40 results for “speech disorder”
60y · Female·Aspiration of food in a woman with cerebral atrophy
Jytte Mortensen, a 60-year-old woman with multi-infarct dementia and schizoaffective disorder, died at Graylands Hospital from aspiration of food. She had documented dysphagia requiring a pureed diet…
68y · Male·Complications of a witnessed airway obstruction from food bolus in a man with dy…
A 68-year-old man with dysphagia and bipolar disorder died from airway obstruction and aspiration pneumonia after choking on a sandwich brought by his wife dur…
79y · Female·cardio-respiratory arrest consequent upon the aspiration of food
A 79-year-old woman with post-stroke dysphagia died from aspiration of food while hospitalised. A speech pathologist prescribed a minced diet after an unsuccessful soft diet trial, but the patient received a sof…
72y · Male·Choking on a food bolus
…lack of training in safe feeding techniques for residents with swallowing difficulties, absence of regular speech pathology assessments, and inadequate emergency response skills. Key clinical lessons: aged care facilitie…
65y · Female·choking on a tangerine
Ms Shelley Young, a 65-year-old woman with long-standing schizoaffective disorder and multiple complications from chronic antipsychotic use including dysphagia and tardive dyskinesia, die…
42y · Female·Hypoxic brain injury due to choking on food, with Cornelia de Lange Syndrome con…
…critical system failures: incomplete dysphagia assessment without follow-up, lack of collaboration between speech pathology and dietetics, inadequate support worker training on soft diet standards, and NDIS structural de…
90y · Female·Choking
…rom choking after consuming thin fluid (coffee) against medical recommendation. She had been reviewed by a speech pathologist on 15 November 2024 who recommended thick fluids only. On the day of death, family members req…
64y · Female·Aspiration pneumonia in a woman with multiple comorbidities
… accommodation. She had documented dysphagia and aspiration risk identified in February 2022, managed with speech pathology review and risk feeding protocols. Despite these interventions, she developed pneumonia by mid-M…
60y · Male·burn wounds and the consequences thereof
CD, a 60-year-old man with long-standing psychiatric history (schizophrenia/schizoaffective disorder) and alcohol use disorder, set his house alight on 19 September 2017 after becoming acutely unwell with p…
83y · Male·Aspiration pneumonia
…mined by his GP who diagnosed a chest infection and opted for conservative management in the nursing home. Speech pathology assessment later that day identified severe dysphagia and aspiration risk, recommending pureed d…
81y · Female·Aspiration pneumonia in an elderly lady
…g repeated admissions for the same condition. She had been assessed as 'very high risk of aspiration' by a speech pathologist in January 2019 but continued to receive inadequate mealtime assistance at her group home. A m…
9y · Female·suicide by hanging
…er's hospitalisation, and brother's removal. Play therapy was approved but never provided. She had delayed speech, possible FASD (unassessed), and was possibly over-medicated with methylphenidate. The coroner found she w…
42y · Female·Hypoxic brain injury due to choking on food, in a person with Cornelia de Lange …
…priate and Ms Lowry responded correctly to the emergency, systemic failures were identified: Ms Campbell's speech pathology assessment was incomplete and not followed up; Ms Rees' meal plan was not properly communicated …
51y · Male·Aspiration pneumonia in a man with severe scoliosis and cerebral palsy
…ion for drowsiness 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 det…
39y · Male·Hypoxic ischaemic encephalopathy complicating acute upper airway obstruction by …
…d at a group home on 24 November 2017. Multiple preventable failures occurred: no swallowing assessment by speech pathologist; staff unaware of dietician's recommendations to cut food into bite-sized pieces; absence of s…
57y · Male·Complications following food aspiration in a man with multiple co-morbidities
…5mm pieces). The chicken schnitzel was prepared as a fine-crumbed, tender, bite-sized meal. An independent speech pathologist considered it a borderline but acceptable meal choice given his history of managing similar fo…
68y · Female·glottic obstruction by food bolus
A 68-year-old woman with Huntington's disease, schizophrenia, and schizoaffective disorder died from glottic obstruction by food bolus while eating breakfast in a psychiatric hospital where she wa…
42y · Male·Aspiration pneumonia in the setting of impacted large bowel in a man with intell…
…een care home and hospital staff. These included absent monitoring of nutrition/constipation, undocumented speech pathology recommendations regarding aspiration precautions, and delayed medication reinstatement. While th…
61y · Female·Unascertained (natural causes)
Ms Harris, aged 61, with intellectual disability, autism spectrum disorder, and multiple medical conditions (including aortic regurgitation, hypothyroidism, dyspnoea, hyperlipidaem…
33y · Male·Cerebral haemorrhage
A 33-year-old man with Lowes syndrome (rare genetic disorder causing intellectual disability, blindness, epilepsy, and feeding difficulties) died from cerebral haemor…
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