211 results for “falls risk”
96y · Female·complications following a fractured distal right femur
… emphasised the ongoing challenge of resident-to-resident aggression in aged care and the need for improved risk monitoring, assessment, and management processes to prevent future incidents.
30y · Female·tricuspid valve bacterial endocarditis
…or pulmonary embolism, discharging her with a diagnosis of viral illness. Four days later, paramedic Shaun Falls attended her home but failed to explore her chest pain complaint, misrecorded her elevated heart rate (136…
64y · Male·Aspiration pneumonia with cerebral palsy as a contributing factor
…investigated and identified that staff had not received formal training in his mealtime assistance plan, a falls risk review was incomplete, and mealtime support was not consistently compliant with his plan. These issue…
73y · Male·Brain haemorrhage from head injury sustained in mobility scooter crash
Keith Thomas Stewart, aged 73, died from a brain haemorrhage sustained in a mobility scooter crash on 1 July 2018 at Beaconsfield District Health Service. While riding down a steep driveway, Mr Stewart disengaged the gea…
46y · Male·Undetermined
…sient lifestyle, went missing in early 2016 and was found deceased in June 2018 in bushland near Wentworth Falls, NSW. His cause and manner of death remain undetermined due to advanced decomposition. Dean had a history …
47y · Male·glioblastoma of the brain (glioblastoma multiforme, left frontal lobe)
Peter David Lawrence, aged 47, died from glioblastoma multiforme at Lyell McEwin Hospital. His brain tumour in the left frontal lobe caused behavioural changes including aggression, confusion, agitation and poor impulse …
45y · Female·Blunt force trauma to the head
…icated with head injury); recognition that patients with liver disease and alcohol use disorder are at high risk of falls and intracranial bleeding; and the need for careful documentation of mechanism of injury when pati…
46y · Female·Prolonged effects and complications of a head injury, with upper airway obstruct…
…d pattern should have triggered heightened suspicion for domestic violence despite Ms Ashburn's history of falls and bleeding tendency; (2) NSW Health policy on mandatory notification to police for suspected domestic vi…
22y · Male·Multiple injuries from fall from height
…ad intellectual disability, epilepsy, and acquired brain injury. Critical deficiencies included: inadequate risk assessment despite multiple static risk factors (intellectual disability, history of self-harm ideation, vu…
73y · Male·Multiorgan dysfunction in the setting of severe heart failure in a man with mult…
… dysfunction in severe heart failure. He had experienced progressive health decline over months, including falls, weight loss, and swallowing difficulties following aspiration pneumonia in mid-2023. In April 2024 he was…
38y · Male·acute on chronic right hemisphere subdural haematoma
…sons include the vulnerability of patients with chronic subdural haematoma to minor trauma, the compounding risks of heavy alcohol use with anticoagulation risk, and the need for safety planning in patients with both psy…
64y · Female·acute bronchopneumonia complicating Alzheimer's dementia with head injury
…ions between respecting advance directives in advanced dementia and potential diagnostic uncertainty after falls, particularly when imaging is deferred based on goals-of-care discussions.
64y · Female·complications following a fractured neck of femur and mandible from a fall
Deborah Smith, a 64-year-old woman with dissociative identity disorder (DID) and multiple psychiatric comorbidities, died from complications of a fractured femur and mandible sustained in a fall from a fence at Quest Apa…
90y · Female·Right acute on chronic subdural haematoma sustained in a fall in the setting of …
A 90-year-old woman on warfarin for atrial fibrillation suffered an unwitnessed fall with head strike at an aged care facility. She presented to hospital where a small subdural haemorrhage was not detected on initial CT …
80y · Male·aspiration pneumonia complicating inanition of dementia
…ioural difficulties including refusal to cooperate with care activities, poor dietary intake, and multiple falls. He was placed under guardianship in August 2013 due to lack of insight into his care needs. While at the …
51y · Male·drowning
…cohol consumption around water, which severely impairs judgment, coordination, and ability to recover from falls. No medical errors or clinical care failures were identified; this was an accidental drowning related to i…
38y · Female·Multiple injuries, predominantly head, sustained in a fall from a height
…the fall. This case highlights the critical importance of safety barriers and clear warning signage at high-risk locations. The coroner notes that despite a 1999 recommendation following a previous death at the same loca…
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 charge, on her thi…
80y · Male·Pneumonia, with multi-organ failure in the form of liver failure (due to chronic…
…onal Centre. He had advanced chronic hepatitis C with cirrhosis, ischaemic heart disease, and a history of falls due to poor mobility and hepatic encephalopathy. After a fall on 14 July 2014, he was admitted to hospital…
84y · Male·general inanition on a background of end-stage dementia and a fractured neck of …
…es not suspicious, care was appropriate, and no recommendations were made. Clinical lessons include careful risk assessment for falls in sedated elderly patients with dementia, consideration of rehabilitation potential p…
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