Coronial

130 results for frailty

VIChome2018-06-28

Finding into death of Raymond John Cox

84y · Male·Gunshot wound to the head

…tance to remove his firearm, expressing safety concerns about his deteriorating mental state and physical frailty. Police advised she could not surrender the gun as she was not the licence holder. She subsequently secur…

general practicegeriatric medicinecommunicationsystemcitalopram
VIChospital2025-06-03

Finding into death of DRF

95y · Female·Acute intracranial haemorrhage

DRF, a 95-year-old woman with dementia, hearing impairment, mobility limitations, and mild cognitive impairment, died from acute intracranial haemorrhage following blunt head trauma. She had been living with her son UJN,…

geriatric medicineneurosurgerycommunicationsystemwarfarin
SAaged care2018-09-28

Coroner's Finding: ROLLBUSCH Graham

70y · Male·combined effects of severe pulmonary emphysema, ischaemic heart disease and rece…

…ults between them, and failure to transfer him despite clear indicators (extreme weight loss, palliation, frailty). Staff numbers were adequate but knowledge, skills and supervision were poor. The facility was found non…

geriatric medicinepsychiatrydiagnosticcommunicationolanzapine
VICaged care2020-10-22

Finding into death of Phillip Harry Parker

61y · Male·Pneumonia

A 61-year-old man with significant medical complexity including acquired brain injury, bronchiectasis, pulmonary fibrosis, and dysphagia died from pneumonia 26 days after receiving another resident's slow-release opioid …

geriatric medicineemergency medicinemedicationsystemtapentadol sr
QLDaged care2012-10-19

Anderson, Stanley Charles

86y · Male·coronary and cerebral atherosclerosis with significant conditions of fractured l…

Mr. Stanley Charles Anderson, aged 86, died at Gympie General Hospital from coronary and cerebral atherosclerosis, precipitated by injuries sustained in a fall at a nursing home. While transferring from a bath trolley to…

geriatric medicineoccupational and environmental healthsystemcommunication
QLDhospital2024-07-30

PATELESIO, Etevise

29y · Female·Hypoxic-ischaemic encephalopathy due to cardiac arrest of undetermined cause

…ical and chemical restraint. She received 5mg droperidol IM for sedation, which was appropriate given her frailty. However, formal vital sign monitoring post-sedation was not undertaken between 07:50-08:00 hours, contra…

emergency medicineintensive caremonitoringsystemdroperidol
QLDaged care2024-10-22

Non-inquest findings into the death of MH, an aged care resident

98y · Female·Sepsis due to sacral pressure ulcer complicated by osteomyelitis against a backg…

A 98-year-old woman with dementia and multiple comorbidities died from sepsis secondary to a sacral pressure ulcer that progressed to osteomyelitis while in residential aged care. The coroner identified systemic clinical…

geriatric medicinegeneral practicediagnosticsystemwarfarin
VICaged care2023-02-23

Finding into death of H D

87y · Female·Complications following a medication administration error in a woman with multip…

An 87-year-old woman died from complications of a medication administration error at an aged care facility. During transition from paper-based to electronic medication charts in December 2020, a pharmacy data entry error…

geriatric medicinegeneral practicemedicationsystemrisedronate
QLD2020-01-24

Willersdorf, Maria

87y · Female·Hypoxic-ischaemic encephalopathy secondary to cardiac arrest, with valvular hear…

An 87-year-old woman died following a CT-guided epidural injection at a private radiology clinic. Although she had undergone the procedure for spinal pain, the radiologist performed an epidural injection at the T12 level…

radiologypain medicinediagnosticproceduralbupivacaine
NTcommunity2008-09-01

Inquest into the death of Peter Limbunya

78y · Male·pneumonia with dehydration and exposure to heat as contributing factors

…wing hospital discharge. He was not accompanied by a required escort despite meeting clear criteria (age, frailty, poor English, deafness). A defective patient travel system failed to notify the receiving clinic of his …

emergency medicinegeneral practicecommunicationsystem

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