391 results for “psychiatric medication management”
28y · Male·Overdose of Clozapine
…priately prescribed clozapine without contacting the patient's mental health service despite knowing of psychiatric history and psychotic presentation; no communication between ED and mental health service regarding the…
50y · Male·Unable to be determined
… presumed deceased. He was under the care of an Assertive Outreach Team providing accommodation and case management at Lane Cove North. Despite extensive police investigations including bank account monitoring, immigrati…
40y · Male·unascertained
…man with bipolar affective disorder, chronic back pain, and substance abuse history, died suddenly in a psychiatric inpatient unit (Upton House) on 3 January 2012. He was admitted involuntarily on 30 December 2011 durin…
52y · Female·Hypoxic brain injury due to hypotension in a woman with documented electrocardio…
Elizabeth Holley, 52 years old, was admitted involuntarily to a psychiatric ward with a history of three weeks of declining mental health and medication non-compliance. She receiv…
48y · Male·Injuries sustained in an explosion
…. Early involuntary treatment under the Mental Health Act may have been warranted given lack of insight, medication refusal, and deteriorating mental state. Communication failures between mental health services, police, …
75y · Male·Gunshot wound to the head
Luciano T, a 75-year-old man with complex medical and psychiatric history including chronic pain, depression, and delusional jealousy syndrome, shot his wife in the face…
59y · Male·Massive aspiration in the setting of intubation following complications of sever…
…ated large volumes of gastric contents, leading to hypoxia and cardiac arrest. The coroner found medical management reasonable and death unlikely preventable, but identified that non-psychiatric staff may have had lower …
27y · Male·Effects of fire
…stained in a deliberately set fire at his family's property. He had recently absconded from a Tasmanian psychiatric unit where he was subject to a compulsory treatment order for schizophrenia and schizoaffective disorde…
39y · Male·most likely suicide; possibly accidental death from untreated epilepsy or natura…
… the need for proactive mental health monitoring in vulnerable individuals expressing suicidal ideation, management of complex psychiatric and neurological comorbidities, ensuring medication compliance in epilepsy patien…
31y · Male·Hypoxic encephalopathy caused by neck compression due to hanging
…ic encephalopathy following hanging in a prison mental health unit. Despite being psychotic and refusing medication, he was not transferred to a specialised mental health facility (MHSU at Silverwater) for three weeks af…
25y · Female·Chest injuries due to fall from height
Two psychiatric inpatients (SH, 25-year-old female; AW, 24-year-old male) died by suicide by jumping from the Buranda c…
53y · Male·ligature compression of the neck (hanging)
…n with severe treatment-resistant paranoid schizophrenia, died by suicide while on community leave from psychiatric hospital. He had been an involuntary patient at Graylands Hospital for nearly 10 months (May 2011 to Ma…
23y · Male·Injuries sustained when struck by train
…old man with first-episode psychosis, died by suicide at a railway station while on escorted leave from psychiatric inpatient care. He had been admitted to The Alfred Hospital in January 2018 under Mental Health Act com…
33y · Male·gunshot wounds to chest and upper arm
…roner found the officer's use of lethal force was justified and consistent with policy. The patient's GP management, including gradual risperidone dose reduction despite lack of psychiatric review, was deemed appropriate…
40y · Male·Victims: fatal stab wounds from knife attack; Joel Cauchi: fatal gunshot wounds …
… Darchia) before being shot and killed by NSW Police Inspector Amy Scott. The inquest examined Cauchi's psychiatric care, particularly noting that his treating psychiatrist Dr B.-Lavack failed to adequately monitor him …
Christopher Salib: ischaemic heart disease with multiple prescription drug toxic…
…ti-drug toxicity). All died from lethal combinations of benzodiazepines, opioids, and other prescription medications obtained through multiple doctors ('doctor shopping'). Key failures included: lack of real-time prescri…
55y · Male·Multiple injuries sustained in a fall
…et four years earlier and was in rehabilitation when discharged from Caulfield Hospital with inadequate psychiatric assessment and planning. The coroner found his discharge was premature, lacking consideration of his ps…
44y · Male·multiple injuries sustained when struck by a semi-trailer as a result of suicide
… bipolar disorder and severe depression died by suicide while detained under the Mental Health Act at a psychiatric hospital. He was hit by a semi-trailer after absconding from an open ward. The coroner found his treatm…
21y · Male·Suicide by hanging
…acement based on building 'trust' rather than risk assessment, disregarding warnings of manipulation and medication non-compliance; (3) failure to prescribe depot injections despite established history of oral medication…
76y · Male·congestive cardiac failure complicated by type 2 respiratory failure
Peter Vernon Wallace was a 76-year-old man with schizophrenia subject to a Psychiatric Treatment Order, living in aged care. He had serious physical comorbidities including congestive cardia…
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