Paul Hardy was a 36-year-old man with cerebral palsy, intellectual disability, blindness and epilepsy who died from complications of his cerebral palsy while in palliative care. He had experienced progressive deterioration with weight loss of 15kg, diminished eating ability, aspiration pneumonia and seizures prior to admission. The coroner found that medical care and management provided was reasonable and appropriate, and that his death was due to natural causes with no preventability issues identified. No clinical errors, communication failures, or system failures were identified that might have prevented this natural death.
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