[Smartaleck]

"The manner of death is actually removal of her hydration/nutrition."

Similarly, she could have been in a car accident and needed assisted breathing as a result of her injuries. If the assisted breathing is removed, it's obvious the person died from such.

But, the root cause was the car accident which gave rise to the need for the assisted breathing. It's a matter of talking about two different incidents.

Some may argue she wasn't dead, she wasn't in a PVS etc. but she did cease to function on some level and further so when her hydration tube was removed. The report tries to distinguish the the two.

[Gondring]

I recall seeing "stoppage of breath" on some old death certs. Gotta love it.