88y · Male·acute traumatic left cerebral convexity subdural haematoma
An 88-year-old man with age-related cerebral atrophy fell at home on 10 August 2022, injuring his thumb. He presented to the ED alert and orientated, …
54y · Female·Complications of progressive dysphagia in a woman with Down syndrome and dementi…
Llona Doolan, a 54-year-old woman with Down syndrome and dementia, died from complications of progressive dysphagia. She was admitted to Western Hospital with difficulty swallowing and poor oral intake. A multidisciplina…
60y · Female·Aspiration of food in a woman with cerebral atrophy
…ion ended, the patient regurgitated the lamington, which aspirated into her airways. She had pre-existing cerebral atrophy, carotid artery stenosis, and ischaemic heart disease that made her vulnerable to rapid oxygen de…
49y · Female·Complications of Alzheimer's dementia in a woman with Down syndrome
A 49-year-old woman with Down syndrome and Alzheimer's dementia died unexpectedly at her supported accommodation facility. She was found on the floor in the morning, unresponsive. Autopsy confirmed Alzheimer's pathology …
60y · Female·Focal pneumonia in a woman with emphysema and ischaemic heart disease
A 60-year-old woman with long-standing schizophrenia/bipolar disorder, emphysema, and ischaemic heart disease died of focal pneumonia at Graylands Hospital. She had been an involuntary patient with multiple prior respira…
61y · Male·Creutzfeldt-Jakob disease
…nt by his general practitioner attributed symptoms to work stress; however, subsequent referrals revealed cerebral atrophy on MRI. A neurology referral was arranged, and he was admitted to hospital on 22 February 2018 wi…
57y · Female·Deterioration in setting of advanced dementia on a background of down syndrome
A 57-year-old woman with Down syndrome and advanced Alzheimer's dementia died from natural causes following a period of functional decline. She was residing in a Specialist Disability Accommodation facility and receiving…
62y · Female·Complications of progressive motor neurone disease
Margaret Rose 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 …
62y · Female·general inanition on a background of end-stage dementia
Merilyn Jane Fort, aged 62, died from general inanition on a background of end-stage Alzheimer's dementia whilst subject to a Mental Health Act Inpatient Treatment Order. She presented with severe behavioural disturbance…
80y · Male·Bronchopneumonia complicating terminal palliative care in an elderly man with ch…
Aurelio Monterlegre Cruz, an 80-year-old man with complex medical conditions including chronic renal failure, ischaemic heart disease, diabetes, and COPD, died of bronchopneumonia complicating terminal palliative care wh…
84y · Female·acute left subdural haematoma
…ates the particular risk of intracranial bleeding in anticoagulated elderly patients with dementia, where cerebral atrophy delays symptom recognition. Earlier hospital referral and imaging could potentially have identifi…
68y · Female·glottic obstruction by food bolus
A 68-year-old woman with Huntington's disease, schizophrenia, and schizoaffective disorder died from glottic obstruction by food bolus while eating breakfast in a psychiatric hospital where she was detained under the Men…
79y · Male·Unascertained
A 79-year-old man with vascular dementia, cerebrovascular disease, and a history of violent behaviour was placed under a non-custodial supervision order following a mental impairment finding. Approved leave to visit fami…
65y · Female·bowel cancer
Gillian Patricia Johnston, aged 65, died from bowel cancer at her home in Wangaratta on 27 December 2020. She was residing in disability support accommodation provided by Scope Australia. Ms Johnston had received appropr…
83y · Male·Pneumonia
An 83-year-old man remanded in custody at Ravenhall Correctional Centre died of pneumonia in St Vincent's Hospital. He had rapidly progressive dementia since 2021, was immobile and bedbound in his final six months, and h…
69y · Male·Complications of Downs syndrome and dementia (palliated)
Maxwell Rowllings was a 69-year-old man with Down syndrome and dementia who died in supported group accommodation. He had complex medical needs including intellectual disability, Alzheimer's disease, epilepsy, severe dys…
76y · Male·Unascertained - natural causes
Joseph David Jones, a 76-year-old man with schizoaffective disorder, was admitted to an acute psychogeriatric unit on 29 November 2022 for a relapse associated with medication non-adherence. He was commenced on intramusc…
84y · Male·severe head injuries (fracture of skull on right side, subarachnoid haemorrhage,…
An 84-year-old man with severe respiratory disease, cardiac failure, poor vision and confusion fell from a first-floor hospital window, sustaining fatal head injuries. The coroner found the death was not deliberately sel…
71y · Male·Organ failure in an elderly man receiving palliative medical care for renal fail…
Gheorghe Gruici, a 71-year-old life-sentenced prisoner, died of organ failure from chronic renal failure, infective endocarditis, and chest infection. Over 15 years in custody, he developed multiple comorbidities includi…
58y · Female·Aspiration pneumonia in association with rapidly progressive frontotemporal deme…
Julie Bruton, aged 58, died from aspiration pneumonia associated with rapidly progressive frontotemporal dementia and malnourishment. She was admitted to hospital on 17 December 2023 with acute respiratory distress and d…
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