pneumonia on a background of chronic congestive cardiac failure and chronic obstructive lung disease
AI-generated summary
A 91-year-old man with chronic cardiac failure, COPD and atrial fibrillation presented with confusion, agitation and dyspnoea. Admitted with pneumonia and delirium, he exhibited combative behaviour and resisted oxygen therapy despite dangerously low saturations. A Level 1 Mental Health Act order was placed to enable treatment restraint. He received olanzapine for agitation and antibiotics for pneumonia but did not respond to treatment. He deteriorated with declining GCS and oxygen levels, a DNR order was established, and he died peacefully. The coroner found the Mental Health Act order lawful, appropriate and necessary to facilitate optimal care, and found the medical care provided was adequate.
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Specialties
geriatric medicineemergency medicinepsychiatrycardiologyrespiratory medicine
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