Coronial

55 results for severe cognitive impairment

TAS2021-11-26

Coroner's Finding: Roberts Henry Arthur

87y · Male·Blunt trauma of the head and chest

…ng overrun by his tractor on 16 March 2020. He had multiple serious health conditions including leukaemia, severe vision impairment from macular degeneration, near-total deafness, and previous cognitive impairment. His o…

ophthalmologygeneral practice
VICcommunity2022-11-24

Finding into death of Durdica Serbec

65y · Female·Injuries Sustained in Motor Vehicle Collision (Pedestrian)

A 65-year-old woman with profound cognitive impairment was struck by a vehicle driven by a learner driver who was operating the motor vehicle withou…

SAhospital2018-07-27

Coroner's Finding: CUTTS Charles Desmond

70y · Male·aspiration pneumonia due to seizures

70-year-old man with insulin-dependent diabetes, cognitive impairment, depression, alcohol abuse history, and seizure disorder died from aspiration pneumonia follo…

emergency medicinepsychiatryrisperidone
SAaged care2024-01-19

Coroner's Finding: Elliott, Ronald Arthur

80y · Male·aspiration pneumonia on a background of severe oropharyngeal dysphagia and chron…

Ronald Arthur Elliott, aged 80, died of aspiration pneumonia complicated by severe oropharyngeal dysphagia and COPD following a hip fracture. He fell on 12 June 2020, underwent left hip hem…

orthopaedic surgerygeneral medicine
VIChospital2012-04-12

Finding into death of Gayle Maree Johnson

51y · Female·Complications of anorexia nervosa

A 51-year-old woman with severe anorexia nervosa, BMI 12.1, was admitted to hospital acutely unwell with hypothermia, bradycardia, heart b…

psychiatryemergency medicinediagnosticcommunication
VIC2012-06-04

Finding into death of Rosemary McGarrity

49y · Female·Aspiration Pneumonia and Dementia associated with Down Syndrome

…ppropriate. This case highlights the challenges of managing dysphagia and aspiration risk in patients with severe cognitive impairment and multiple comorbidities. Preventive measures such as careful feeding protocols, po…

palliative caregeriatric medicine
SAhospital2020-05-21

Coroner's Finding: SNIECIKOWSKA Alicja

68y · Female·chronic obstructive pulmonary disease

Ms Sniecikowska, a 68-year-old Polish-speaking woman with severe COPD, chronic alcoholism, cognitive impairment, and significant social isolation, was admitted to hospital…

respiratory medicineemergency medicinemorphine
NThospital2012-10-29

Inquest into the death of Name 'N'

9y · Female·Aspiration pneumonia due to cerebral palsy and seizures

Nine-year-old Aboriginal girl with severe cerebral palsy, cognitive impairment, and seizure disorder died of aspiration pneumonia in ICU following s…

paediatricsintensive caresystemanti-epileptic medication
NSWhome2022-11-04

Inquest into the death of EW

75y · Female·Plastic bag asphyxia in the setting of blunt force head injury

… July 2019 after being struck by her husband MW, who then took his own life. EW had advancing dementia and severe mobility limitations, with MW as her sole carer. The coroner found that assessments by aged care professio…

geriatric medicineoccupational therapysystemcommunication
TASaged care2025-10-14

Coroner's Finding: de-identified XT

86y · Female·Hypostatic pneumonia due to the consequences of a right pubic rami fracture and …

… assessment. Pain management was suboptimal after the fall; she was moved inappropriately by hoist despite severe pain. Hospital transfer occurred four hours post-fall, revealing fractures unsuitable for surgery. She die…

geriatric medicineemergency medicinediagnosticcommunication
WAhospital2021-03-08

Inquest into the Death of Stephen Craig SOLLY

63y · Male·respiratory failure in a man with lung cancer, chronic obstructive pulmonary dis…

… fibrosis while an involuntary psychiatric patient at Graylands Hospital. He had paranoid schizophrenia, cognitive impairment, and poor insight into his conditions. Despite heavy smoking (30 cigarettes daily) that he re…

psychiatryrespiratory medicineduloxetine
SAcommunity2000-03-13

Coroner's Finding: STRANGWAYS Kenneth Charles

34y · Male·aspiration pneumonia following seizure with concomitant global severe anoxic enc…

…tients with multiple diagnoses; service fragmentation between mental health and drug and alcohol agencies; severe staff shortages at the Public Advocate's office (1:150 caseload ratio); lack of appropriate secure accommo…

psychiatryneurosurgerycommunicationsystemanticonvulsant medications
SAhospital2020-11-02

Coroner's Finding: DAVIES Brian

79y · Male·myocardial infarction

…ile under an Inpatient Treatment Order for Alzheimer's dementia at Noarlunga Hospital. He presented with cognitive decline following his partner's death and developed agitated, paranoid behaviour requiring sedation with…

geriatric medicinepsychiatrymedicationoxazepam
VIChome2020-02-25

Finding into death of Laurie Henry Cartledge

44y · Male·Heroin toxicity in the setting of ischaemic heart disease

…r-old man with intellectual disability and acquired brain injury, died from heroin toxicity complicated by severe coronary artery atherosclerosis just one day after release from prison. He had been granted parole despite…

forensic medicineaddiction medicinesystemcommunicationheroin
VIChospital2024-01-18

Finding into death of Amelia Antonopoulos

60y · Female·Aspiration pneumonia in a woman with Down's syndrome with dementia and epilepsy

…ality of care. Clinically, this case highlights the challenge of managing aspiration risk in patients with severe cognitive impairment and swallowing dysfunction. Key lessons include: ensuring clear communication of high…

emergency medicinepalliative care
VICmental health2015-09-24

Finding into death of Elaine Elizabeth Sykes

58y · Female·Multiple injuries sustained in collision with train (pedestrian)

Elaine Sykes, aged 58, was admitted to Dandenong Hospital with acute renal failure and severe mental health deterioration. After 47 days at Acacia Mental Health Unit, she demonstrated substantial impr…

psychiatrygeneral medicinesystemcommunication
VICcommunity2026-03-05

Finding into death of Yewen Wang

Female·Hypothermia

Two young international students died from hypothermia while hiking Mount Bogong in severe weather conditions (temperatures -3.2 to 8.1°C, heavy snow, poor visibility, high winds). Despite possessi…

TASaged care2023-08-08

Coroner's Finding: Bell, Elizabeth Robertson

84y · Female·pneumonia and fracture of the neck of right femur following a fall

…oral neck sustained in a fall at a residential aged care facility. She had advanced Alzheimer's disease, cognitive impairment, impulsive behaviour, and was assessed as high-risk for falls. A movement sensor alarm, which…

geriatric medicinephysiotherapysystemproceduralmorphine
VIChospital2025-07-15

Finding into death of Linda Snadden

62y · Female·Aspiration pneumonia in the setting of refractory focal status epilepticus

Linda Snadden, a 62-year-old woman with cognitive decline, brain tumour history, and multiple comorbidities including severe sleep apnoea and pulmonary hy…

neurologyneurosurgeryanti-seizure medications
TAS2020-05-15

Coroner's Finding: Dennis, Wayne Phillip

31y · Male·Exsanguination due to multiple fractures received in a single vehicle crash

…ver five times the legal driving limit—and was not wearing a seatbelt. The combination of excessive speed, severe alcohol impairment, and failure to wear a seatbelt caused his vehicle to lose control on a slight curve, l…

alcohol

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