Coronial

42 results for nasogastric feeding

VIChospital2012-05-07

Finding into death of John Harwood

65y · Male·pneumonia and aspiration

…ng hip prosthesis removal for infection. He experienced multiple aspiration episodes during attempts at nasogastric feeding after surgery in February 2011. The Health and Medical Investigation Team found medical managem…

orthopaedic surgerypalliative care
VIChospital2023-08-09

Finding into death of Shannon Troy Calvert

51y · Male·Aspiration pneumonia in a man with severe scoliosis and cerebral palsy

…on pneumonia after an aspiration episode. Despite speech pathology assessment, nil-by-mouth status, and nasogastric tube placement, he continued aspirating and deteriorated. The case highlights the challenge of managing…

speech pathologyinfectious diseases
SAhospital2014-11-28

Coroner's Finding: HOGAN Constance Mary

73y · Female·general inanition due to dysphagia on a background of multiple neurological and …

…al intake and anticipated non-cooperation with treatment. Despite appropriate supportive care including nasogastric feeding and intravenous hydration, she developed progressive neurological deterioration with dysphagia …

neurologypsychiatry
NSWhospital2019-12-13

Inquest into the death of Lorraine BARNES

85y · Female·sepsis, with aspiration pneumonitis being an antecedent cause. Iatrogenic injury…

…rition and electrolyte disturbances after refusing oral intake from hospital day 5 onwards. A fine-bore nasogastric tube was inserted on 30 April 2016 to provide enteral nutrition but was incorrectly positioned in the r…

general medicinerespiratory medicinediagnosticsystemciprofloxacin
VIChospital2023-05-02

Finding into death of Mr C

56y · Male·Complications of clostridium difficile and malnutrition in the setting of cerebr…

…ed in December 2021. On 23 January, clinicians determined he was not suitable for escalation of care or nasogastric feeding despite refusing oral intake. Palliative care was commenced on 26 January when no improvement o…

general medicinegastroenterologydelayvancomycin
VIChospital2018-03-08

Finding into death of Lesley Fallon

56y · Female·Aspiration Pneumonia in the setting of Cerebral Palsy and Epilepsy

…athologist appropriately identified aspiration risk and recommended nil oral intake on 24 May. However, nasogastric feeding tube insertion on 29 May precipitated instability. Surgery was deemed too risky given her physi…

infectious diseasesrespiratory medicineantibiotics
TAShospital2022-03-18

Coroner's Finding: Shields, Sandra Mary

63y · Female·sepsis and pneumonia due to immobility with sacral ulcer resulting from schizoph…

…ate medical management including antipsychotic medications, benzodiazepines, electroconvulsive therapy, nasogastric feeding, and a Mental Health Act treatment order, her condition proved resistant to treatment. She beca…

psychiatrygeneral medicineclozapine
VIChospital2011-01-20

Kaseybellastarrgower moyle 453809

<1y · Female·Spinal Muscular Atrophy - Type 1

…From April 2009, she received 24-hour inpatient palliative care at Royal Children's Hospital, including nasogastric feeding, suctioning, and morphine analgesia. Her parents resided with her but significant tensions deve…

paediatricspalliative caremorphine
SAhospital2025-05-20

Coroner's Finding: Lane, Kevin Roy

81y · Male·inanition complicating traumatic brain injury and disseminated malignancy

…nging behaviours. A guardianship order was obtained to enable medical care. Despite recommendations for nasogastric feeding, he consistently refused nutrition, stating he was dying and wanted peace. He was transitioned …

neurosurgerygeneral medicine
VICaged care2025-09-10

Finding into death of IWT

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

…ment including psychiatric review, medication optimization, dietitian involvement, and consideration of nasogastric feeding, she continued to refuse oral intake. A nasogastric tube was withheld to prioritize her express…

psychiatrygeriatric medicineolanzapine
VIChospital2024-06-13

Finding into death of Jennifer Rowallan Turnbull

79y · Female·Aspiration pneumonia in a woman with COVID-19 and multiple medical co-morbiditie…

…on with family. Following accidental dislodgement during a witnessed roll-out of bed, attempts to replace feeding tubes (NGT then PEG) proved challenging; she contracted COVID-19 and declined further invasive interventi…

general practicerespiratory medicineoral antibiotics
VIChospital2025-04-30

Finding into death of Margaret Ann Day

66y · Female·Ischaemic brainstem stroke

…window. She was admitted to the Stroke Unit, commenced on anticoagulation and supportive care including nasogastric feeding. Despite antiepileptic management, she developed progressive seizure activity and clinical dete…

neurologyemergency medicinelevetiracetam
VIChospital2024-08-07

Finding into death of Georgios Stamkos

68y · Male·Complications of a witnessed airway obstruction from food bolus in a man with dy…

…ing dysphagia, delirium, and bipolar relapse. Speech pathology had prescribed texture-modified diet and nasogastric feeding due to high aspiration risk. The patient and family repeatedly requested 'normal' food despite …

psychiatryspeech pathologyrisperidone
VIChospital2025-09-03

Finding into death of Olivia Alexandra Evans

15y · Female·Paracetamol toxicity in the setting of Anorexia Nervosa

…suring sustained oral eating predict continued food refusal at home; coercive interventions (restraint, nasogastric feeding) require reassessment if escalating; comorbid autism and depression demand earlier formal diagn…

psychiatrypaediatricsdiagnosticsystemparacetamol
QLDhome2025-07-15

Inquest into the death of Daniel Thomas Wright

<1y · Male·prematurity-associated lung and bowel disease

… growth charts were not consistently referenced to centiles despite available corrected-age charts; (3) nasogastric feeding was not offered despite poor oral intake; (4) discharge decisions on 28 February and 19 March 2…

neonatologypaediatricsdiagnosticcommunication
NSW2016-03-08

Inquest into the death of David FLEMING

61y · Male·pulmonary thromboembolus

…nical factors included post-operative complications from laryngectomy, which he complicated by refusing nasogastric feeding and adequate tracheostomy care. The coroner found no evidence of inadequate medical care, notin…

forensic medicinecardiology
SAhospital2014-11-28

Coroner's Finding: BLAIN Kathleen Olive Florence

79y · Female·acute myocardial infarction and acute pulmonary oedema

…ensive multidisciplinary management including medication trials (mirtazapine, citalopram, venlafaxine), nasogastric and PEG feeding support, and five ECT treatments (preceded by appropriate cardiology and neurology clea…

psychiatrycardiologymirtazapine
VIChospital2024-05-13

Finding into death of Gaye Marie Darby

58y · Female·Aspiration pneumonia

… little reversibility. After discussions with her supportive family, a palliative approach including risk feeding was chosen rather than nasogastric tube feeding or ongoing parenteral antibiotics. She deteriorated over …

geriatric medicinerespiratory medicineceftriaxone
WAhome2014-12-19

Inquest into the Death of Bethany

5y · Female·Epilepsy in association with Cerebral Palsy

… had multiple medical complexities including microcephaly, developmental delay, unsafe swallow managed by feeding tube, and severe spasticity requiring total care dependency. The coroner found the care provided by her m…

paediatricsneurology
SAhospital2021-11-23

Coroner's Finding: Osborne, Brian Thomas

89y · Male·combined effects of cerebrovascular accident, pneumonia and chronic cardiac fail…

An 89-year-old man with multiple comorbidities (ischaemic heart disease, diabetes, COPD) presented with chest infection and was admitted for heart failure. He suffered an acute stroke with subsequent delirium and combati…

cardiologyneurologyinsulin

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