Dorothy Williams was an 85-year-old woman with intellectual impairment and dementia who died from complications of oesophageal cancer. She was diagnosed with inoperable oesophageal cancer in 2012 and managed palliatively at home with a stent insertion. A not-for-resuscitation status was established in July 2012 following multidisciplinary discussion. In her final illness, symptomatic management with medications was provided by her GP. The coroner found no issues with health management that affected her cause of death. This case highlights appropriate palliative care planning and end-of-life decision-making for a vulnerable person with communication difficulties living in residential care.
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