Refractory seizures secondary to Lennox-Gastaut Syndrome (palliated)
AI-generated summary
Dorothy McIntosh, a 55-year-old woman with Lennox-Gastaut Syndrome and intellectual disability, died from refractory seizures in palliative care. She had experienced significant functional decline over 12 months, including increased seizure activity, reduced oral intake, and behavioural changes despite medication adjustments. Following neurology review, a Goals of Care Plan and seizure management protocol were developed collaboratively with her treating team, family, and disability support staff. Care was transitioned to palliative settings with appropriate escalation pathways. The coroner found that Scope disability support staff were attentive to her changing needs and that care provided was reasonable and appropriate. Death resulted from natural causes; no inquest was held.
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