Complications of morbid obesity, including progressive respiratory and cardiac failure
AI-generated summary
Nicole Abbott, 43, died from complications of morbid obesity (BMI 54.4) including progressive respiratory and cardiac failure, exacerbated by smoking and obstructive sleep apnoea. She was subject to a Psychiatric Treatment Order for schizophrenia at time of death. The coroner found care provided by Calvary Hospital and ACT Mental Health Services was appropriate. While her father raised concerns about antipsychotic medication (zuclopenthixol) contributing to weight gain, the coroner found the medication choice was clinically appropriate given her serious mental illness, and treating clinicians actively monitored metabolic effects. Mental health teams made repeated efforts to encourage physical health improvements (diet, exercise, smoking cessation, sleep apnoea management) but these were largely unsuccessful due to her delusions and inability to accept illness. No deficient care was identified.
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Specialties
psychiatrycardiologyintensive careemergency medicinerespiratory medicine
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