Coronial
SAother

Coroner's Finding: MITTIGA Saverio

Deceased

Saverio Mittiga

Demographics

89y, male

Date of death

2016-06-06

Finding date

2021-01-15

Cause of death

multi-organ failure on a background of advanced dementia and small cell lung cancer

AI-generated summary

An 89-year-old prisoner with advanced dementia and small cell lung cancer died from multi-organ failure whilst in lawful custody at Yatala Labour Prison. He entered prison aged 83 with complex medical needs including ischaemic heart disease, COPD, and diabetes. Over his six-year incarceration, he received regular medical care from prison medical officers and was treated at hospital on multiple occasions. By 2015, his health was deteriorating significantly; he was certified unfit for work and showed cognitive decline (15/30 on mental state examination). Following recommendations from medical staff and case reviews, he was transferred to Yatala Labour Prison in December 2015 and subsequently to the newly opened High Dependency Unit in March 2016. He was commenced on end-of-life care including morphine and clonazepam. He died peacefully whilst receiving appropriate end-of-life care. The coroner found no suspicious circumstances, no concerns regarding his care, and found that appropriate care was provided throughout his incarceration.

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

Specialties

general practicepalliative carecardiologyoncology

Drugs involved

morphineclonazepam

Clinical conditions

multi-organ failureadvanced dementiasmall cell lung cancerischaemic heart diseasechronic obstructive airways diseasetype 2 diabetesperipheral neuropathy

Contributing factors

  • advanced dementia
  • small cell lung cancer
  • ischaemic heart disease
  • chronic obstructive airways disease
  • type 2 diabetes
  • age 89 years with progressive frailty
Full text

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