Coronial

39 results for behavioural difficulties

TAS2021-03-25

Coroner's Finding: Gibson, Roger Alan

65y · Male·aspiration pneumonia

Roger Alan Gibson, a 65-year-old man with advanced Alzheimer's disease and severe behavioural disturbance, died from aspiration pneumonia at the Roy Fagan Centre. He had been admitted following esc…

geriatric medicinepsychiatryrisperidone
SAhospital2020-05-28

Coroner's Finding: FRANKLIN Murray Lenard

78y · Male·general inanition on a background of end-stage dementia

…age dementia whilst under involuntary psychiatric detention. He had advanced mixed dementia with severe behavioural disturbance and aggression requiring multiple hospitalisations. His condition progressively declined wi…

psychiatrygeriatric medicine
WAhospital2015-02-26

Inquest into the Death of Peta Susan DOIG

58y · Female·pneumonia and cardiac failure complicated by hypoxic brain injury

…sed at Graylands Hospital since age 13-14 due to lack of appropriate community accommodation and severe behavioural difficulties. On 3 January 2013, she developed a chest infection with low oxygen saturation (93%). Desp…

psychiatryintensive carediagnosticdelayazithromycin
VIC2022-09-20

Finding into death of Ms W

73y · Female·Complications of Dementia in a Woman with an Intellectual Disability and Epileps…

…care needs. Her condition had deteriorated markedly over preceding years with reduced mobility, feeding difficulties, and behavioural changes that exceeded the capacity of her current care setting. The death occurred in …

general practicegeriatric medicinemirtazapine
VICcommunity2010-09-20

Finding into death of Jesse Lee McGann

19y · Male·Hypoxic brain injury due to aspiration of food bolus

Jesse Lee McGann, a 19-year-old with severe autism, Asperger's syndrome, and documented swallowing difficulties, died from hypoxic brain injury caused by aspiration of a food bolus while in disability respite care. …

emergency medicineintensive caresystemcommunication
VICmental health2009-12-01

Finding into death of Francis John Willcox

81y · Male·myelodysplasia in an elderly man with dementia

… myelodysplasia, was admitted to Peter James Centre on 16 June 2008 as an involuntary patient following behavioural difficulties. Over the following week, his physical condition rapidly deteriorated with progressive ref…

psychiatrygeriatric medicine
WAhome2005-12

Inquest into the Death of Jake Willem Dunne-Heynis

15y · Male·Ligature Compression of the Neck (Hanging)

…a, died by suicide on 23 June 2004, two days after hanging himself at home. Jake had motor coordination difficulties attributed to poor eyesight, and experienced behavioural outbursts and educational struggles. A central…

communicationsystem
VICmental health2015-06-16

Finding into death of John Wilfred Knight

71y · Male·Sepsis due to bronchopneumonia and sacral ulcer

…chiatric inpatient unit after five months admission for frontotemporal dementia management. His complex behavioural and cognitive decline required multiple psychotropic medication trials including antipsychotics, benzod…

psychiatrygeriatric medicineolanzapine
VICcommunity2010-01-20

Finding into death of Jennifer Gibbins

54y · Female·Sepsis due to bronchopneumonia complicating malignant spindle cell tumour of rig…

…nvestigation of persistent respiratory symptoms, particularly in vulnerable patients with communication difficulties who cannot self-advocate. Staff reliance solely on behavioural observation for health assessment was in…

general practicerespiratory medicinediagnosticdelayantibiotics
SAhospital2020-11-02

Coroner's Finding: HAUSLER Christopher Raymond

61y · Male·Creutzfeldt-Jakob disease

…to a Level 2 Inpatient Treatment Order. He presented with rapidly progressive cognitive decline, speech difficulties, and motor dysfunction from November 2017 onwards. Initial assessment by his general practitioner attri…

general practiceneurologydiagnostic
SAhospital2020-07-16

Coroner's Finding: HARVEY Lawrence George

85y · Male·end stage dementia

…spital on 8 November 2017, his condition deteriorated rapidly with declining renal function, swallowing difficulties, and resistance to care. Palliative care was initiated on 13 November 2017 at family request. The coron…

geriatric medicinepsychiatryrisperidone
SAaged care2011-08-08

Coroner's Finding: BURNS John Arthur

63y · Male·cerebral infarction

…eview him or arrange hospital assessment. Haloperidol was prescribed excessively and inconsistently for behavioural management (agitation, wandering, attempted elopement, sexual disinhibition) despite successful non-pha…

general practicegeriatric medicinemedicationcommunicationhaloperidol
VICmental health2023-05-22

Finding into death of Peter Henry Scerri

60y · Male·Respiratory obstruction (choking by food)

…. He had been admitted for management of clozapine-induced constipation and urinary retention following behavioural disturbance. His mumbling and slurred speech, which concerned his sister, was thoroughly investigated i…

psychiatryemergency medicineclozapine
VICmental health2022-03-30

Finding into death of B J

24y · Male·Hypoxic brain injury secondary to hanging

BJ, a 24-year-old with paranoid schizophrenia, substance abuse disorder, and anti-social personality disorder, died by hanging in a psychiatric unit after a suicide attempt. He was admitted on 4 January 2016 with suicida…

psychiatryemergency medicinecommunicationsystemquetiapine
VICaged care2018-11-29

Finding into death of Nikolaos Margelis

82y · Male·Traumatic head injury due to head striking the floor

…esident-to-resident aggression in aged care facilities caring for cognitively impaired individuals with behavioural disturbances.

psychiatryemergency medicinequetiapine
QLDhome2008-09-19

12 year old boy at Kowanyama

12y · Male·Suicide by hanging

…erabilities including fetal alcohol syndrome, intellectual disability, emotional disturbance, and prior behavioural concerns. Child safety officers, one of whom was untrained and inexperienced, investigated a notificati…

paediatricspsychiatrydiagnosticsystem
VIC2012-10-19

Finding into death of Khuong An Huynh

33y · Male·Drowning

…ith substance use histories, and considering mental health assessment when patients present with sudden behavioural changes or erratic conduct. Family members and care providers should be alert to sudden disappearances …

VICaged care2014-07-14

Finding into death of Angelo Pettolino

92y · Male·Ischaemic Heart Disease

… psycho-geriatric care at St Georges Hospital. He had been admitted as an involuntary patient following behavioural and psychological symptoms of dementia that became unmanageable in respite care. On the morning of deat…

geriatric medicinegeneral practiceoxazepam
QLD2021-09-20

Harris, John Edward

47y · Male·Hanging

…ey clinical lessons: suicide risk assessments require integration of historical factors with contextual behavioural change; at-risk prisoners warrant enhanced environmental controls (safer cell design); communication be…

correctional healthpsychologyassessmentsystemcarbamazepine
NSWcommunity2023-03-28

Inquest into the disappearance and suspected death of Beilin Zhang

22y · Female·Unascertained

…mental health screening in at-risk populations, breaking isolation, and engaging family when concerning behavioural changes occur.

psychiatrypsychology

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