Coronial

24 results for swallowing dysfunction

TAS2020-12-17

Coroner's Finding: Kettle, Terrence Michael

69y · Male·asphyxia due to choking on food

…ical lesson is that choking remains a significant risk in elderly patients with cognitive impairment and swallowing dysfunction, despite appropriate supervision and assistance with meals.

geriatric medicineemergency medicine
VIChospital2024-01-18

Finding into death of Amelia Antonopoulos

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

…se highlights the challenge of managing aspiration risk in patients with severe cognitive impairment and swallowing dysfunction. Key lessons include: ensuring clear communication of high aspiration risk to all carers pos…

emergency medicinepalliative care
VIChospital2010-06-01

Finding into death of Eileen Frances Wilson

52y · Female·Aspiration pneumonia complicating end-stage dementia

…ighlights the poor prognosis of aspiration pneumonia in end-stage dementia and the challenge of managing swallowing dysfunction in this population. Early recognition of aspiration risk and implementation of preventive me…

geriatric medicineinfectious diseasescefriaxone
VIChospital2021-11-25

Finding into death of Raylene Barbara Armstrong

55y · Female·Aspiration pneumonia in a woman with cerebral palsy (spastic quadriparesis)

…ex medical history requiring pureed foods and thickened fluids. Following GP assessment for coughing and swallowing difficulties on 2 January 2019, she was admitted twice to hospital in January. She was discharged on 18 …

general practicespeech pathologypregabalin
VIChospital2025-08-11

Finding into death of JBL

73y · Male·Multiorgan dysfunction in the setting of severe heart failure in a man with mult…

…th Fragile X syndrome, intellectual disability, Barrett's oesophagus, and epilepsy died from multiorgan dysfunction in severe heart failure. He had experienced progressive health decline over months, including falls, we…

geriatric medicinecardiology
VIC2012-08-16

Finding into death of Rosemary Auchettl

52y · Female·Respiratory failure due to recurrent aspiration pneumonia; Down syndrome as unde…

…ome 5 days later while seated in the lounge. Clinical lessons include the need for careful assessment of swallowing and feeding safety in patients with intellectual disability and aspiration risk, regular review of palli…

respiratory medicinepalliative care
VIChospital2025-07-28

Finding into death of Juvetta Pedruco Columbine

47y · Female·Aspiration pneumonia in the setting of type 1 diabetes mellitus, previous cerebr…

…ey clinical lessons include recognition that aspiration risk is significant in post-stroke patients with swallowing difficulties and cognitive impairment, and that end-of-life care planning should address anticipated com…

infectious diseasesrespiratory medicine
SAhospital2015-08-13

Coroner's Finding: ABINETT Murray Lawrence

81y · Male·Aspiration pneumonia complicating end stage fronto-temporal dementia on a backgr…

…tory. Clinical learning: in elderly patients with dementia on medication changes, careful monitoring for swallowing dysfunction and aspiration risk is essential, particularly when vomiting episodes occur. Early swallowin…

psychiatrygeriatric medicinediagnosticrisperidone
VIChospital2015-09-03

Finding into death of James Donohoe

59y · Male·Combined effects of acute on chronic pneumonia and pulmonary thromboembolism

…nd pulmonary thromboembolism. He had a long history of recurrent UTIs, chest infections, and significant swallowing dysfunction. During his final admission, recurrent aspiration despite naso-gastric feeding, hypernatremi…

respiratory medicinegeriatric medicine
NThospital2012-03-28

Inquest into the death of Master F

17y · Male·pneumonia and respiratory failure associated with choreoathetoid cerebral palsy

A 17-year-old Indigenous male with severe choreoathetoid cerebral palsy, feeding difficulties, and swallowing dysfunction died of pneumonia and respiratory failure in ICU. He had missed lunch medications (Baclofen …

general surgerypaediatricsmedicationbaclofen
VIChospital2024-11-08

Finding into death of Deren Yaan

28y · Male·Aspiration pneumonia with antecedent cause of cerebral palsy

…onia at Northern Hospital. Aspiration pneumonia is a known complication in people with disability due to swallowing difficulties. The coroner found no evidence of deficient clinical management by either the supported liv…

respiratory medicinepalliative care
VIChospital2018-03-08

Finding into death of Lesley Fallon

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

…spiration pneumonia. The case illustrates challenges in managing complex medically fragile patients with swallowing dysfunction and sepsis, and the difficult balance between nutritional support and aspiration prevention …

infectious diseasesrespiratory medicineantibiotics
NSWmental health2019-06-04

Inquest into the death of Andrea Sewell

46y · Female·hypoxic ischaemic brain injury as a result of cardiac arrest following a choking…

… a choking episode during a meal in a psychiatric intensive care unit (PICU). She had a prior history of swallowing difficulties from ODS but had made substantial symptomatic recovery by the time of her acute psychiatric…

psychiatryneurologyantipsychotic medications
VIChospital2012-08-15

Finding into death of Gregory Dean Coutts

46y · Male·Septic shock complicating pneumonia in the setting of spastic quadriplegia and e…

… hospital staff contributed to his death. The case highlights the vulnerability of patients with bulbar dysfunction to aspiration pneumonia and the importance of coordinated multidisciplinary assessment in managing comp…

general practiceemergency medicine
VIChospital2022-12-06

Finding into death of John Sloots

58y · Male·Aspiration pneumonia in a man with Down's syndrome and dementia

… man with Down's syndrome and dementia, died from aspiration pneumonia. He had a documented longstanding swallowing impairment that had been deteriorating, and was identified as high-risk for aspiration. Following pneumo…

general medicinerespiratory medicine
VICaged care2012-09-18

Finding into death of Brian Lench

58y · Male·Aspiration pneumonia in a man with a left middle cerebral artery stroke (palliat…

Brian Lench, a 58-year-old man with intellectual disability in DHS residential care, suffered a left middle cerebral artery stroke on 6 October 2011. He developed aspiration pneumonia complicated by acute respiratory dis…

emergency medicineneurologyantibiotics
VICaged care2025-03-11

Finding into death of Dianne Elizabeth Harper

64y · Female·Aspiration pneumonia in a woman with multiple comorbidities

… No systemic failures or preventable errors were identified. Key lessons include early identification of swallowing disorders in vulnerable populations and ongoing monitoring during functional decline, though the death a…

geriatric medicinespeech pathology
VIChospital2019-04-05

Finding into death of Richard Alan Jones

68y · Male·exacerbation of congestive cardiac failure and aspiration pneumonia on a backgro…

Richard Alan Jones, a 68-year-old man with cerebral palsy, intellectual disability, epilepsy, and cardiac disease, presented to Austin Hospital in respiratory failure from congestive cardiac failure exacerbation and aspi…

cardiologyemergency medicinemorphine
VIChospital2017-10-25

Finding into death of Larry James Faderson

53y · Male·Aspiration pneumonia in a man with myotonic dystrophy

A 53-year-old man with myotonic dystrophy and recurrent aspiration pneumonia died from aspiration pneumonia after premature discharge from hospital to a community residential unit. He was admitted with respiratory failur…

respiratory medicineinfectious diseasescommunicationsystem
SAhospital2019-12-03

Coroner's Finding: TAEGER Luke Victor

89y · Male·pneumonia on a background of advanced Parkinson's disease and dementia

An 89-year-old man with advanced Parkinson's disease and dementia died of aspiration pneumonia following hospital admission for behavioural management. He was subject to an Inpatient Treatment Order and required chemical…

geriatric medicinepsychiatrythyroxine

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