Coronial
SAhospital

Coroner's Finding: LAMB Dianne Patricia

Deceased

Dianne Patricia Lamb

Demographics

67y, female

Date of death

2019-04-21

Finding date

2020-11-02

Cause of death

disseminated adenocarcinoma of the colon

AI-generated summary

A 67-year-old woman with metastatic colorectal cancer developed multiple cerebral metastases causing marked behavioural changes (irritability, disinhibition, aggression). She was appropriately placed on Mental Health Act Inpatient Treatment Orders to enable treatment and protect others. Her health declined and the family consented to palliative care. She died from disseminated adenocarcinoma. The coroner found hospital care appropriate, with staff managing her complex medical and behavioural needs effectively. The case illustrates challenges in managing cancer patients with brain metastases causing psychiatric symptoms, highlighting the importance of recognising organic causes of behavioural change and implementing supportive mental health frameworks while maintaining dignity during end-of-life care.

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

Specialties

oncologypsychiatrypalliative careneurology

Drugs involved

dexamethasone

Clinical conditions

metastatic colorectal carcinomacerebral metastasesobstructive sleep apnoeaMeniere's diseasebenign paroxysmal positional vertigo

Procedures

bowel resectionliver resectioncholecystectomylung resectionschemotherapyMRI imaging

Contributing factors

  • metastatic colorectal cancer
  • multiple cerebral metastases with oedema and midline shift
  • progressive neurological decline
Full text

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