Complications of metastatic colorectal cancer (palliated)
AI-generated summary
Stephen Ross Wakefield, a 66-year-old man with Fragile X Syndrome and intellectual disability, died from complications of metastatic colorectal cancer receiving palliative care. He was diagnosed with bowel cancer in 2015, which metastasised to his liver by late 2016. After deciding against chemotherapy due to poor prognosis and quality-of-life considerations, he received palliative care at his residential facility. His condition declined from April 2017 with reduced eating, increased sleep, weight loss, and declining mobility. He died peacefully at his residential care facility surrounded by carers. This case demonstrates appropriate end-of-life decision-making in a patient with intellectual disability, with carers and healthcare providers making compassionate choices aligned with the patient's best interests and quality of life.
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