Coroner's Finding: Foster, Clive Anthony
Deceased
Clive Anthony Foster
Demographics
76y, male
Date of death
2019-06-16
Finding date
2022-03-29
Cause of death
end-stage renal failure
AI-generated summary
A 76-year-old man died of end-stage renal failure while imprisoned. He had pre-existing hypertension, diabetes, and stage 3 chronic kidney disease. During his final year in custody, he experienced acute kidney injury superimposed on chronic disease following gallstone-related illness, complicated by pneumonia, stroke, and cardiac dysfunction. He was assessed and deemed unsuitable for dialysis. The coroner found that adequate medical care was provided both in prison and hospital, with appropriate management of his complex medical conditions. The clinical lesson is that in elderly prisoners with advanced chronic kidney disease and multiple comorbidities, early identification of declining renal function and comprehensive palliative planning are essential. The prison health centre lacked appropriate end-of-life care resources, necessitating hospital readmission shortly before death.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Clinical conditions
Contributing factors
- chronic kidney disease stage 3 progressing to end-stage
- acute kidney injury superimposed on chronic kidney disease
- hypertension inadequately controlled
- diabetes mellitus
- hospital-acquired pneumonia
- acute stroke
- worsening cardiac function
- choledocholithiasis requiring ERCP
- advanced age
- inadequate end-of-life care resources in prison health centre
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