Coronial

23 results for cognitive dysfunction

TAS2020-12-17

Coroner's Finding: Kettle, Terrence Michael

69y · Male·asphyxia due to choking on food

…ar-old man with significant medical comorbidities (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…

geriatric medicineemergency 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
VICmental health2018-09-14

Finding into death of Lynette Roberts

49y · Female·Motor vehicle accident related multi trauma including a severe head injury

… her demonstrated pattern of dishonesty about destination, known vulnerability, alcohol consumption, and cognitive dysfunction despite partial treatment response to clozapine.

psychiatrysystemcommunicationclozapine
VIChospital2025-07-28

Finding into death of Juvetta Pedruco Columbine

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

…recognition that aspiration risk is significant in post-stroke patients with swallowing difficulties and cognitive impairment, and that end-of-life care planning should address anticipated complications in this vulnerab…

infectious diseasesrespiratory medicine
VIChospital

Finding into death of Mr C

55y · Male·Ascending cholangitis due to choledocholithiasis

…nt biliary sepsis. He had multiple comorbidities including Alzheimer's disease, depression, and cardiac dysfunction, and was a specialist disability accommodation resident. He was admitted to ICU three times over severa…

intensive caregeneral medicineantibiotics
SAhospital2020-11-02

Coroner's Finding: HAUSLER Christopher Raymond

61y · Male·Creutzfeldt-Jakob disease

…3 March 2018 while subject 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 hi…

general practiceneurologydiagnostic
TAShospital2020-06-05

Coroner's Finding: Dickinson, Mary Marguerite

58y · Female·pneumonia, likely aspiration pneumonia

…ia on 20 January 2018 at the Roy Fagan Centre after admission with a complex scapula fracture and severe cognitive decline from alcoholic dementia. The coroner found her overall care at Royal Hobart Hospital and Roy Fag…

geriatric medicineemergency medicinecommunicationsystemmorphine
NThospital2015-07-10

Inquest into the death of Clare Harrison

29y · Female·multi-lobe community acquired pneumonia and respiratory failure

…n 5 January 2015 and admitted with severe malnutrition (BMI 9.36), bilateral pneumonia, and multi-organ dysfunction. The treating team, led by psychiatrist Dr T. and physician Dr E., managed a complex case balancing her…

psychiatrygeneral medicineantibiotics
NThospital2012-10-29

Inquest into the death of Name 'N'

9y · Female·Aspiration pneumonia due to cerebral palsy and seizures

Nine-year-old Aboriginal girl with severe cerebral palsy, cognitive impairment, and seizure disorder died of aspiration pneumonia in ICU following status epilepticus. She h…

paediatricsintensive caresystemanti-epileptic medication
SAhospital2020-06-18

Coroner's Finding: WILKS Deslandes

79y · Male·Pneumonia complicating ischaemic heart disease and dementia

…include recognising delirium superimposed on dementia, managing aspiration risk in elderly patients with cognitive decline, and appropriate end-of-life decision-making in advanced dementia with multiple comorbidities.

geriatric medicinepsychiatryrisperidone
VIChospital2015-10-22

Finding into death of Emilie Suzanne Le Coz

31y · Female·raised intracranial pressure due to ventriculoperitoneal shunt dysfunction (disc…

…iculoperitoneal shunt disconnection. She presented to hospital in March 2010 with progressive headaches, cognitive changes and behaviour deterioration. Investigations including x-rays clearly showed the peritoneal cathe…

neurologyneurosurgerydiagnosticcommunicationpropranolol
VIC2016-04-04

Finding into death of Werner Viertmann

83y · Male·Multiple injuries sustained in collision with train (pedestrian)

…ck by a train while attempting to climb from railway tracks. Despite living in aged care with documented cognitive decline and falls, he was permitted unsupervised community access per his daughter's written instruction…

geriatric medicinepsychiatrycommunicationsystem
NSWhospital2022-12-21

Inquest into death of Andrea LESTER

49y · Female·Hypoxic brain injury related to tracheostomy complications in form of airway occ…

…nosis. Following complex neurosurgery causing Wallenberg syndrome, she required tracheostomy for bulbar dysfunction. On 13 June 2018, she suffered cardiorespiratory arrest due to airway occlusion from sputum plugging an…

neurosurgeryintensive carediagnosticcommunicationtramadol
VICaged care2023-03-22

Finding into death of S M

91y · Male·Complications of cerebrovascular and ischaemic heart disease in a man post anaph…

…dministration. The patient developed severe DRESS syndrome with anaphylaxis, acute kidney injury, liver dysfunction, and elevated inflammatory markers. He subsequently suffered a cerebrovascular event and died. Multiple…

geriatric medicinegeneral practicediagnosticmedicationdiltiazem
WAhome2014-10-17

Inquest into the Death of Ethan (Subject to a Suppression Order)

15y · Male·Ligature compression of the neck (hanging)

…sk during adolescence, even in apparently stable placements, and may need mental health intervention for cognitive distortions about loss and self-blame.

psychiatrypsychologymelatonin
VICaged care2025-03-11

Finding into death of Dianne Elizabeth Harper

64y · Female·Aspiration pneumonia in a woman with multiple comorbidities

A 64-year-old woman with severe intellectual disability and multiple comorbidities died from aspiration pneumonia while in specialist disability accommodation. She had documented dysphagia and aspiration risk identified …

geriatric medicinespeech pathology
VIChospital2022-12-06

Finding into death of John Sloots

58y · Male·Aspiration pneumonia in a man with Down's syndrome and dementia

…ital four days later. The case highlights the clinical importance of recognising progressive swallowing dysfunction in vulnerable populations with intellectual disability and dementia, implementing appropriate precautio…

general medicinerespiratory medicine
NTcommunity2026-01-23

Inquest into the death of Kumanjayi Johnson

45y · Male·Environmental exposure and dehydration

A 45-year-old Aboriginal man with severe cognitive impairment (6.5-year-old equivalent English comprehension), traumatic brain injury, epilepsy and multipl…

geriatric medicinepsychiatrycommunicationsystem
NThospital2025-12-19

Inquest into the death of T. Ptjara and T. Ptjara

Male·Little Brother: multi-organ dysfunction due to hypothermia with contributing con…

Two Aboriginal brothers with chronic alcohol use disorder and cognitive impairment died in July and September 2023 in Alice Springs Hospital. Both had adult guardianship orders…

emergency medicineintensive carecommunicationsystem
NSW2022-07-22

Inquest into the death of Daniel KING

33y · Male·multiple gunshot wounds to the head, trunk and limbs

Daniel King died following multiple gunshot wounds sustained during a police operation. He had acquired a firearm and attended three locations in western Sydney, discharging it before arriving at Penrith Police Station w…

psychiatryneurologysystemcocaine

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