181 results for “poor medication compliance”
54y · Male·Decompensated liver failure complicating advanced cirrhosis on a background of c…
Shane Reginald Lockley, aged 54, died from decompensated liver failure due to advanced cirrhosis and chronic alcohol dependence. He had a long history of alcohol abuse, intellectual impairment, and was under guardianship…
42y · Male·Ligature compression of the neck (hanging)
… disorder, and polysubstance use disorder. The coroner found the quality of mental health care provided was poor, attributable to systemic fragmentation between Psychological Health Services and Prison Mental Health team…
32y · Female·hypoxic brain injury as a result of a cardiac arrest due to positional asphyxia …
A 32-year-old woman with schizophrenia, well-controlled on clozapine, became pregnant. Poor communication between her general practitioners, community mental health service, and the hospital meant th…
2y · Female·drowning
…me in September 2016. Her mother was suffering from acute psychosis and had stopped taking antipsychotic medication days before the death. Critical failures occurred: the child protection service had closed the case file…
41y · Male·Unable to be ascertained
…tal 10-30 May 2022 for psychotic behaviours and assault allegations. Discharged on oral risperidone despite poor insight, previous non-compliance, and prior treatment with community treatment order (CTO) and depot inject…
62y · Female·hyponatremia (low sodium level 114mmol/L) resulting in seizure, with aspiration …
…. She had been on escitalopram (SSRI) for depression and was admitted after refusing depot antipsychotic medication. Critical clinical lessons: (1) SSRIs can cause hyponatremia, particularly in older women and those with…
55y · Male·Immersion
…e months before dying. Key clinical failures: inadequate follow-up after discharge of a vulnerable patient; poor communication between his GP (administering injections) and specialist mental health team; the Mental Healt…
56y · Female·acute pentobarbitone toxicity
…stance access; risk assessment in patients with chronic suicidality and recent stressors; examination of medication compliance and side-effects in depression treatment; and careful police investigation of ambiguous death…
53y · Male·Complications of old brain injury in prior motor vehicle incident
…tly. His treating neurologist and rehabilitation physician recommended gradual cessation of anti-seizure medication (Epilim) as seizure activity had not been witnessed for years and the medication may have been impairing…
37y · Male·Unascertained
…021 and was found deceased on Mollymook beach on 26 February 2021. He had a history of depression, anxiety, poorly controlled type 2 diabetes, and obsessive-compulsive disorder. In the weeks before his disappearance, his…
76y · Male·morphine toxicity and carcinomatosis
John Walter Hedges, a 76-year-old man with terminal metastatic cancer, died at Greenslopes Private Hospital following a morphine overdose administered by agency nurse Cornelia Empen. Hedges had two pain management routes…
Multiple: pneumonia with cardiomyopathy (Kugena female); septic shock from pneum…
…s. Deaths resulted from untreated chronic conditions exacerbated by rough sleeping, inadequate shelter, and poor access to healthcare. Key clinical lessons: alcohol addiction should be treated as a serious health problem…
25y · Male·hanging
…died by hanging during family leave from a mental health ward. He had been stable on depot antipsychotic medication for several years before developing tardive dyskinesia. His treating psychiatrist ceased the medication …
49y · Male·Hanging
…nd falsified observation charts. Evidence suggests Mr Edwards was highly distressed, possibly requesting medication that was withheld, and may have died hours before discovery. The coroner found nurses deliberately faile…
38y · Male·ligature compression of the neck (hanging)
…resented to emergency services and mental health clinic with increasing anxiety and paranoia following a medication change from risperidone depot to aripiprazole (Abilify) in December 2015. His family repeatedly expresse…
70y · Male·combined effects of severe pulmonary emphysema, ischaemic heart disease and rece…
… including inadequate medical reviews (none documented for six months despite being in terminal condition), poor record keeping, failure to separate two residents despite documented prior assaults between them, and failu…
24y · Male·0.22 calibre gunshot wound to the head (self-inflicted)
Christopher Merritt, a 24-year-old man with a history of reactive depression triggered by relationship breakdowns, presented to his GP Dr W. on 30 June 2003 with acute tearfulness, suicidal ideation, and dangerous reckle…
54y · Female·combined drug toxicity (heroin, morphine, cannabis, and prescription medications…
…reen Kaye Reilly, aged 54, died from combined drug toxicity involving heroin, cannabis, and prescription medications including antipsychotics and mood stabilizers. She had complex mental health disorders, acquired brain …
28y · Female·combined drug toxicity (heroin and prescribed psychiatric medications)
…al illness and polysubstance abuse, died from combined drug toxicity (heroin plus prescribed psychiatric medications) shortly after discharge from hospital on a community treatment order. She had been admitted with drug-…
29y · Male·Cardiac arrhythmia in the context of alcohol withdrawal and chronic alcohol misu…
…nical observations were taken after the initial assessment despite placement in an observation cell; the medication regime was inadequate; staff failed to understand that lack of improvement indicated worsening clinical …
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