213 results for “medication dependence”
39y · Male·Effects of fire (self-immolation)
…ld Aboriginal and Torres Strait Islander man with a long history of mental illness, depression, cannabis dependence, and psychosis, presented to the Latrobe Regional Hospital ED on 6 March 2022 with suicidal ideation, de…
36y · Female·respiratory depression after loss of consciousness caused by mixed drug toxicity…
…nical and custodial failures included: (1) Dr W. prescribing Alprazolam without verifying Rebecca's drug dependence or checking her methadone program, despite multiple red flags; (2) failure to search Rebecca, largely du…
54y · Male·Neck compression (hanging)
… leave while on close observations. He was admitted with major depression, suicidal ideation, and opioid dependence. On 1 July 2014, despite being on hourly observations and deteriorating mental state that evening (agita…
31y · Male·Combined effects of multiple drugs in an obese male with findings suggestive of …
Simon Mark Gray, a 31-year-old man, died from combined effects of multiple medications in the setting of obesity and bronchopneumonia, less than 24 hours after discharge from psychiatric hos…
37y · Male·Mixed drug toxicity (heroin, methadone and diazepam) in a man with coronary arte…
…equate supervision of take-away methadone dispensing, particularly for unstable patients; (3) inaccurate medication labelling creating overdose risk; and (4) insufficient verification of patient stability before authoriz…
33y · Male·Gunshot wound to the head
A 33-year-old man with paranoid schizophrenia, polysubstance dependence (amphetamines/cannabis), and chronic suicidal ideation died from a self-inflicted gunshot wound to the h…
31y · Male·Subarachnoid haemorrhage due to or as a consequence of a ruptured large fusiform…
…y was immaterial given the extensive brain injury was unsurvivable. He had been prescribed antipsychotic medication (Seroquel) for auditory hallucinations but had poor medication compliance. The coroner found the medical…
42y · Male·drowning
…order and detoxification. On the evening of his disappearance, after purchasing alcohol and prescription medications, he attempted to row his dinghy to his vessel moored 250 metres away. He was observed not wearing a lif…
43y · Male·Mixed drug toxicity (methadone, synthetic cannabinoids (5f-cumyl-pinaca and cumy…
…y injury, and myocardial infarction; understanding that patients with epilepsy who are inconsistent with medication compliance face increased risks; and ensuring adequate monitoring and support for vulnerable individuals…
33y · Male·multi-drug toxicity as a result of misadventure
Adam Hayward, a 33-year-old with borderline personality disorder, poly-substance abuse, and a complex psychiatric history including recurrent suicidal ideation and overdoses, died from multi-drug toxicity in October 2009…
44y · Female·multi-organ failure and polypharmaceutical overdose on a background of severe ch…
…D was worsening despite repeated admissions. She presented drowsy on 4 July 2017 after ingesting unknown medications at home, was treated for suspected overdose, and placed on an Inpatient Treatment Order for psychiatric…
53y · Female·mixed prescription drug toxicity
…dispensing of methadone, did not conduct adequate risk assessment despite documented prior overdoses and medication misuse, and inappropriately continued polypharmacy with multiple CNS depressants. Critical clinical fail…
52y · Male·Mixed drug toxicity
…ing for all drugs including pregabalin; coordinating prescribing across multiple clinicians; recognising medication misuse in patients with legitimate chronic pain; and recognising overdose signs (abnormal breathing, una…
18y · Male·Ligature Compression of Neck (Hanging)
…etention records, which would have revealed his history. The coroner found he acted impulsively while on medication that made him drowsy, likely viewing suicide as one of his coping options. The coroner concluded that ev…
Unknown·Erfinna Lay: Aspiration resulting from Acute Multiple Drug Toxicity; John Quirk:…
…the same GP, Dr D., for complex conditions including anxiety, depression, personality disorder, and drug dependence. Coroner identified concerns about prescribing practices: inadequate controls on medication access despi…
49y · Male·ligature compression of the neck (hanging)
…inuity of care is essential for prisoners with psychotic symptoms and depression, particularly regarding medication decisions; (2) when psychiatric review is delayed, interim management should continue medications provid…
62y · Male·not stated - body never found
…s) in June 2020 following suicidal ideation. After approximately two weeks of treatment with psychiatric medication adjustment and successful leave periods, he was transferred to South Pacific Private Hospital (a volunta…
37y · Male·Cardiomegaly giving rise to lethal cardiac arrhythmia in the setting of drug tox…
…ial assessment, failed to communicate the plan to incoming shifts, and did not follow up when he refused medication. A nurse responded inadequately to his request to see a nurse. These breaches of Justice Health policy c…
33y · Male·hanging
…tre in January 2019 after four years in immigration detention. He had schizophrenia, PTSD, and substance dependence, with a prior suicide attempt in 2016. Clinical lessons include: the PSP/SME monitoring system adequatel…
55y · Male·Septicaemia due to hydronephrosis and infection
…septicaemia from renal infection. He had a history of cardiac disease requiring anticoagulation, alcohol dependence, depression, and chronic hoarding behaviour. Despite repeated hospital admissions and professional inter…
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