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Finding into death of Maxwell Rowllings

Deceased

Maxwell Rowllings

Demographics

69y, male

Date of death

2018-09-21

Finding date

2020-08-05

Cause of death

Complications of Downs syndrome and dementia (palliated)

AI-generated summary

Maxwell Rowllings was a 69-year-old man with Down syndrome and dementia who died in supported group accommodation. He had complex medical needs including intellectual disability, Alzheimer's disease, epilepsy, severe dysphagia, and aspiration risk. Following hospital admission in September 2018 for declining health and a prolonged seizure, he was discharged with palliative care recommencing through a community palliative care unit. He remained at his residence for end-of-life care with appropriate comfort-focused management. The coroner found the care afforded by the accommodation facility was timely and appropriate. Clinical lessons include early recognition of dysphagia severity, appropriate escalation to palliative care, and coordination between residential facilities and community palliative services. The care was appropriate and no deficiencies were identified.

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

Contributing factors

  • severe dysphagia with high aspiration risk
  • progressive neurological decline
  • Alzheimer's disease
  • epilepsy
  • inability to clear upper airway secretions
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