Coroner Graeme Irvine emphasized that the care Chloe Every received is "an example of what not to do." This highlights critical failings in her treatment.
Ms. Every’s family demonstrated great determination to uncover the failures in her care, prompting an investigation that might not have occurred without their tenacity.
Nurse Asia Bawah believed that Ms. Every had given non-verbal consent for the enema procedure, though Ms. Every was asleep at the time.
The coroner noted that improvements must be made within medical practices to ensure proper consent and care protocols are adhered to in sensitive cases.
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