Coroner's Finding: PRIDE Wilfred Thomas
Deceased
Wilfred Thomas Pride
Demographics
93y, male
Date of death
2008-03-20
Finding date
2010-06-04
Cause of death
ischaemic heart disease
AI-generated summary
A 93-year-old man with extensive cardiac history died of ischaemic heart disease while detained under the Mental Health Act. He presented with delirium likely secondary to urinary tract infection from an indwelling catheter. Despite aggressive behaviour and refusal of care, Mental Health Act detention was deemed appropriate and lawful. When acute coronary syndrome was identified on 19 March with ECG changes and elevated cardiac enzymes, angiography was considered unrealistic due to his agitation and non-cooperation. He had previously expressed a wish not to be resuscitated. Palliative management with heparin, GTN and morphine was instituted. He died the following evening. The coroner found his care appropriate and thorough throughout his hospital admission.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Drugs involved
Contributing factors
- acute coronary syndrome with left bundle branch block
- delirium secondary to urinary tract infection
- indwelling urinary catheter
- patient agitation and non-cooperation limiting interventional options
- previously expressed wish not to be resuscitated
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