Coronial
SAhospital

Coroner's Finding: KELBIN William Thomas

Deceased

William Thomas Kelbin

Demographics

81y, male

Date of death

2012-12-28

Finding date

2017-08-25

Cause of death

gastrointestinal haemorrhage and multi-organ failure on a background of severe dementia

AI-generated summary

William Thomas Kelbin, aged 81, died from gastrointestinal haemorrhage and multi-organ failure on a background of severe dementia. He had been placed under guardianship with detention powers after becoming unable to self-care at home following hip replacement surgery. Despite efforts to manage his care in hospital, he refused investigation and treatment including endoscopy. His declining physical health, weight loss, anaemia, cardiac failure, and swallowing difficulties progressed to multi-organ failure. The coroner found his detention lawful and that custodial circumstances did not contribute to death. Clinically, earlier aggressive intervention for gastrointestinal bleeding and closer monitoring of deterioration might have altered outcomes, though his severe dementia, refusal of investigations, and cardiac comorbidities complicated management.

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

Contributing factors

  • severe dementia with lack of insight and capacity
  • refusal of investigations including endoscopy
  • severe cardiac failure limiting investigation options
  • significant weight loss and malnutrition
  • anaemia from gastrointestinal blood loss
  • swallowing difficulties
  • patient non-compliance and resistance to treatment
  • aggressive and disruptive behaviour complicating care
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. All court orders for redaction and non-publication are respected; documents with technically defective redaction have been excluded from the database entirely. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction —