Coronial

22 results for elder abuse

VIChospital2014-11-26

Finding into death of Ming Shan Yuan

88y · Male·Tuberculous pneumonia in the setting of multiple rib fractures, osteoporosis and…

…porosis and cachexia, died from tuberculosis pneumonia precipitated by multiple rib fractures. He suffered elder abuse and neglect by his primary carer daughter over months before hospitalization. A fall on 8 August 201…

emergency medicinegeriatric medicinediagnosticdelayantibiotics
TAShome2018-07-13

Coroner's Finding: Mackozdi, Janet Lois

77y · Female·hypothermia from environmental cold exposure with contributing factors of advanc…

Mrs Janet Mackozdi, aged 77, died from hypothermia in an uninsulated shipping container at Mount Lloyd, Tasmania, on 23-24 July 2010. She had advanced Alzheimer's dementia and required 24-hour care. The coroner found her…

geriatric medicinegeneral practicesystemcommunication
VIChome2025-03-11

Finding into death of Stephen Peter O'Brien

68y · Male·Head injuries

…community services to proactively identify hidden carers of adults with mental illness, implement targeted elder abuse awareness campaigns, and develop integrated response models for both victims and perpetrators of eld…

general practicepsychologysystemcommunication
NSWhospital2018-05-30

Inquest into the death of Marcia Clark

83y · Female·Combined effects of severe malnutrition and infection (septicaemia secondary to …

Mrs Clark, 83, died from severe malnutrition and infection including septicaemia from an infected sacral pressure ulcer that had existed for 7 months. She was admitted to hospital in a deplorable state with severe pressu…

geriatric medicinegeneral practicediagnosticcommunicationolanzapine
VIChome2022-01-03

Finding into death of Patricia Jocelyn Eve Grant

83y · Female·Aspiration bronchopneumonia in a setting of cerebral infarction

…wing cerebral infarction while living with her son and daughter-in-law. She experienced severe neglect and elder abuse in her final years: cessation of epilepsy medication (March 2013), progressive immobility, untreated…

general practicegeriatric medicinediagnosticsystem
VICaged care2013-08-22

Finding into death of MEHMET HASAN

87y · Male·Complications of subdural haematoma and fractured hip following a traumatic inci…

…. Key clinical lessons: (1) failures in proper escalation and investigation of patient safety concerns and elder abuse allegations can compromise patient care; (2) diagnosing injuries in dementia patients requires caref…

geriatric medicinegeneral practicesystemcommunication
VIChospital2025-06-03

Finding into death of DRF

95y · Female·Acute intracranial haemorrhage

…een living with her son UJN, who was her primary carer. Police received multiple reports of alleged verbal abuse and threats between September and December 2021. Critical failures in police response included: failing to…

geriatric medicineneurosurgerycommunicationsystemwarfarin
VIChome2017-07-12

Finding into death of Risto Pedevski

79y · Male·Head and neck injuries from blunt force trauma

…rmation-sharing between mental health and aged care services; and failure to recognize family violence and elder abuse in hospital and community settings. Western Health staff prioritized their own safety over the disch…

psychiatrygeriatric medicinediagnosticcommunicationantipsychotic medication
NSWcommunity2021-12-23

Inquest into the deaths of Judith CHRUPALO and Christopher CLEE

73y · Female·Unknown due to decomposition

…cumstances. The Hospital failed to make a guardianship application despite clear indicators of neglect and elder abuse. Lourdes community nursing discharged her in September 2015 based on representation by her son rathe…

geriatric medicinepsychiatrydiagnosticcommunication
TAShome2024-03-07

Coroner's Finding: Dorothy Jean Atkins

83y · Female·meningitis with sepsis with the likely source of infection being a large and dee…

Dorothy Jean Atkins, aged 83, died on 9 July 2017 from meningitis and sepsis secondary to a large stage 4 sacral decubitus ulcer. Autopsy revealed severe malnutrition (24.5kg, BMI 13), poor hygiene with faecal soiling un…

geriatric medicinepathologydiagnosticcommunicationirbesartan
NTcommunity2001-05-04

