210 results for “falls risk”
86y · Male·head injury (acute intracerebral haemorrhage and subarachnoid haemorrhage)
An 86-year-old man with recurrent falls history was admitted to hospital after a fall at home. He was initially assessed as low falls risk (11/20 …
86y · Male·pneumonia
…n a nursing home bathroom and sustained rib fractures and T4 vertebral fracture. He was assessed as medium falls risk despite risk-taking behaviours and non-compliance with supervision. Discharged from hospital with pai…
81y · Female·acute on chronic subdural haematoma
…81-year-old woman with Lewy Body Dementia died from acute on chronic subdural haematoma following multiple falls in aged care. The nursing home had appropriately assessed her as high falls risk and implemented reasonabl…
76y · Male·Intracranial Haemorrhage Secondary to Blunt Head Trauma (Fall) in the Setting of…
…blast crisis was admitted to hospital with sepsis and pancytopenia from chemotherapy. He suffered multiple falls while confused from sepsis, sustaining a subdural haemorrhage that progressed despite maximal medical ther…
76y · Male·hospital-acquired pneumonia, age-related frailty, consequences of left neck of f…
…stress. The coroner found the fall itself was likely unpreventable but identified systemic deficiencies in falls risk assessment and prevention strategies at the facility. The nursing home's annual falls assessment poli…
59y · Female·Incised wound to right thigh and exsanguination
…ace McCreddan, a 59-year-old widow with multiple health conditions including limited mobility and frequent falls, died from exsanguination following an incised wound to her right thigh sustained in a fall at home. She w…
57y · Male·Head injury from fall; with coronary atherosclerosis and complete heart block wi…
… bipolar disorder died from head injury following a fall at Toowong Private Hospital. Critical failures in falls risk management were identified: no formal falls risk assessment was completed on admission despite prior …
89y · Male·peri-prosthetic fracture of right femur
…ed fall in his bathroom, sustaining a peri-prosthetic right distal femur fracture. He was assessed as high falls risk. Post-operatively his condition deteriorated with decreased consciousness; palliative care was adopte…
69y · Female·Complications of a subdural haemorrhage (palliated) sustained in a fall
… been recovering from a subarachnoid haemorrhage and aneurysm repair in June 2018 and was assessed as high falls risk requiring 'constant supervision'. On the day of death, she was transferred to a commode chair in the …
68y · Female·Complications of a right subdural haemorrhage (palliated), sustained in a fall
Vanna Vassallo, a 68-year-old with schizophrenia, chronic comorbidities and documented high fall risk, died from complications of a subdural haemorrhage sustained in a fall at an aged mental health inpatient u…
91y · Female·pelvic haematoma arising from a fracture of the neck of the left femur sustained…
… dementia, emphysema and cognitive decline was admitted to hospital after a fall. She was assessed as high falls risk but inadequate fall prevention measures were implemented—only verbal advice to remain in bed. Despite…
57y · Male·Hepatic encephalopathy, end stage liver failure, alcoholic cirrhosis, end stage …
…schaemic heart disease and required regular dialysis. During his final 29-day admission, he suffered three falls, the last causing a subdural haematoma. Following this injury, palliative care and dialysis withdrawal wer…
94y · Female·Complications of a fractured neck of femur sustained in an unwitnessed in-hospit…
…mplications of a fractured femur sustained in an unwitnessed hospital fall. Despite identification as high falls risk and implementation of falls mitigation strategies including sensor mat alarms, hourly rounding, and b…
92y · Male·Consequences of accidental fall at RACF: post-operative delirium, left femoral i…
…He developed post-operative delirium and died 8 days later. The coroner identified missed opportunities in falls risk assessment and prevention. Mr Bird was assessed as low falls risk despite being 92 years old, taking …
73y · Male·Acute on chronic subdural haematoma due to recent head trauma in the context of …
…alth inpatient unit following aggressive behaviour. He was placed on 15-minute observations due to Level 3 falls risk. Over several weeks, he sustained multiple head injuries from falls and altercations with other patie…
89y · Male·Congestive heart failure due to or as a consequence of ischaemic cardiomyopathy
…ceration during an unwitnessed fall at 2:45am on 9 November 2017. Clinical lessons include: (1) inadequate falls prevention despite documented high falls risk and previous falls; (2) failure to escalate acute health det…
85y · Male·Probable pneumonia following a hip fracture (comminuted fracture of right acetab…
…nd poor prognosis. He died from pneumonia on 15 July. The coroner identified significant failures in RFC's falls risk management: assessment was delayed nine days post-admission, high falls risk was not recorded on Aler…
65y · Male·Acute on chronic subdural haematoma caused by accidental falls
…entified a pre-existing subacute subdural haematoma from a prior fall. Despite documented fall history, no falls assessment, mobility evaluation, or comprehensive care plan was completed during his two-week admission. N…
84y · Male·Head and neck injuries sustained in a fall; specifically facial bone fractures a…
…are sustained fatal head and neck injuries from a fall on 13 May 2020. He had experienced seven documented falls over 2.5 months at the facility despite appropriate falls prevention strategies including bed and chair se…
72y · Female·acute on chronic renal failure due to sepsis and chronic left leg cellulitis
…lmonary hypertension, cardiac failure, COPD, and myelofibrosis, had a well-documented history of recurrent falls with prolonged periods unable to self-recover. Despite this predictable high-risk profile, she was dischar…
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