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The urine-soaked bed elderly mum was left in before dying from fatal bedsores

A Sydney mother was not provided with the "necessities of life" when she developed fatal pressure injuries while in her urine-soaked bed, a trial of her two sons has been told.

Australian Federal Police diplomatic protection officer Phillip Thompson, 43, and unemployed brother David Thompson, 40, have pleaded not guilty to the manslaughter of their 72-year-old mother who died in Blacktown Hospital on September 2, 2017.

The Crown alleges the men were aware of the deteriorating condition of Shirley Thompson weeks before the younger son rang for an ambulance on August 23, saying his bedridden mother couldn't eat and had a wound on her backside.

Geriatrician Professor Susan Kurrle told the NSW Supreme Court trial on Tuesday she had considered all the material in the case including the paramedics' and hospital notes, as well as the sons' police interviews.

A gross, urine-stained bed with black dirty patches on either side.
The bedroom of Shirley Thompson who died of fatal pressure injuries, also known as bedsores. AAP/Supreme Court of NSW

"Mrs Thompson was not receiving the level of care that would be considered reasonable for a lady of her age living in her own home and being cared for by family members," she said.

The mother had high-care needs involving her nutrition and mobility, as well as the management of her pressure injuries sometimes referred to as bedsores.

Another image of Shirley Thompson's bedroom where her bed is reflected in the wardrobe's mirror.
The pair of brothers are accused of grossly neglecting their ailing mother. Source: AAP

"They were the sorts of things I see as necessities of life and they were not being provided," Prof Kurrle said.

The trial continues before Justice Des Fagan, who is hearing the case without a jury.

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