Ruth Gibbs, a 57-year-old woman with Down syndrome and chronic renal disease, died of pneumonia at Geelong Hospital. She had been in residential care from infancy. An autopsy confirmed death from natural causes with widespread pneumonia. An inquest was held because she was in state care immediately before death, as required by the Coroners Act. The coroner made no adverse findings regarding clinical management, noting that death resulted from natural causes in the context of her underlying medical conditions.
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