Coronial
SAhospital

Coroner's Finding: Lane, Kevin Roy

Deceased

Kevin Roy Lane

Demographics

81y, male

Date of death

2022-09-07

Finding date

2025-05-20

Cause of death

inanition complicating traumatic brain injury and disseminated malignancy

AI-generated summary

An 81-year-old man with metastatic bowel cancer suffered a traumatic brain injury from a fall, resulting in multiple intracerebral haemorrhages and cerebral contusions. He was delirious and presented challenging behaviours. A guardianship order was obtained to enable medical care. Despite recommendations for nasogastric feeding, he consistently refused nutrition, stating he was dying and wanted peace. He was transitioned to comfort care and died from inanition complicating his brain injury and malignancy. The consultant noted his head injuries alone would not have been fatal, and survival was possible had he accepted nutrition, though with diminished quality of life. The coroner found the standard of care appropriate in challenging circumstances and made no recommendations.

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

Specialties

neurosurgerygeneral medicinedieteticspalliative care

Clinical conditions

traumatic brain injurycerebral contusionsintracerebral haemorrhagemetastatic bowel cancerdeliriummalnutritionorbital fracture

Procedures

CT scannasogastric tube insertionabdominal fluid drainage

Contributing factors

  • refusal of nutritional support despite medical recommendation
  • traumatic brain injury with multiple intracerebral haemorrhages
  • metastatic bowel cancer with widespread disease
  • delirium secondary to brain injury
  • challenging behaviours requiring sedation
Full text

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