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ACTaged care2023-04-06

Inquest into the Death of Ruth McKay

90y · Female·acute bronchopneumonia caused by Staphylococcus aureus

Ruth McKay, 90, died of acute bronchopneumonia after accessing the external courtyard of the Memory Support Unit (MSU) at an aged care facility undetected in the early morning of 17 January 2015. She was found under a st…

geriatric medicineemergency medicinesystemcommunicationamitriptyline
ACThospital2022-09-16

Inquest into the death of Mrs Judith Gaye Flynn

72y · Female·subdural haemorrhage sustained from a fall from a hospital bed on 18 January 201…

Mrs Judith Gaye Flynn, aged 72, died from a subdural haemorrhage sustained when she fell from a hospital bed on the General Medicine Ward at Canberra Hospital. She was a high-risk fall patient with cognitive impairment, …

general medicineemergency medicinesystemcommunication
ACThome2022-05-19

Inquest into the Death of PAMELA VANCE

83y · Female·pneumonia with generalised atherosclerosis as a significant contributor

Pamela Vance, 83, died from pneumonia with generalised atherosclerosis as a significant contributor. She had multiple comorbidities including COPD, asthma, sleep apnoea and heart disease, complicated by recent falls and …

respiratory medicinegeneral practice
ACTaged care2020-06-02

Inquest into the death of VIOLA DIANA CLARKE

86y · Female·aspiration pneumonia

Viola Diana Clarke, an 86-year-old woman with multiple comorbidities including congestive heart failure, COPD, renal failure, gastric reflux and dysphagia, died from aspiration pneumonia. She was administered incorrect m…

geriatric medicinerespiratory medicinemedication
ACTaged care2018-02-28

AN INQUEST INTO THE DEATH OFEDWARD ROBERT DAVIS

88y · Male·left frontal lobe haemorrhage due to a fall

Mr Edward Davis, an 88-year-old man with epilepsy, stroke, dementia and on anticoagulation therapy, fell onto a Stand-Up Lifter positioned directly in front of him while waiting for a second staff member to operate it. H…

geriatric medicineemergency medicinesystemproceduralblood thinning medications
ACTaged care2017-03-15

AN INQUEST INTO THE DEATH OF GWENDA MARGARET MEMBERY

82y · Female·Acute bronchopneumonia

Gwenda Margaret Membery, an 82-year-old resident of aged care with dementia, COPD, and diabetes, died from acute bronchopneumonia. She presented with fever and cough on 3 July 2014, was diagnosed with respiratory tract i…

general practicegeriatric medicinececlor
ACTaged care2016-08-10

AN INQUEST INTO THE DEATH OFCHARLES ROWAN McCULLOCH

94y · Male·blunt head and neck trauma with associated haemorrhage; neck trauma included fra…

Charles Rowan McCulloch, aged 94, died from blunt head and neck trauma sustained in an assault by another dementia resident in Jindalee Aged Care Residence, ACT. He was admitted on 20 January 2012 and found deceased on 2…

geriatric medicineemergency medicinediagnosticcommunicationrisperidone
ACT2001-08

Inquest Into The Manner And Cause Of Death Of Brett Ponting

33y · Male·Cerebral hypoxia caused by drowning

A 33-year-old man with severe intellectual disability and cerebral palsy drowned in a bath at a supported accommodation house. Carers left him unattended in the bath despite an Individual Plan stating 'full assistance re…

geriatric medicineemergency medicinecommunicationsupervision

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