Lyne, Richard Henry
Deceased
Richard Henry Lyne
Demographics
69y, male
Date of death
2011-03-11
Finding date
2012-04-20
Cause of death
acute myocardial ischaemia due to underlying coronary atherosclerosis
AI-generated summary
Richard Henry Lyne, a 69-year-old man in custody on remand, suffered an acute coronary syndrome after a fall in February 2011. He was appropriately transferred to hospital and assessed in ICU, but consistently refused invasive cardiac intervention, resuscitation, food, and fluids. A psychiatric assessment confirmed he was delirious and lacked capacity, prompting Adult Guardian consultation. Palliative care was implemented. He died from acute myocardial ischaemia due to coronary atherosclerosis. The coroner found medical care was adequate and appropriate, with no evidence that earlier intervention would have prevented death given his sustained refusal of treatment. Key clinical lesson: documented capacity assessment and guardian involvement were appropriately managed when patient refusals conflicted with medical recommendations in the context of delirium.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Drugs involved
Contributing factors
- hypertensive heart disease
- bronchitis
- patient refusal of medical intervention and nutrition
- delirium affecting decision-making capacity
- fall in custody preceding acute coronary event
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