Deceased
Stuart Anthony Wills
Demographics
45y, male
Coroner
Coroner Darren Bracken
Date of death
2014-05-20
Finding date
2021-10-01
Cause of death
Aspiration of food bolus, with cerebral palsy as contributing factor
AI-generated summary
Stuart Wills, a 45-year-old man with cerebral palsy and severe dysphagia, died from aspiration of a food bolus while receiving meal assistance at a supported accommodation facility. Prior to his death, a speech pathologist updated his feeding profile to require all food be pureed and minced. On 20 May 2014, a disability support worker provided him with incompletely processed sausage, which he aspirated. The coroner found this was an isolated lapse in judgment by the support worker rather than failure of training or competence, and did not identify opportunities for prevention. The incident highlights the critical importance of strict adherence to individualised feeding regimes for people with severe swallowing difficulties, especially after recommendations have been updated.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
62y · Male·Hypoxic ischaemic encephalopathy complicating cardiac arrest in setting of acute…
John Michael Jurdeczka, a 62-year-old man with autism, intellectual disability, and dysphagia, died from hypoxic ischaemic encephalopathy following cardiac arrest caused by acute upper airway obstruction from a food bolu…
62y · Male·Hypoxic ischaemic encephalopathy complicating acute upper airway obstruction by …
John Kamps, a 62-year-old man with intellectual disability, autism, epilepsy, and dysphagia, died from hypoxic ischaemic encephalopathy following airway obstruction by food bolus. He choked on toast at breakfast despite …
57y · Male·Hypoxic ischaemic encephalopathy secondary to prolonged downtime due to upper ai…
A 57-year-old man with intellectual disability and a documented history of choking died from hypoxic ischaemic encephalopathy following airway obstruction by food at a day activities program. Despite having a choking man…
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