428 results for “physical assessment”
46y · Female·pulmonary thromboembolism due to bilateral deep calf vein thrombosis
…to her acute psychotic illness. Staff recognised DVT risks and encouraged mobilisation, but comprehensive physical examination was hindered by her resistance. Elevated temperature and tachycardia on day 2-3 of admission …
55y · Female·Unascertained
…he cause of death unascertained, making causation determination impossible. Despite Expert opinions that assessment should have occurred, the coroner could not definitively resolve the contradictory accounts on the balan…
58y · Male·coronary artery arteriosclerosis (natural causes)
…found clinical care appropriate: no psychiatric error was made in discharging him on 19 April; he refused physical assessment while agitated at BMHU, making examination unsafe; antipsychotic medications were necessary an…
33y · Male·methylamphetamine toxicity; antecedent causes being the physiological effects of…
…stemic failures in ED design and drug addiction services contributed to his death. The coroner noted that physical restraint in an uncontrolled waiting room environment, combined with acute methylamphetamine toxicity and…
48y · Male·Ischaemic heart disease complicating restraint of an acutely agitated male
Daniel Richards, 48, died from ischaemic heart disease precipitated by restraint during a mental health assessment at home. He had underlying significant coronary artery disease with left ventricular hypertrophy and old…
45y · Female·aspiration of vomitus with bowel obstruction due to faecal impaction
…ltiple medications known to cause constipation (chlorpromazine, olanzapine, benztropine, lamotrigine), no physical examination was performed during her 11-day admission and no bowel chart was implemented. Critical gaps i…
58y · Female·pneumonia and cardiac failure complicated by hypoxic brain injury
…ation, inability to communicate symptoms verbally, and reliance on behavioural observations for clinical assessment. The coroner noted that earlier monitoring of her deteriorating physical condition was hampered by her a…
52y · Female·Hanging due to depression
…e. She was found hanging at the Cairns Showgrounds on 15 March. While the coroner found Dr L.'s clinical assessment and observation level were reasonable given the need to balance therapeutic care with safety, the case h…
32y · Male·Systemic sarcoidosis with severe steatosis and acute myocardial infarction
…acute myocardial infarction. The coroner found that haloperidol did not directly cause death; rather, the physical exertion during restraint combined with undiagnosed serious medical conditions proved fatal. Key lesson: …
42y · Male·Acute myocardial infarction caused by extensive coronary atherosclerosis
…entation processes in Offenders Health Services being unworkable, and about lack of supervision of inmate physical training activities. Clinical lessons include: recognising that chest pain following exertion in a young …
69y · Male·neck compression due to hanging
…nsistently denied suicidal ideation while expressing emotional distress about his wife, chronic pain, and physical limitations. He was reviewed daily by nursing staff and received appropriate specialist care. The inquest…
22y · Female·accidental drowning
…e but, faced with drowning all three, made the difficult decision to save the other child. The deceased's physical limitations (cerebral palsy affecting mobility, slight build of 52kg, lack of swimming experience) would …
52y · Male·atherosclerotic and hypertensive heart disease
…n-compliance. However, while the CTO authorised mental health treatment, it did not permit compulsion for physical health investigations. The coroner found the quality of mental health supervision and care was excellent,…
73y · Female·Unknown due to decomposition
Mrs Chrupalo, a 73-year-old woman with physical disability, cognitive impairment and alcohol dependency, was discharged from Dubbo Base Hospital on 8 Jul…
62y · Male·blunt trauma of chest and abdomen
…aximum), failure to relocate eastern signage when the worksite moved west of a railway bridge, absence of physical protective barriers (cones, bollards, shadow vehicle), and poor traffic management planning. Mr Close lac…
51y · Male·Aspiration pneumonia in a man with severe scoliosis and cerebral palsy
…and hypothermia, he developed aspiration pneumonia after an aspiration episode. Despite speech pathology assessment, nil-by-mouth status, and nasogastric tube placement, he continued aspirating and deteriorated. The case…
26y · Male·Hypoxic ischaemic encephalopathy in the context of neck compression
…h issues and substance use died from hypoxic ischaemic encephalopathy caused by neck compression during a physical altercation with his brother at a family event. Mr Anthony had a history of drug-induced psychosis, multi…
71y · Male·Combined effects of ischaemic and valvular heart disease
…oid schizophrenia was detained under the Mental Health Act after community mental health workers observed physical signs of heart failure (dyspnea, bilateral pitting edema) during home visits. Despite psychiatric assessm…
40y · Male·drowning whilst engaged in scuba diving
… coronary artery stenosis, drowned while scuba diving at Picnic Beach, Tasmania. He demonstrated signs of physical overexertion during the walk to the beach and early in the dive, including heavy breathing and dyspnoea. …
27y · Male·Sudden cardiac arrest in the context of physical and psychological exertion duri…
Steven Nixon-McKellar, a 27-year-old First Nations man, died following a physical altercation with Queensland Police officers attempting to arrest him on 7 October 2021. He suffered cardi…
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