Ischaemic heart disease secondary to coronary atherosclerosis
AI-generated summary
Neil Bethune, 83, died from ischaemic heart disease with coronary atherosclerosis while an involuntary psychiatric patient at Normanby House. He was admitted following assessment for self-neglect and safety concerns, commenced on multiple psychoactive medications including benzodiazepines and antipsychotics. During transfer between facilities, he experienced altered consciousness with Glasgow Coma Score dropping to 3, requiring diversion to hospital for investigation. Despite normal investigations, he was discharged to Normanby House where he died suddenly during sleep 24 hours later with asystole confirmed. The coroner found no clinical care failures contributed to death. A family concern regarding failure to notify them of the acute episode during transfer was noted but found unrelated to the fatal outcome.
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