Coronial
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Finding into death of Patricia Shaw

Deceased

Patricia Shaw

Demographics

87y, female

Date of death

2015-10-27

Finding date

2017-09-11

Cause of death

combined effects of pentobarbitone, oxazepam, amlodipine and zopiclone ingestion with circumstantial evidence of external airway obstruction due to smothering and plastic bag asphyxia

AI-generated summary

Mrs Patricia Shaw, aged 87, died from combined drug ingestion (pentobarbitone, oxazepam, zopiclone, amlodipine) with evidence of smothering and plastic bag asphyxia. This was a planned end-of-life death undertaken with her husband's assistance. Mrs Shaw was a long-term patient of her GP who found her cognitively intact, without depression or suicidal ideation, and with an Advanced Care Directive in place. The case illustrates the clinical and ethical complexities surrounding end-of-life care in patients with progressive physical deterioration who wish to avoid institutionalisation. No clinical errors or failures in medical care were identified. The coroner noted the matter fell outside her jurisdiction given concurrent parliamentary development of voluntary assisted dying legislation.

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

Contributing factors

  • irreversible decline in physical mobility over two years
  • patient and spouse desire to avoid care home or hospitalisation
  • availability of pentobarbitone obtained from overseas
  • availability of nitrogen cylinder for spouse's use
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