Coronial
VIChospital

Finding into death of Lesley Fallon

Deceased

Lesley Fallon

Demographics

56y, female

Date of death

2017-06-03

Finding date

2018-03-08

Cause of death

Aspiration Pneumonia in the setting of Cerebral Palsy and Epilepsy

AI-generated summary

Lesley Fallon, a 56-year-old woman with cerebral palsy and epilepsy living in high-level residential care, presented with sepsis complicated by pneumonia, cholecystitis, and aspiration risk. Despite aggressive treatment including antibiotics, blood transfusion, and MET team interventions on multiple occasions, her condition deteriorated. A speech pathologist appropriately identified aspiration risk and recommended nil oral intake on 24 May. However, nasogastric feeding tube insertion on 29 May precipitated instability. Surgery was deemed too risky given her physiological state. Care was transitioned to palliative approach based on poor prognosis. She died from aspiration pneumonia. The case illustrates challenges in managing complex medically fragile patients with swallowing dysfunction and sepsis, and the difficult balance between nutritional support and aspiration prevention in deteriorating patients.

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

Contributing factors

  • Cerebral palsy
  • Epilepsy
  • Aspiration risk
  • Sepsis
  • Pneumonia
  • Cholecystitis or biliary obstruction
  • Anaemia
  • Iron deficiency
  • Hypoxia
  • Physiological instability
  • Nasogastric tube insertion complications
Full text

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