Coronial
QLDhospital

Courtney, Victor

Deceased

Victor Bertram Vince Courtney

Demographics

44y, male

Date of death

2013-11-02

Finding date

2014-12-17

Cause of death

End stage non-small cell lung carcinoma

AI-generated summary

Victor Courtney, aged 44, died from end-stage non-small cell lung carcinoma with hepatic metastases while incarcerated at Wolston Correctional Centre. He was diagnosed with lung cancer in November 2012 after presenting with haemoptysis and dyspnoea. Despite multiple chronic conditions including COPD, atrial fibrillation, and schizoaffective disorder, medical review found care at the correctional centre and hospital was adequate and appropriate. His cancer could not be staged or treated due to refusal to attend investigations, attributed to severe psychiatric disease. Competency assessments confirmed his capacity to refuse treatment. A not-for-resuscitation order was appropriately implemented. He died suddenly in hospital radiography with respiratory distress after a fall at the correctional centre. The coroner found no deficiency in medical care provision or processing of transfer/parole applications, and no preventable factors contributed to death.

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

Contributing factors

  • Advanced metastatic lung cancer with hepatic metastases
  • Chronic obstructive pulmonary disease
  • Atrial fibrillation
  • Schizoaffective disorder with poor treatment adherence
  • Patient refusal to attend staging investigations
  • Patient refusal to undergo anti-cancer treatment

Coroner's recommendations

  1. None explicitly stated; the coroner found the transfer request was given appropriate consideration and treated with sufficient urgency under the policies in place at the time
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