Coronial

161 results for medication refusal

QLDhospital2025-07-15

Inquest into the death of Errol George Radan

83y · Male·left middle cerebral artery cerebrovascular accident

…r anticoagulation and secondary stroke prevention. However, he refused anticoagulation and other cardiac medications for over 12 months prior to his fatal stroke. Forensic medicine advice confirmed that had Mr Radan comp…

neurologyemergency medicinedabigatran
TAShome2022-11-29

Coroner's Finding: Young, Andrew Robert

61y · Male·hanging

…ced psychiatrist for 16 years using supportive psychotherapy, as he consistently declined antidepressant medication. In early January 2020, he overdosed on prescription painkillers following relationship breakdown and wo…

psychiatrygeneral practicediazepam
TAShome2023-10-01

Coroner's Finding: Czerniejewski, Roswitha

66y · Female·aspiration pneumonitis and gangrenous necrosis of both feet

… wound care but were repeatedly obstructed by the patient's combative behaviour, unrealistic demands, and refusal of evidence-based dressing techniques. The patient refused to sign consent forms and discharged herself f…

general practicerheumatologysystem
VIChospital2026-07-27

Finding into death of Alan Gordon Wolstenholme

72y · Male·Complications of suspected upper gastrointestinal tract haemorrhage, hospital ac…

…admitted to Ballarat Hospital in July 2024 with lethargy, fatigue, and rapid atrial fibrillation. Due to medication charting errors on admission, he was prescribed multiple opioid medications (buprenorphine patch, oxycod…

cardiologyemergency medicinemedicationsystembuprenorphine
WAhome2019-07-23

Inquest into the Death of Stephen Thomas OXLEY

52y · Male·atherosclerotic and hypertensive heart disease

…erol and lipid testing, and ECGs. His mental health team appropriately maintained him on a CTO to ensure medication compliance after previous relapses with non-compliance. However, while the CTO authorised mental health …

psychiatrygeneral practiceflupenthixol
SAaged care2016-08-04

Coroner's Finding: CRAFTER Lorraine

88y · Female·General inanition on a background of advanced dementia and chronic renal failure

…. Following admission, she showed steady decline with reduced oral intake and regularly refused food and medication, stating she had little appetite. Staff documented her statements that she was not unhappy. The death wa…

geriatric medicine
VICaged care2025-09-10

Finding into death of IWT

77y · Female·Complications of malnutrition in a woman with paranoid delusions

…um. She was admitted following falls and required compulsory treatment under the Mental Health Act due to refusal of food, drink, and medication based on persecutory beliefs. Despite comprehensive clinical management in…

psychiatrygeriatric medicineolanzapine
SAhospital2016-08-25

Coroner's Finding: KENNEDY Brian

70y · Male·general inanition on a background of advanced frontotemporal dementia

…er. He was admitted to Flinders Medical Centre in January 2014 with escalating aggressive behaviours and medication non-compliance. He subsequently refused food and medication despite numerous interventions. Over two mon…

psychiatrygeriatric medicine
WAhome2004-06-04

Inquest into the Death of Paul John Long

37y · Male·Acute Aspiration Pneumonitis following on Quetiapine Ingestion

…d at St Bartholomew's hostel on the understanding he would self-medicate. Mental health staff restricted medication amounts initially due to concerns about impulsive overdosing, but on 1 November 2002, after a positive p…

psychiatrygeneral practicecommunicationsystemquetiapine
TAShome2017-02-23

Coroner's Finding: Greer, Rita

62y · Female·multiple self-inflicted stab wounds to the neck, thorax and abdomen

…ed stab wounds while experiencing a severe psychotic episode. She had schizophrenia with documented poor medication compliance since 1990. On 10 September 2007, she attacked her estranged husband with a knife while delus…

psychiatryforensic medicinecannabis
TAShome2021-11-18

Coroner's Finding: Lindburg, Jason Richard

49y · Male·undetermined - likely natural medical condition but cause could not be determine…

