135 results for “severe dementia”
78y · Female·medication error resulting in combined drug toxicity
Mrs LV, age 78, died at The Bays Aged Care facility on 2 January 2025 following a medication error four days earlier. An endorsed enrolled nurse (EEN), distracted by a phone call during her first shift, inadvertently adm…
88y · Female·Acute on chronic renal failure due to dehydration on a background of Lewy body d…
An 88-year-old woman with Lewy body dementia, Parkinson's disease and congestive cardiac failure died from acute kidney injury precipitated by severe …
65y · Female·Aspiration pneumonia with Down syndrome as underlying condition
…s, a 65-year-old woman with Down syndrome and intellectual disability, died from aspiration pneumonia with severe oropharyngeal dysphagia as a contributing factor. She had suffered recurrent chest infections throughout h…
86y · Female·subdural haemorrhage due to or as a consequence of a fall
Ms SME, an 86-year-old resident at a Blue Care nursing home, suffered a fatal subdural haemorrhage following a fall from bed during a sponge bath on 18 January 2016. She died on 21 January 2016. Clinical lessons include:…
87y · Female·pneumonia following complications from a fractured left wrist sustained in a fal…
Mrs Webberley, 87, resident of a residential aged care facility (RACF), sustained an unwitnessed fall on 1 November 2021 resulting in a left wrist fracture (Colles' fracture). She was initially assessed at the RACF but n…
80y · Female·multiple injuries in the setting of a fall
Catherine Mary Reid, aged 80, died from multiple fractures sustained in a fall during a mechanical hoist transfer at a disability care facility. While being transferred from wheelchair to bed using an overhead ceiling ho…
64y · Male·complications in association with thermal injuries in a man with underlying chro…
… lit a fire in his caravan for light and heat (having no electricity) which burned out of control, causing severe thermal injuries. Key lessons: establish alert flags in digital records for patients with guardianship ord…
84y · Female·pneumonia and fracture of the neck of right femur following a fall
Mrs Bell, aged 84, died from pneumonia and a fractured right femoral neck sustained in a fall at a residential aged care facility. She had advanced Alzheimer's disease, cognitive impairment, impulsive behaviour, and was …
15y · Female·Complications of Batten disease (CLN3)
…r, this case reveals significant systemic failures in disability support for children in out-of-home care: severe delays in NDIS processing (18+ months for initial acceptance), inadequate support levels requiring Adminis…
81y · Male·Massive right cerebral haemorrhage due to hypertensive heart disease
An 81-year-old man with multiple comorbidities (diabetes, cardiovascular disease, chronic kidney disease, congestive heart failure) died from a massive cerebral haemorrhage due to hypertensive heart disease while in hosp…
Unknown·COVID-19 infection with various comorbidities as contributing factors
…use residential aged care facility in April-May 2020. Deaths occurred during inadequate infection control, severe staffing shortages, and suboptimal clinical management under a Hospital-in-the-Home model. Key failures in…
62y · Female·Complications of progressive motor neurone disease
… Ryan, 62, died from complications of progressive motor neurone disease at a palliative care unit. She had severe disability including non-verbal status, intellectual disability, epilepsy, and deteriorating swallowing. I…
83y · Female·meningitis with sepsis with the likely source of infection being a large and dee…
…July 2017 from meningitis and sepsis secondary to a large stage 4 sacral decubitus ulcer. Autopsy revealed severe malnutrition (24.5kg, BMI 13), poor hygiene with faecal soiling under fingernails, dystrophic toenails, an…
90y · Male·Complications arising from a gastrointestinal obstruction; incarcerated inguinal…
…tinal obstruction caused by an incarcerated inguinal hernia. He presented to Prince of Wales Hospital with severe abdominal pain, nausea, and vomiting on 11 May 2015. Surgical consultation determined his condition was no…
84y · Female·Complications associated with Diabetes Mellitus (likely hyperosmolar hyperglycae…
…s Charlotte Paluszak, 84, died at a residential aged care facility after rapid deterioration from complex dementia and diabetes. On 10 November 2017, she developed acute semiconsciousness and agitation. The clinical nurs…
89y · Female·Complications of fractured neck of femur in the setting of a fall in a woman wit…
An 89-year-old woman with dementia and high falls risk sustained a fall at an aged care facility on 24 August 2019. The enrolled nurse in ch…
83y · Male·Aspiration pneumonia
An 83-year-old man with stroke, dementia, dysphagia, and multiple comorbidities developed aspiration pneumonia while in aged care. On 1 May 2008, …
68y · Female·chronic obstructive pulmonary disease
Ms Sniecikowska, a 68-year-old Polish-speaking woman with severe COPD, chronic alcoholism, cognitive impairment, and significant social isolation, was admitted to hospital…
77y · Female·Complications of malnutrition in a woman with paranoid delusions
A 77-year-old woman with complex medical and psychiatric history died from complications of malnutrition while an inpatient with paranoid delusions and delirium. She was admitted following falls and required compulsory t…
53y · Female·sepsis and multiple organ failure attributable to infarction/necrosis of small b…
A 53-year-old woman with Type II diabetes, obesity, and Korsakoff dementia presented with acute severe abdominal pain from superior mesenteric artery (SMA) thrombosis at 3:00 AM on…
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