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Richards presented to accident and emergency on the 7th October 2004, primarily due to the progressive deterioration of end stage motor neuron disease that was diagnosed two years ago. Coupled with a medical history of Alzheimer's disease, renal stones, enlarged prostate, hypertension, and an osophageal rupture, Mr. Richards' health has continued to deteriorate as evidenced by weight decline, diminished appetite, decreased mobility, muscle wasting, poor oral intake and dysphasia. Prior to his admission to hospital, Mr. Richards was cared for at home by his wife, however due to severe cognitive disturbances together with motor neuron features, his wife can no longer care for him at home as she cannot determine his needs or understand his complaints...
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