82y · Male·Pneumonia on a background of severe mixed Alzheimer's and vascular dementia
An 82-year-old man with severe mixed Alzheimer's and vascular dementia died of pneumonia while detained under a Mental Health Act Level 2 Inpatient Treatment Order at a specialized psychogeriatric facility. He had been t…
54y · Male·Glioblastoma
Benjamin Goossens, a 54-year-old man in custodial supervision for a prior forensic mental health matter, died from glioblastoma at Austin Hospital following palliative care. He had a Grade 2 glioma identified in 2010 tha…
53y · Female·Complications of post-natal encephalitis including epilepsy; sudden unexpected n…
A 53-year-old woman with post-natal encephalitis, deaf, blind, and intellectually disabled, who had been in residential care since age 6, died suddenly at night in her community residential unit. She was found on the flo…
92y · Male·Ischaemic Heart Disease
Angelo Pettolino, a 92-year-old man with vascular dementia, ischaemic heart disease, and gastro-oesophageal reflux, died of sudden cardiac death while in psycho-geriatric care at St Georges Hospital. He had been admitted…
77y · Female·general inanition on a background of dementia, chronic subdural haematoma and ri…
Mrs Ann Perkins, aged 77, died from general inanition with dementia, chronic subdural haematoma, and fractured neck of femur as contributing factors. She sustained an unwitnessed fall at her aged care facility in Decembe…
92y · Female·Complications of congestive cardiac failure (palliated) in an elderly woman with…
This case involves an elderly woman with congestive cardiac failure, intellectual disability, and multiple comorbidities who died in a Department of Human Services residential care facility. In late September 2012, she d…
48y · Male·Aspiration pneumonia in a man with Angelman syndrome
Jason Hosie, a 48-year-old man with Angelman syndrome and profound intellectual disability, died from aspiration pneumonia following a lung infection. He was residing in specialist disability accommodation. In December 2…
55y · Female·aspiration pneumonia
Tracey Lee Cooke, a 55-year-old woman with severe intellectual disability, Parkinson's disease, and dysphagia, died from aspiration pneumonia at Footscray Hospital. She had five documented aspiration pneumonia episodes i…
74y · Female·Intracranial haemorrhages (non-operated) on a background of dementia
Frances Veronica Icke, aged 74, died from intracranial haemorrhages on a background of dementia. She fell at home on 31 December 2021 and was admitted to hospital with two brain bleeds. Neurosurgery determined she was no…
58y · Female·pneumonia, likely aspiration pneumonia
Mary Marguerite Dickinson, aged 58, died of pneumonia on 20 January 2018 at the Roy Fagan Centre after admission with a complex scapula fracture and severe cognitive decline from alcoholic dementia. The coroner found her…
83y · Female·unascertained
Felicity Ruth Loveday, aged 83, disappeared and is presumed deceased after setting sail from Port Phillip Bay on 11 December 2019 with her son. Ms Loveday had significant medical and cognitive vulnerabilities including s…
51y · Male·combined effects of dilated cardiomyopathy with myocardial fibrosis and prescrip…
Jacob MacDonald, 51, died at the Forensic Hospital from combined effects of dilated cardiomyopathy with myocardial fibrosis and toxic levels of clozapine and aripiprazole. He was an involuntary forensic psychiatric patie…
68y · Female·Complications of a fall with contributing factors of respiratory failure, respir…
Irene Charlish, a 68-year-old woman with longstanding schizoaffective disorder and multiple comorbidities, fell at her residential facility on 6 June 2017, sustaining a pneumothorax and rib fracture. She was admitted to …
3y · Female·bronchopneumonia in an infant with obstructive sleep apnoea
A 3-year-old Aboriginal girl died from bronchopneumonia complicated by severe obstructive sleep apnoea. She had rapid-onset childhood obesity (36 kg at death; normal weight 14-16 kg) with multiple cardiopulmonary complic…
40y · Female·Complications of WHO Class III Obesity
Cindy Jane Martin, a 40-year-old Aboriginal woman with treatment-resistant schizophrenia, WHO Class III obesity, and obstructive sleep apnoea, died of sudden cardiac complications seven days after psychiatric admission. …
33y · Male·hypoxic respiratory failure following right pneumonectomy for treatment of sever…
Manjit Singh, a 33-year-old Indian 457 visa worker, died from hypoxic respiratory failure following a pneumonectomy for treatment of severe pulmonary tuberculosis. He had latent TB identified pre-arrival in India. Critic…
84y · Male·Complications of large right subdural haematoma
An elderly man with cognitive impairment and multiple comorbidities fell out of bed at an aged care facility while an assistant in nursing (AIN) was absent obtaining equipment. The AIN had raised the bed to facilitate us…
28y · Female·bronchopneumonia complicating oxycodone toxicity
Melissa Jay Tatchell, aged 28 with severe anorexia nervosa (BMI 11.8, weight 29kg), died from bronchopneumonia complicating oxycodone toxicity. A locum doctor with no prior experience with oxycodone prescribed inappropri…
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