Coronial
NSWother

Inquest into the death of Robert Fennell

Deceased

Robert Fennell

Demographics

77y, male

Coroner

Decision ofDeputy State Coroner Kennedy

Date of death

2020-10-27

Finding date

2022-05-19

Cause of death

Complications of Metastatic Colorectal Carcinoma

AI-generated summary

Robert Fennell, a 77-year-old man serving an 18-year prison sentence, died of complications from metastatic colorectal carcinoma in Long Bay Correctional Hospital's Medical Sub-Acute Unit on 27 October 2020. He had an extensive medical history including systemic lupus erythematosus, COPD, and cardiac failure. Following diagnosis of incurable advanced colorectal cancer with less than 12 months prognosis in December 2019, he declined chemotherapy and opted for palliative care. His death from natural causes occurred during end-of-life care following his informed decisions and advance care directive. The coroner found no evidence that any aspect of medical or custodial care contributed to his death. The key clinical lesson concerns ensuring proactive chaplaincy and psychosocial support engagement for frail patients in palliative care settings.

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

Specialties

palliative careoncologyhaematologygeneral medicinecorrectional health

Clinical conditions

metastatic colorectal carcinomasystemic lupus erythematosuschronic obstructive airways diseaseperipheral vascular diseasecongestive cardiac failureiron deficiency anaemiadyslipidaemiaosteoarthritisosteoporosiscoeliac disease

Procedures

right hemicolectomypalliative radiotherapycolonoscopy

Contributing factors

  • advanced metastatic colorectal cancer
  • poor performance status
  • multiple serious comorbidities
  • frail elderly patient in end-of-life care

Coroner's recommendations

  1. Initiate strong partnership between Justice Health palliative care team and Corrective Services NSW Chaplaincy services to provide holistic care to inmates receiving palliative care
  2. Establish formal procedures and policies regarding proactive access to chaplaincy services for inmate patients in palliative care, rather than relying on self-referral
  3. Ensure vulnerable and unwell palliative care patients in custody receive offered support services proactively
Full text

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