Coronial
VIChospital

Finding into death of Desmond Alick Budge

Deceased

Desmond Alick Budge

Demographics

63y, male

Date of death

2024-09-13

Finding date

2025-05-12

Cause of death

Aspiration pneumonia in a man with trisomy 21, Alzheimer's dementia and other medical co-morbidities

AI-generated summary

A 63-year-old man with trisomy 21 and advanced Alzheimer's dementia died from aspiration pneumonia while receiving specialist disability accommodation. He presented to hospital on 8 September 2024 with hypoxia and tachypnoea, was started on antibiotics and non-invasive ventilation, but his condition deteriorated over several days leading to a transition to end-of-life care. The coroner found the death was from natural causes with no deficiency in clinical management by either the supported independent living provider or hospital staff. The case demonstrates the expected natural progression of disease in a profoundly disabled individual with significant comorbidities. No clinical errors, diagnostic failures, or system deficiencies were identified. This death represents appropriate end-of-life care provision in the context of irreversible decline.

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

Contributing factors

  • trisomy 21 (Down syndrome)
  • advanced Alzheimer's dementia
  • asthma
  • osteoarthritis
  • history of testicular cancer
Full text

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