Coronial

130 results for frailty

TASaged care2022-11-08

Coroner's Finding: Oates, Janet Patricia

83y · Female·Hospital-acquired pneumonia caused by injuries from fall; frailty and osteoporos…

An 83-year-old woman died from hospital-acquired pneumonia following spinal fractures sustained in a fall from a mobility hoist at an aged care facility. The hoist failed when the spreader bar detached due to a worn and …

geriatric medicineneurosurgerysystemdelay
TAShospital2021-05-24

Coroner's Finding: Lumley, Barry Alyn

81y · Male·acute subdural haematoma

An 81-year-old man suffered a witnessed fall at a shopping centre with head strike to the right parietal region. He presented to the ED with a small haematoma and confusion. The ED team concluded he had a cardiac cause f…

emergency medicinecardiologydiagnosticproceduralparacetamol
TAShospital2022-03-21

Coroner's Finding: Mackey, Lois Winifred

83y · Female·decompensated right heart failure (cor pulmonale) immediately following mitral v…

An 83-year-old woman died from decompensated right heart failure (cor pulmonale) immediately following mitral valve replacement surgery. She had chronic pulmonary hypertension secondary to severe mitral regurgitation fro…

cardiothoracic surgerycardiologydiagnosticdelay
QLDhospital2023-07-05

Conlon, Edgar

75y · Male·End-stage renal disease, with hypertension, ischaemic heart disease, and diabete…

Edgar Hugh Sandow, a 75-year-old First Nations man, died from end-stage renal disease while incarcerated at Princess Alexandra Hospital Secure Unit. He had multiple comorbidities including heart failure, diabetes, hypert…

nephrologycardiologyaspirin
VIChospital2016-03-15

Finding into death of Reginald John Brooks

99y · Male·Pneumonia

A 99-year-old man with cognitive decline sustained a hip fracture from a fall and subsequently underwent surgery with informed consent. He suffered cardiopulmonary arrest post-operatively and was resuscitated despite the…

general medicineorthopaedic surgerycommunicationsystem
VICcommunity2021-11-29

Finding into death of Felicity Ruth Loveday

83y · Female·unascertained

Felicity Ruth Loveday, aged 83, disappeared and is presumed deceased after setting sail from Port Phillip Bay on 11 December 2019 with her son. Ms Loveday had significant medical and cognitive vulnerabilities including s…

general practicegeriatric medicinesystemdelay
SAhome2011-08-11

Coroner's Finding: PIRO Barbara Mary

91y · Female·pulmonary thromboembolism and subcutaneous abscess formation complicating pressu…

…. Her daughter, a nurse, left her alone for two weeks despite recognising mobility risks and her mother's frailty. The deceased was mentally alert and strongly refused medical care, and insisted her daughter proceed wit…

geriatric medicineemergency medicinedelaysystem
NTaged care2010-07-05

Inquest into the death of Desmond Waight

81y · Male·bronchopneumonia

An 81-year-old man with dementia, congestive cardiac failure, chronic lung disease and hip fractures died of bronchopneumonia four days after discharge from palliative care to a nursing home. While an administrative erro…

palliative caregeneral practicemedicationsystemamoxicillin/clavulanate
TAShospital2020-06-05

Coroner's Finding: Dickinson, Mary Marguerite

58y · Female·pneumonia, likely aspiration pneumonia

Mary Marguerite Dickinson, aged 58, died of pneumonia on 20 January 2018 at the Roy Fagan Centre after admission with a complex scapula fracture and severe cognitive decline from alcoholic dementia. The coroner found her…

geriatric medicineemergency medicinecommunicationsystemmorphine
NThospital2022-01-25

Inquest into the death of Josef Lear

80y · Male·metastatic oesophageal cancer

…ison management issues arose during his final illness: delayed removal of restraints and shackles despite frailty (resolved only after legal intervention), restricted family visiting (one visit weekly initially), inappr…

oncologygastroenterologycommunicationsystemibuprofen
VICaged care2016-04-14

Finding into death of Attilio Crozzoli

94y · Male·Multi-system organ failure, peritonitis, acute gangrenous cholecystitis with cho…

