Coronial
NSWother

Inquest into the death of Kenneth Johnstone

Deceased

Kenneth Johnstone

Demographics

79y, male

Coroner

Decision ofDeputy State Coroner Russell

Date of death

2017-10-29

Finding date

2018-11-15

Cause of death

Complications associated with metastatic colorectal carcinoma and diabetes mellitus with osteomyelitis

AI-generated summary

Kenneth Johnstone, a 79-year-old prisoner with extensive comorbidities including metastatic colorectal cancer, diabetes, stage 4 chronic kidney disease, and osteomyelitis, died from cancer complications. He was appropriately placed in palliative care and received adequate pain management and end-of-life care within the prison hospital setting. The coroner found his final illness was managed with proper care, with observations maintained 15-30 minutes prior to death. This case illustrates appropriate management of advanced malignancy in a custodial setting and demonstrates that complex medical conditions in older patients with multiple comorbidities require coordinated palliative approaches.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.

Specialties

oncologypalliative careendocrinologyinfectious diseasesnephrologygeneral medicineforensic medicine

Drugs involved

morphine

Clinical conditions

metastatic colorectal carcinomadiabetes mellitus type IIosteomyelitisstage 4 chronic kidney diseaseperipheral vascular diseaseischaemic cardiovascular diseasehypertensioncoronary ischaemic syndromecerebrovascular diseasetransient ischaemic attacksglaucomagastro-oesophageal reflux diseasesleep apnoea

Procedures

colorectal surgery

Contributing factors

  • peripheral vascular disease
  • ischaemic cardiovascular disease
  • hypertension
  • stage 4 chronic kidney disease
  • diabetic nephropathy
Full text

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