Coronial
SAhospital

Coroner's Finding: WATSON James David

Deceased

James David Watson

Demographics

64y, male

Date of death

2016-01-30

Finding date

2019-05-14

Cause of death

respiratory failure and sepsis on a background of end-stage disseminated small cell lung cancer

AI-generated summary

A 64-year-old prisoner with end-stage disseminated small cell lung cancer died from respiratory failure and sepsis at Royal Adelaide Hospital. He had presented with collapse, fever, and hypotension in January 2016. Investigations revealed respiratory distress syndrome, fluid overload, and neutropenia. After informed discussion with his sister, the patient consented to a do-not-resuscitate order and was transferred to palliative care. He was managed with subcutaneous morphine and midazolam until death. The coroner found the Royal Adelaide Hospital's care appropriate and aligned with the patient's wishes. This case highlights the importance of early palliative care discussions in terminal cancer and appropriate symptom management in end-of-life care.

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

Specialties

oncologyemergency medicinepalliative carerespiratory medicine

Drugs involved

antibioticsdiureticschemotherapymorphinemidazolam

Clinical conditions

small cell lung cancerrespiratory failuresepsisrespiratory distress syndromefluid overloadneutropeniacellulitis

Contributing factors

  • advanced malignancy
  • neutropenia
  • respiratory distress syndrome
  • fluid overload
  • leg cellulitis with infection
Full text

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