Geoffrey Brooks
15 Sept 2023 · Coroner Philip Spinney · Exeter and Greater Devon
The coroner's concerns
1. inadequate fluid intake management
“During his evidence the consultant physician with the responsibility for the care and treatment of Mr [name redacted] acknowledged that the discharge summary was ambiguous and did not make it clear that the 2.5 - 3L was a target fluid intake; he agreed that it could be interpreted that Mr [name redacted] should be restricted to no more than 2.5 to 3L of fluid a day. As a consequence, the nursing home staff were unaware of the needs of Mr [name redacted]. The target fluid intake was not met in the period that Mr [name redacted] was”