Deceased
Andrew Bond
Demographics
47y, male
Date of death
2017-07-06
Finding date
2018-09-13
Cause of death
Aspiration pneumonia in the setting of Down syndrome
AI-generated summary
Andrew Bond, a 47-year-old man with Down syndrome and significant disabilities, died from aspiration pneumonia after a chronic decline in swallowing function. He had oropharyngeal dysphagia since 2007 and Alzheimer's disease, with documented choking incidents in 2017. A speech pathologist recommended progression to pureed diet with thickened fluids. Although gastric feeding could have reduced aspiration risk, his family chose to continue oral intake to preserve quality of life and ability to enjoy favorite foods and social eating. He deteriorated rapidly in June 2017, was admitted with pneumonia, initially improved with antibiotics, but declined again. Comfort care was implemented and he died peacefully. The coroner found no evidence of large-volume aspiration or unnatural causes, and acknowledged that recurrent small aspirations with secretion retention in progressive dementia represents a natural endpoint.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
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