Coronial

93 results for cognitive disability

VICcommunity2024-01-15

Finding into death of Michael John O'connell

57y · Male·Pneumonia

Michael John O'Connell, a 57-year-old man with Down's syndrome and Alzheimer's disease-related cognitive decline, died from pneumonia while resident in specialist disability accommodation. On 26 April 2023, he…

general practicedisability medicinedelaymirtazapine
VIC2025-05-27

Finding into death of Leo Patrick O'Sullivan

57y · Male·complications of Down's Syndrome and Dysphagia - aspiration pneumonia

Leo Patrick O'Sullivan, a 57-year-old man with Down's syndrome, intellectual disability, and Alzheimer's disease, died of aspiration pneumonia in palliative care. The coroner found no evidence…

palliative care
TAScommunity2023-12-14

Coroner's Finding: Norrish, John Thomas

52y · Male·Unable to determine

…om St Helens, Tasmania on 25 November 2018 and is presumed dead. He had an acquired brain injury causing cognitive impairment, physical disability, and a tendency to become disoriented. In the weeks before disappearance…

VIChome2020-02-25

Finding into death of Laurie Henry Cartledge

44y · Male·Heroin toxicity in the setting of ischaemic heart disease

Laurie Cartledge, a 44-year-old man with intellectual disability and acquired brain injury, died from heroin toxicity complicated by severe coronary artery atheroscleros…

forensic medicineaddiction medicinesystemcommunicationheroin
VICcommunity2026-03-25

Finding into death of Daina Louise Clark

48y · Female·Complications of early onset dementia

Daina Louise Clark, aged 48, died from complications of early onset dementia at a specialist disability accommodation facility in June 2025. She had been diagnosed with early onset dementia in 2019 with an ex…

neurologypalliative careclonazepam
TAScommunity2018-12-05

Coroner's Finding: Webb, Shanelle Jean

22y · Female·Sudden Unexpected Death in Epilepsy (SUDEP)

22-year-old woman with epilepsy, cognitive disability and schizophrenia died of Sudden Unexpected Death in Epilepsy (SUDEP) during respite care. Sh…

neurologydisability medicinesystemdelayolanzapine
VIChospital2026-04-16

Finding into death of Damien Mark Stone

53y · Male·Aspiration pneumonia in the setting of Down syndrome and pelvic fractures

…ntrolled pain on 26 September but medical review was delayed until 1:30pm the next day; (3) absence of a Disability Liaison Officer and incomplete care planning meant staff lacked guidance on communication methods; (4) o…

emergency medicineneurologydiagnosticcommunicationoxycodone
VICcommunity2021-03-31

Finding into death of Bruce Vernon Taylor

53y · Male·Complications of old brain injury in prior motor vehicle incident

…complications of a remote brain injury sustained in childhood motor vehicle accident. He lived in shared disability accommodation and received support through NDIS. In the 12 months before death, his cognitive and physic…

general practiceneurologysodium valproate
VIChospital2025-08-11

Finding into death of SJ I

55y · Female·Complications arising from Down's Syndrome and dementia (bronchopneumonia)

…District Health Service. She was admitted in April 2025 with pressure ulcers and experienced progressive cognitive and functional decline during her hospitalisation, including refusing food and progressive immobility de…

geriatric medicinedisability medicine
VICcommunity2026-05-22

Finding into death of Loretta Therese Ward

64y · Female·Urosepsis and pneumonia on a background of dementia and cognitive decline

Loretta Therese Ward, aged 64, was living in Specialist Disability Accommodation (SDA) under NDIS support due to Lewy Body dementia and cognitive decline when she develope…

palliative caregeneral medicine
VIChospital2025-08-22

Finding into death of Tracey Ellen Maree Wood

60y · Female·Pneumonia with large pleural effusion

Ms Wood, a 60-year-old woman with Down syndrome, Alzheimer's disease and epilepsy residing in specialist disability accommodation, developed pneumonia with large pleural effusion and died in hospital. A speech pathologis…

general medicinespeech pathology
VIChospital2019-06-06

Finding into death of J Y

24y · Female·injuries sustained in descent from height

A 24-year-old woman with intellectual disability and borderline personality disorder died from injuries sustained in descent from height from a sixth-flo…

psychiatryemergency medicinecommunication
VIChome2025-09-02

Finding into death of Noel John Biggs

66y · Male·Undetermined (natural causes)

A 66-year-old man with multiple chronic conditions including Parkinson's disease, spastic gait syndrome, cognitive impairment, atrial fibrillation, and swallowing difficulties died at his supported disability accommodat…

general practiceforensic medicinelevetiracetam
VIChospital2025-07-28

Finding into death of Juvetta Pedruco Columbine

47y · Female·Aspiration pneumonia in the setting of type 1 diabetes mellitus, previous cerebr…

…mplex comorbidities died from aspiration pneumonia at Austin Hospital. She had been living in specialist disability accommodation with support services. The coroner found no evidence of clinical mismanagement by disabili…

infectious diseasesrespiratory medicine
VIChome2025-01-08

Finding into death of Ivy McGowan

28y · Female·Cerebral x-linked adrenoleukodystrophy

… causes. She had experienced progressive deterioration from late 2022, with increasing neuropathic pain, cognitive decline, hallucinations, and visual loss. Her care involved palliative services, medication trials inclu…

palliative caregeneral practicefentanyl
VIChospital2025-12-08

Finding into death of Philip Riley

60y · Male·Aspiration pneumonia complicating Down syndrome

…April and was transitioned to palliative care. The coroner found no clinical mismanagement by either the disability service provider or hospital staff. This case highlights the natural progression of aspiration risk in p…

respiratory medicinepalliative care
NSWcommunity2021-12-23

Inquest into the deaths of Judith CHRUPALO and Christopher CLEE

73y · Female·Unknown due to decomposition

Mrs Chrupalo, a 73-year-old woman with physical disability, cognitive impairment and alcohol dependency, was discharged from Dubbo Base Hospital on 8 July 2015 aga…

geriatric medicinepsychiatrydiagnosticcommunication
VIChospital2025-06-02

Finding into death of Julie Elizabeth Bruton

58y · Female·Aspiration pneumonia in association with rapidly progressive frontotemporal deme…

…23 with acute respiratory distress and died three days later. The coroner found the care provided by her disability support service and hospital were reasonable and appropriate. However, the finding contains significant …

palliative caregeriatric medicine
VIChospital2024-01-18

Finding into death of Amelia Antonopoulos

60y · Female·Aspiration pneumonia in a woman with Down's syndrome with dementia and epilepsy

…care. Clinically, this case highlights the challenge of managing aspiration risk in patients with severe cognitive impairment and swallowing dysfunction. Key lessons include: ensuring clear communication of high aspirat…

emergency medicinepalliative care
QLDhome2009-09-15

Leach, Irene Clare

94y · Female·compression of the neck

…ce to operate, and had experienced previous operational problems. The deceased, who had mild age-related cognitive decline, may have confused the lift's operation. The coroner found the lift design and installation larg…

system

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