Coronial
VICaged care

Finding into death of Clive John Cook

Deceased

Clive John Cook

Demographics

68y, male

Date of death

2014-11-26

Finding date

2016-06-07

Cause of death

Complications of aspiration pneumonia in a man with intellectual disability (congenital acquired brain injury)

AI-generated summary

A 68-year-old man with severe intellectual disability and congenital brain injury died from complications of aspiration pneumonia. He had a long history of recurrent aspiration pneumonias and dysphagia. Following admission with vomiting, diarrhoea, and hypoxia, he received initial antibiotics and fluids but showed no improvement. A multidisciplinary family meeting on day 6 of admission agreed on conservative palliative care. He was transferred to palliative care where he continued to refuse oral intake and became increasingly unresponsive, dying peacefully 12 days after admission. The coroner found no causal connection between his placement in care and his death, and no preventability was suggested. Clinical lessons include recognising progressive dysphagia in intellectually disabled patients and timely transitions to palliative care with family involvement.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • oropharyngeal dysphagia related to intellectual disability
  • recurrent aspiration pneumonias
  • functional decline
  • poor oral intake
Full text

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