Finding into death of Graham Keith Moore
Deceased
Graham Keith Moore
Demographics
57y, male
Date of death
2025-02-11
Finding date
2025-10-09
Cause of death
Pneumonia with contributing factors of trisomy 21 and early Alzheimer's dementia
AI-generated summary
Graham Keith Moore, a 57-year-old man with Down syndrome and early Alzheimer's dementia, died of pneumonia at Bendigo Hospital on 11 February 2025. He resided in specialist disability accommodation and received NDIS-funded support. In early January 2025, he experienced multiple falls, agitation, hallucinations, and sleep disturbance, prompting hospital admission. During his one-month hospital stay, he developed urinary retention, poor oral intake, decreased mobility, and regularly refused care. On 1 February, he had a hypotensive episode managed as aspiration with fluids and antibiotics, but his condition deteriorated. He was transitioned to palliative care and died shortly after. The coroner found no evidence of inadequate clinical management or care by either the disability service provider or hospital staff that caused or contributed to his death. The death was attributed to natural causes.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Drugs involved
Clinical conditions
Procedures
Contributing factors
- trisomy 21 (Down syndrome)
- early Alzheimer's dementia
- cognitive decline and behavioural disturbance
- poor oral intake
- urinary retention
- aspiration event
- decreased mobility
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