sepsis/leg cellulitis with peripheral oedema and congestive cardiac failure in the setting of treatment-resistant schizophrenia and emphysema
AI-generated summary
Andrew Leader, a 60-year-old man with treatment-resistant schizophrenia, emphysema, COPD, chronic hyponatraemia, and heart failure, died of sepsis from leg cellulitis with peripheral oedema and congestive cardiac failure. Admitted to hospital on 17 November 2021, he exhibited significant psychiatric symptoms including delusions and poor insight. Despite appropriate clinical management by hospital staff, he consistently refused essential treatments including intravenous antibiotics for cellulitis and fluid restriction for heart failure. The coroner found hospital care was of a high standard and his death from natural causes could not have been reasonably prevented, even with available coercive treatment powers under his Mental Health and Guardianship Orders.
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