Attilio Crozzoli, a 94-year-old nursing home resident with significant comorbidities (ischaemic heart disease, diabetes, dementia), died of multi-system organ failure secondary to sepsis from acute gangrenous cholecystit…

general practicegeriatric medicinecommunicationsystemcephalozolin
VICcommunity2015-04-05

Finding into death of James Michael Hoctor

93y · Male·Complications following colectomy for Clostridium difficile pancolitis in the se…

A 93-year-old man with a history of antibiotic use for a neck abscess developed diarrhoea during hospitalisation. Despite testing negative for Clostridium difficile at St Vincent's Hospital, he was transferred to a rural…

general practiceinfectious diseasesdiagnosticpenicillin
VIChospital2023-03-16

Finding into death of Reginald William Griggs

84y · Male·Respiratory failure complicating hospital acquired pneumonia following surgical …

An 84-year-old man died from respiratory failure due to hospital-acquired pneumonia following surgery for recurrent mandibular squamous cell carcinoma. Key clinical lessons: (1) Advanced Care Plans (ACPs) must be activel…

oncologyENT surgerycommunicationsystemhydromorphone
TASaged care2018-10-30

Coroner's Finding: Dent, Freda Lillian Florence

85y · Female·ischaemic heart disease due to stenosis of coronary bypass grafts

An 85-year-old woman with significant cardiac history (prior coronary artery bypass graft) presented with gastrointestinal symptoms. Her GP ceased rosuvastatin without direct communication to nursing staff. Care staff id…

general practicegeriatric medicinecommunicationsystemrosuvastatin
NSWhospital2023-09-27

Inquest into the death of John O'Donnell

73y · Male·Complications of metastatic neuroendocrine lung carcinoma

… incarceration at Silverwater MRRC: inappropriate cell placement on the top floor despite documented age, frailty, and breathlessness requiring ground floor accommodation; and failure to administer prescribed Lanreotide…

oncologypalliative carecommunicationsystemlanreotide
SAhospital2026-04-23

Coroner's Finding: Wilson, Charles Thomas

85y · Male·Sepsis due to Staphylococcus aureus bacteraemia due to septic arthritis of left …

An 85-year-old man died in custody from sepsis due to Staphylococcus aureus bacteraemia arising from septic arthritis of the left shoulder, on a background of congestive heart failure. While receiving generally adequate …

cardiologygeriatric medicinemedicationcommunicationmetoprolol
NSWhospital2018-07-18

Inquest into the death of Ian Davidson

84y · Male·Complications of hypertensive and atherosclerotic cardiovascular disease

An 84-year-old prisoner with multiple chronic conditions (hypertensive and atherosclerotic cardiovascular disease, diabetes, hepatitis B, previous bowel cancer, heart failure) suffered a fatal cardiac arrest whilst attem…

cardiologyemergency medicinecommunicationsystemfentanyl
NSW2025-09-15

Inquest into the death of Robert Sievers

81y · Male·COVID-19 infection on a background of Type 2 Diabetes and end stage chronic kidn…

Robert Sievers, an 81-year-old man incarcerated since 2001, died from COVID-19 infection on a background of type 2 diabetes and end-stage chronic kidney disease. Despite multiple warnings about vaccination, Sievers refus…

geriatric medicinepalliative careantiviral medication
VIChome2019

Finding into death of Rachel Naomi Mihail

36y · Female·Nicotine toxicity

Rachel Mihail, a 36-year-old with a complex psychiatric history including PTSD, depression, anxiety, and agoraphobia, ingested liquid nicotine at home on 22 November 2017 after calling mental health triage expressing sui…

psychiatrygeneral practicecommunicationsystemnicotine
VIChospital2024-04-08

Finding into death of Adelaide Wilson

86y · Female·Cardiogenic shock

Adelaide Wilson, 86 years old, presented to an urgent care centre with two days of chest pain and vomiting. A point-of-care troponin test (i-STAT) returned 0.4 ng/L, interpreted as normal, and she was discharged with gas…

cardiologyemergency medicinediagnosticcommunication

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