67 results for “choking risk”
39y · Male·Choking on a food bolus
Mark Capovilla, a 39-year-old man with severe intellectual disability, epilepsy, and dysphagia, died from choking on food at his day program. He had a documented choking risk but lacked a current mealtime support plan a…
95y · Female·asphyxia due to glottic obstruction by food
…on rings. Care staff did not verify dietary requirements despite seeing inappropriate food textures. When choking began, the registered nurse incorrectly attributed coughing to chest infection rather than recognised cho…
52y · Male·asphyxia due to choking on food
…th Dunster, a 52-year-old man with chronic schizophrenia and cognitive decline, died from asphyxia due to choking on food at Millbrook Rise Rehabilitation Centre. He had a documented, well-known choking risk due to his …
72y · Male·asphyxia due to upper airway obstruction due to choking on food
A 72-year-old man with acquired brain injury, seizure disorder, and dysphasia died from asphyxia due to choking on food while eating eggs and ham on toast at a disability care facility. He had no documented swallowing…
54y · Female·choking on a food bolus in a woman with an intellectual disability and other med…
Tracie Lyndal Markwick, a 54-year-old woman with intellectual disability and dysphagia, died from choking on food at her day placement centre. She had a documented mealtime management plan indicating mild-to-mod…
Unknown·Choking; Mr Gesios: large bolus of bread and scrambled eggs causing complete air…
Two aged care residents died from choking on bread despite being prescribed minced and moist diets that prohibited regular bread. Mr Gesios was fed…
42y · Female·Choking on a food bolus
Deva Frijlink, aged 42 years with intellectual disability and schizoaffective disorder, died from choking on a food bolus during a supervised mealtime excursion. She was under the care of a support worker at a s…
21y · Female·hypoxic brain injury due to choking on food, with Bardet-Biedl Syndrome as a con…
…l Syndrome causing intellectual disability and developmental delays, died from hypoxic brain injury after choking on a Jaffa lolly while being driven in a minibus by a disability support worker. Critical clinical lesson…
51y · Female·Aspiration pneumonia
…r swallowing ability presented to hospital with a cough and was admitted on 15 December 2017, following a choking incident at her group home. She died on 23 December 2017 from aspiration pneumonia. The Disability Servic…
43y · Female·choking on a food bolus
Joanne Callahan, a 43-year-old woman with intellectual disability and autism, died from choking on a food bolus while attending a disability day program. Critical failures in communication between her …
56y · Female·Hypoxic ischaemic brain injury due to upper airway obstruction by food bolus
…a separate unit while two disability support workers prepared meals in another unit. A resident found her choking and had to seek help. Although staff commenced CPR immediately upon discovery, the prolonged anoxia resul…
28y · Female·asphyxia due to neck compression or strangulation
…roner's investigation identified critical clinical and legal lessons regarding non-fatal strangulation as a risk factor for homicide. Dobson had a documented pattern of violence against women involving choking and throat…
69y · Male·asphyxia due to choking on food
…ies (diabetes, amputation, prostate cancer, recent MI) and cognitive impairment, died from asphyxia after choking on food while a resident at Roy Fagan Centre, a psychiatric hospital for older persons. He was being assi…
19y · Male·aspiration of latex glove; intellectual disability
…ty to place objects in his mouth and required high-level support (level 5). Despite staff awareness of this risk, insufficient supervision was provided and choking hazards (latex gloves) were inadequately secured. Gloves…
69y · Female·Respiratory obstruction by aspirated food (Brussels sprout, chicken and carrots)…
…ncies: inadequate staffing (one carer supervising meals alone), lack of speech pathology assessment despite risk factors, failure to use appropriate choking management techniques (lateral chest thrusts), and non-function…
89y · Female·Acute upper airway obstruction by food bolus
…e was suboptimal in her final moments. Key clinical lessons include the need for proper staff training in choking management, timely emergency service activation, adherence to evidence-based first aid protocols, and vig…
39y · Male·Hypoxic ischaemic encephalopathy complicating acute upper airway obstruction by …
… of dietician's recommendations to cut food into bite-sized pieces; absence of staff training in managing choking risks; inadequate supervision during meals. Although a Nutrition and Swallowing Issue Checklist was compl…
59y · Male·asphyxia due to choking on food
Alexander Pasinski, age 59, died from asphyxia due to choking while an involuntary psychiatric patient in Launceston General Hospital's Northside unit. He had major de…
46y · Female·hypoxic ischaemic brain injury as a result of cardiac arrest following a choking…
…ic Demyelination Syndrome (ODS) and acute psychiatric illness, died from hypoxic brain injury following a choking episode during a meal in a psychiatric intensive care unit (PICU). She had a prior history of swallowing …
49y · Female·Unascertained (natural)
…ty, bipolar disorder, Parkinson's disease, and asthma, died at a disability services facility following a choking episode and acute respiratory distress. She had recently been hospitalized for serious injuries from a mo…
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