Inquest into the death of William Mason

68y · Male·unknown

William Mason, an elderly man living in a caravan at Humpty Doo, Northern Territory, was last seen on 19 March 1998 and reported m…

forensic medicinegeneral practice
VIChome2025-07-30

Finding into death of William Charles Heddergott

50y · Male·plastic bag asphyxia in the setting of ethanol intoxication and blunt force head…

William Heddergott, 50, died from asphyxiation with head injuries while intoxicated, in circumstances suggesting his mother Erica (who pleaded guilty to murder) perpetrated fatal family violence. Clinical lessons include…

psychiatrypsychologycommunicationsystemalcohol
VIChome2023-07-27

Finding into death of Loris Lesley O'Meara

75y · Female·Renal failure and ketoacidosis in a woman with chronic alcoholism and type 2 dia…

…nd chronic alcoholism died from renal failure and ketoacidosis at home. She was isolated, dependent on her elderly husband for care, and living in squalor. Over 20 disclosures of family violence to her GP were not adequ…

general practicegeriatric medicinecommunicationsystemmetformin
VIChospital2025-04-01

Finding into death of ZSQ

81y · Male·Community acquired pneumonia in a man with acute on chronic renal failure

An 81-year-old man with chronic respiratory disease and renal failure died from community-acquired pneumonia complicated by acute-on-chronic renal failure. He presented to hospital on 25 April 2023 with respiratory failu…

intensive carerespiratory medicinediagnosticdelayadrenaline
VIChospital2025-07-30

Finding into death of MHT

86y · Male·Complications of blunt force trauma in a man with cardiac amyloidosis and athero…

…did not prevent the fatal assault on 6 August 2022. The clinical lesson concerns recognition of vulnerable elderly patients with dementia and family violence history, and the need for coordinated emergency safeguarding …

emergency medicineneurosurgerysystemcommunicationondansetron
VIChome2024-04-23

Finding into death of Caroline Anne Willis

69y · Female·Multiple stab wounds

…ence risk assessment or offer specialist referrals despite documented disclosures of threats and financial abuse; (4) Victoria Police missed opportunities to properly investigate FVIO breaches in April-May 2017 by faili…

psychiatrygeneral practicecommunicationsystemmethamphetamine
QLD2017-12-15

Martin, Christopher Leslie

65y · Male·Spontaneous lethal arrhythmia on a background of cardiomegaly, myocardial fibros…

… risk assessment; (4) officers appropriately attempted resuscitation. The case highlights vulnerability of elderly dependent persons and need for comprehensive health assessment in high-risk individuals.

cardiologyforensic medicinedelayalcohol
VIChospital2025-07-30

Finding into death of YTR

78y · Female·Complications of prolonged immobility and malnutrition in a woman with retroperi…

A 78-year-old woman with schizophrenia, depression, and undiagnosed retroperitoneal lymphoma died from septic shock complicating severe pressure ulcers, malnutrition, and dehydration. She had been immobile on a couch for…

geriatric medicineintensive caredelaysystemasenapine
VIChospital2025

Finding into death of TBL

81y · Female·Multisystem failure in the setting of hyponatraemia secondary to chronic malnutr…

An 81-year-old woman with chronic schizophrenia, heart failure, and dementia died from multisystem failure secondary to severe malnutrition and hyponatraemia. Over four years, her son (Medical Power of Attorney) progress…

psychiatrygeneral practicesystemdelayrisperidone
VIChome2023-05-25

Finding into death of Emma Gertrude Weidemann

76y · Female·Effects of fire in a woman with head and neck injuries

Mrs Emma Weidemann, aged 76, died from burns sustained in a fire deliberately set by her husband Rudolf at their home on 11 December 2019. Rudolf had recently been diagnosed with terminal cancer, experienced cognitive de…

oncologypsychiatrydiagnosticcommunicationvenlafaxine

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