Evans, William Alfred
Deceased
William Alfred Evans
Demographics
78y, male
Date of death
2010-09-08
Finding date
2012-12-19
Cause of death
Acute renal failure due to metastatic malignancy (primary site unknown)
AI-generated summary
William Alfred Evans, aged 78, died of acute renal failure secondary to metastatic malignancy while in custody at Princess Alexandra Hospital Secure Unit. He had been diagnosed with advanced dementia and prostate cancer. Medical review found his care at PAHSU exceptional and appropriate care was provided at other facilities. The key clinical lesson is the importance of appropriate placement for elderly prisoners with complex needs requiring high-level dementia-specific nursing care. While Mr Evans was appropriately assessed by ACAT and placed on waiting lists, community-level aged care resources were unavailable. The coroner found no deficiencies in medical care but noted that prisoners with advanced dementia and terminal illness require specialist facility placement to ensure dignified end-of-life care. The case highlights system-level challenges in accessing appropriate aged care facilities.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Clinical conditions
Contributing factors
- Advanced dementia
- Metastatic cancer
- Chronic renal failure
- Cachexia
- Peritoneal metastasis
Coroner's recommendations
- Senior Queensland Corrective Services staff should be guided by medical advice regarding prisoners selected for placement in the palliative care, frail and elderly unit at South Queensland Correctional Centre
- Consideration of increased high-level aged care places available for elderly members of the community generally
Full text
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