161 results for “medication refusal”
49y · Male·combined drug toxicity
…ne, including ECG, blood pressure, and heart rate checks. Karl's lack of insight into his mental illness, refusal to engage with rehabilitation services, and guarded nature made therapeutic engagement challenging. The c…
18y · Unknown·Caitlin: suicide by hanging; Talieha: suicide by hanging; William: suicide by tr…
… and PTSD; she lived with her mother and a family member with whom she had a dysfunctional relationship, medication non-compliance (particularly lithium), housing instability, and recent relationship breakdown. Talieha h…
29y · Male·cardiac arrhythmia
…9 December 2015 in Long Bay Hospital's Mental Health Unit while in custody. The immediate trigger was his refusal to return biscuits he had retrieved; correctional staff unnecessarily called the Immediate Action Team (I…
57y · Male·Gunshot wounds to the head and abdomen
Martin Sheahan, 57, was fatally shot by Glenn Usher-Clarke at his home on 26 January 2022. Usher-Clarke, who held a NSW firearms licence and permit to acquire, legally purchased a shotgun in Victoria on 17 December 2021 …
35y · Male·Acute Staphylococcus aureus Meningitis
Christopher Nigel Spinks, a 35-year-old tree surgeon, died of acute Staphylococcus aureus meningitis on 3 December 2002. He initially presented on 27 November 2002 with neck pain following a windsurfing accident. Dr R. n…
50y · Male·Gunshot wounds to the chest
Mark Sheppard, aged 50, died from gunshot wounds sustained during a police response to a hoax emergency call at a caravan park. He had terminal end-stage COPD with alpha-1 antitrypsin deficiency and was using home oxygen…
31y · Male·Undetermined; most likely coronary atherosclerosis leading to arrhythmia, but as…
Sparka Huntington, a 31-year-old forensic mental health patient with a history of schizophrenia, violence, and drug use, died during physical restraint by hospital security officers and nursing staff on 14 December 2003.…
Female·multiple injuries due to a fall from height (suicide by jumping from multi-store…
…n July 2004 and was discharged on 30 August 2004 against medical advice, declining ECT and antipsychotic medication despite being delusional and at risk. On 19 September she deteriorated acutely with suicidal ideation an…
19y · Female·neck compression due to hanging
Emma Jane Claridge, 19, died by hanging at her home on 26 September 2009, nine hours after being granted day leave from the Cowdy Ward psychiatric ward where she was a voluntary patient. She had been admitted following a…
13y · Female·Acute paracetamol toxicity
Angel Hensgen, aged 13, died from acute paracetamol toxicity following intentional self-harm with an excessive overdose. She was exposed to intense cyberbullying, distressed by family relationships, peer conflicts, and a…
77y · Female·hypothermia from environmental cold exposure with contributing factors of advanc…
Mrs Janet Mackozdi, aged 77, died from hypothermia in an uninsulated shipping container at Mount Lloyd, Tasmania, on 23-24 July 2010. She had advanced Alzheimer's dementia and required 24-hour care. The coroner found her…
64y · Female·fatal cardiac arrhythmia in a lady with obstructed sleep apnoea, obesity and suf…
… afternoon. At 3.10 pm she received an intramuscular olanzapine injection to manage extreme agitation and refusal of care. She appeared to settle and fell asleep. At approximately 4.20 pm she was found unresponsive and …
53y · Female·Hypoxic brain injury due to hanging
A 53-year-old woman with severe depression, anxiety, and recent suicide attempt died by hanging in a psychiatric hospital's low-dependency unit. She had received ECT and was on hourly observations. On the day of her deat…
63y · Female·disseminated metastatic carcinoma of unknown primary in a woman with multiple sc…
Pamella Rees, a 63-year-old woman with longstanding multiple sclerosis, died on 30 June 2014 from disseminated metastatic carcinoma of unknown primary. Her cancer went undiagnosed despite regular GP contact. In her final…
32y · Male·Multiple injuries sustained in a fall from a height
Adam Laufer, a 32-year-old man with longstanding bipolar disorder, died by suicide on 24 November 2016 when he jumped from the LaTrobe Street overpass in Melbourne. In the early hours of 24 November, his father called tr…
26y · Female·Streptococcal Sepsis resulting from Skin Ulceration and complications of Cerebra…
Kate Therese Bugmy, a 26-year-old woman with cerebral palsy, epilepsy, and intellectual disability, died on 28 June 2007 of Streptococcal sepsis from infected pressure ulcers. She was cared for at home by her mother Daph…
28y · Female·aspiration of gastric contents complicating laxative abuse
…admission, a CT scan revealed dozens of tablets in her stomach, but staff accepted her explanation (pain medication). The diagnosis of eating disorder was not pursued despite severe weight loss, dehydration, and clinical…
55y · Male·Septicaemia due to hydronephrosis and infection
…etter information-sharing between health services. Clinical lessons include the need to challenge patient refusals when safety is genuinely compromised, maintain engaged follow-up despite non-compliance, and flag patien…
28y · Male·Multiple injuries sustained in a motor vehicle collision (driver)
…curred. Post-discharge observations on 2 February showed clear relapse signs (paranoia, disorganisation, medication non-compliance, manic presentation) but inadequate clinical escalation. The coroner found the discharge …
22y · Male·Combined drug toxicity (alprazolam, methadone, diazepam, dextromethorphan and op…
Adrian Westlund, a 22-year-old with complex drug-seeking behaviour and polypharmacy addiction, died of combined drug toxicity (alprazolam, methadone, diazepam, dextromethorphan). He manipulated multiple GPs by misreprese…
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