…0. The cause of death could not be determined due to advanced decomposition, though several prescription medications (quetiapine, amitriptyline, citalopram) were detected in his blood alongside his prescribed antipsychot…

psychiatrygeneral practicepaliperidone
NSW2024-09-17

Inquest into the death of Robert Phair

37y · Male·Cardiomegaly giving rise to lethal cardiac arrhythmia in the setting of drug tox…

…ial assessment, failed to communicate the plan to incoming shifts, and did not follow up when he refused medication. A nurse responded inadequately to his request to see a nurse. These breaches of Justice Health policy c…

addiction medicineemergency medicinediagnosticcommunicationheroin
QLD2023-01-25

Civic, Mirko

70y · Male·Coronary atherosclerosis

…k factors—aspirin for secondary prevention should have been initiated at admission; (2) Antihypertensive medications were discontinued in 2011 when the patient refused them due to side effects and were not resumed for ye…

cardiologygeneral practicediagnosticmedicationaspirin
VICmental health2025-07-14

Finding into death of Maxwell Bernard Howard

84y · Male·Bronchopneumonia in the setting of pulmonary emphysema and hypertensive heart di…

… He had multiple comorbidities including congestive heart failure, COPD, and bipolar disorder, with poor medication compliance from 2018. He was non-compliant with care, refusing physical examination and vital sign check…

psychiatryemergency medicinecarbamazepine
QLDhospital2023-01-24

Smith, David Frederick

45y · Male·Haemorrhagic transformation of cerebral infarction, due to bilateral internal ca…

…ound his medical care in custody and in hospital was appropriate. While there were gaps in cytoreductive medication (Anagrelide) administration due to both stock unavailability and patient refusal, expert evidence confir…

haematologyneurologysystemrivaroxaban
QLDhospital2016-02-29

Mr B - Non-inquest findings

84y · Male·Acute myocardial infarction precipitated by upper gastrointestinal haemorrhage f…

…resented as anaemia. Critical learning points: anticoagulant choice should consider patient's transfusion refusal status; clinical discharge summaries must reach GPs; a 40% haemoglobin drop warrants urgent action rather…

cardiologyhaematologymedicationcommunicationrivaroxaban
TAScommunity2019-08-13

Coroner's Finding: Jeffrey, Angela Joy

53y · Female·Unable to determine; circumstances suggest death by suicide but body never recov…

…she was going to the chemist. Her car was found abandoned near Bakers Beach with farewell notes, missing medication, and alcohol. Despite extensive search efforts, her body was never located. The coroner found her deceas…

psychiatrygeneral practiceantidepressant medication
VIC2023-09-08

Finding into death of Dorothy June McIntosh

55y · Female·Refractory seizures secondary to Lennox-Gastaut Syndrome (palliated)

…er 12 months, including increased seizure activity, reduced oral intake, and behavioural changes despite medication adjustments. Following neurology review, a Goals of Care Plan and seizure management protocol were devel…

neurologypalliative caremidazolam
TAShome2021-10-08

Coroner's Finding: Reaks, Karen Tracey

49y · Female·combined prescription drug intoxication (zopiclone, amitriptyline, periciazine)

…amitriptyline, and periciazine, with systemic lupus erythematosus as a contributing factor. She ingested medications in quantities exceeding prescribed doses. The coroner could not definitively determine whether this was…

general practicepsychiatrysystemdelayzopiclone
NSWmental health2014-06-18

Inquest into the death of Mark Richard GLEESON

39y · Male·respiratory failure as a result of the interaction of prescribed medication and …

…, 39, died from respiratory failure caused by the combined effect of prescribed antipsychotic/anxiolytic medications (olanzapine, quetiapine, clonazepam) and alcohol consumed within hours of discharge from Wollongong Hos…

psychiatryolanzapine
129

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