Lydia Christopherson, a 39-year-old woman with cerebral palsy, intellectual disability, and epilepsy living in supported accommodation, died from a large right pleural effusion complicated by chest infection. She presented to hospital in May 2024 with poor appetite and was found to have a right-sided pleural node with large effusion on CT. After discussion, her family elected not to pursue biopsy given her lack of symptoms and unlikely benefit of treatment. She was discharged but readmitted on 2 June 2024 with breathlessness and seizure. Despite attempts at treatment with antibiotics and intercostal catheter insertion, Lydia became distressed and refused care. Her family, in consultation with medical staff, transitioned her to palliative care where she died on 21 June 2024. The coroner found the care provided was reasonable, appropriate, and responsive, with no concerns identified. The death was from natural causes with no preventability issues identified.
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Specialties
respiratory medicineemergency medicinepalliative caregeneral medicine
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