Deceased
Walter Clough
Demographics
66y, male
Date of death
2019-04-14
Finding date
2021-11-08
Cause of death
Complications of chronic obstructive pulmonary disease. A significant contributing condition was cardiomegaly.
AI-generated summary
Walter Clough, aged 66, died from complications of COPD and cardiomegaly while incarcerated. He had significant respiratory compromise from prior chest trauma causing hemidiaphragm paralysis. Days before death, he was hospitalized for type 2 respiratory failure and lower respiratory tract infection, then discharged with new medications and an inhaler change. Upon return to prison, no formal health review was conducted, though an informal visit to the GP occurred where discharge instructions were implemented. Nursing staff noted worsening dyspnea on the day of death and arranged a health assessment, but he collapsed while being escorted to the appointment. The coroner found medical care was appropriate, but noted that the lack of formal post-discharge review, though later remedied by GEO policy, represented a missed opportunity for structured assessment of his deteriorating condition.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
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