Coroner's Finding: JEISMAN Leonie Faye

45y · Female·Type 2 respiratory failure and aspiration pneumonia on a background of end-stage chronic obstructive lung disease and schizoaffective disorder

Leonie Jeisman, a 45-year-old woman with chronic obstructive pulmonary disease (COPD), schizoaffective disorder, obesity, and obstructive sleep apnoea, died from Type 2 respiratory failure and aspiration pneumonia. She was admitted to Royal Adelaide Hospital in August 2014 with haemophilus pneumonia and remained as an inpatient for five months until her death. Her condition progressively worsened despite treatment, complicated by poor CPAP compliance, ongoing smoking, and inability to be discharged to alternative care settings. Palliative care was appropriately initiated given her terminal respiratory illness and poor prognosis. The coroner found no deficiency in her hospital care. The case highlights the challenges of managing patients with multiple comorbidities, mental health issues, and poor health compliance in an acute hospital setting.