A grandmother who suffered from mental health issues and addiction for a number of years died while on holiday with her partner.

Amanda Srivastava, 59, from Merseyside, was in Holker when she was found by her partner deceased in the bedroom of the caravan they were staying in.

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Amanda, known to family and friends as Mandy, had suffered for a number of years with mental health issues and addiction and an inquest, sitting at Cockermouth Coroners' Court on Wednesday (September 22) heard she had previously tried to take her own life.

Police were called to Old Park Wood Caravan Park on October 9, 2020, where emergency services said rigor mortis had already set in when they arrived.

A toxicology report carried out on Mandy found a number of prescription drugs in her system, these were found at a therapeutic level, none were said to be found at the fatal level.

Histopathologist, Dr Sissions, wrote a statement to the court explaining that drugs can significantly lessen the effects of natural gastric reflux of the body being able to remove liquid and food from the throat.

Based on this, he gave area coroner, Kirsty Gomersal, a cause of death as aspiration pneumonia which was said to be triggered by inhalation of gastric contents and combined toxic effects of drugs.

Dr Vinay Srivastava, Mandy's partner at the time of her death provided a statement for the court.

He said: "Amanda was born in Liverpool and later on her family moved to Garswood near Wigan.

"Amanda was the eldest child and often looked after her siblings while working as a hairdresser.

"Amanda loved looking after her granddaughter."

Amanda had four children.

You don't have to suffer in silence if you're struggling with your mental health.

Here are some groups you can contact:

Samaritans: Phone 116 123, 24 hours a day, or email [email protected], in confidence.

Childline: Phone 0800 1111. Calls are free and won't show up on your bill.

PAPYRUS: A voluntary organisation supporting suicidal teens and young adults. Phone 0800 068 4141.

Depression Alliance: A charity for people with depression. No helpline, but it offers useful resources and links to other information.

Students Against Depression: A website for students who are depressed, have low mood, or are suicidal. Click here to visit.

Bullying UK: A website for both children and adults affected by bullying. Click here.

Campaign Against Living Miserably (CALM): For young men who are feeling unhappy. There is a helpline: 0800 58 58 58 or visit the website.

In 2002 Amanda and Vinay got divorced but stayed together.

The statement continued: "Amanda suffered addiction and had mental health issues. She was prescribed drugs and became suicidal and her mental health deteriorated.

"She suffered from COPD and heart failure. Just before her death Amanda lost her balance and had a tendency to fall which would cause bruising."

Dr Srivastava noticed that when Mandy was prescribed Oramorph her behaviour changed, and some of the symptoms she suffered included drowsiness and confusion.

He told the court how Mandy was making plans for the future and had planned trips away with her granddaughter. She had asked him to book a trip to Dubai, a cruise and Disney World and reported that she was looking forward to being a season ticket holder in Liverpool once the football started again.

Natalie Pickles, of the North West Boroughs Healthcare, which is now Mersey Care NHS Foundation Trust, gave extensive evidence to the court following an investigation she carried out.

Miss Pickles was appointed to conduct an investigation into the treatment of Mandy.

She told the court that there were a number of missed opportunities in her care, including a delay to a face-to-face appointment, but concluded that overall she had received good care.

Miss Pickles explained that the pressures of the pandemic on the NHS were the main reasons for the delays in Mandy being able to have a consultation with a psychiatrist but said that robust measures were now in place to make sure routine assessments are undertaken within six weeks.

Miss Pickles reassured the court that lessons has been learnt from Mandy's tragic death.

Summing up the case, Ms Gomersal said: "Mandy was a much-loved wife, mother, grandmother, sister and friend.

"Mandy's loss will be felt for many years but her memory will live on and one of her legacies will be an award given to postgraduates of dental surgery at King George's Medical University.

"I find that Mandy was discovered by Dr Srivastava to be unresponsive in her bed on October 9, 2020, following an uneventful evening.

"I find there were no suspicious circumstances. I find that Mandy was found in the presence of medication. I find that Mandy has long term issues with pain, sleep and mental health. I find that the prescribing of medication for these problems were complex and that she was on a number of medications.

"I find that Mandy died of a deliberate act undertaken by herself alone. In relation to her intention when she took that medication, although she had suicidal thoughts and there is no evidence she intended to harm herself."

Ms Gomersal concluded that Mandy died of a misadventure., she also concluded the missed opportunities, on the balance of probabilities, did not contribute to her death.

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