Coronial
NSWother

Inquest into the death of Graham Lawson

Deceased

Graham Lawson

Demographics

68y, male

Date of death

2018-09-19

Finding date

2019-07-15

Cause of death

Metastatic hepatocellular carcinoma

AI-generated summary

Graham Lawson, a 68-year-old male inmate at Long Bay Correctional Centre, died from metastatic hepatocellular carcinoma on 19 September 2018. He had presented with weight loss and weakness in September 2017, and diagnostic imaging in February 2018 confirmed advanced, incurable liver cancer with portal vein involvement. He received palliative treatment including TACE and Sorafenib, which he discontinued due to side effects. Appropriate end-of-life discussions occurred, and a valid Not-For-Resuscitation order was established per his wishes. He was transitioned to comfort-focused palliative care in the prison hospital, where he died peacefully. The clinical course was appropriately managed with timely diagnosis, oncology and palliative care consultation, and respect for the patient's clearly documented wishes regarding resuscitation and treatment limitations.

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

Specialties

oncologypalliative carehepatologyradiologycorrectional health

Drugs involved

sorafenibdexamethasoneoxycodonemorphineoxycodonehydromorphonecyclizine

Clinical conditions

hepatocellular carcinomametastatic cancerportal vein thrombosishepatitis Ccirrhosiscongestive cardiac failurehypertensiondyslipidaemiabenign prostatic hyperplasia

Procedures

abdominal ultrasoundabdominal CTtransarterial chemoembolization (tace)

Contributing factors

  • pre-existing Hepatitis C
  • cirrhosis
  • congestive cardiac failure
  • hypertension
  • dyslipidaemia
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