James Van Wyk, a 65-year-old NDIS participant living in Specialist Disability Accommodation, died from metastatic lung cancer. He presented with breathing difficulty and chest pain on 16 July 2023, was diagnosed with pleural effusion and lung cancer, and transferred to Monash Medical Centre for oncology consultation. After discussion with family, chemotherapy was declined on 28 July and palliative care was arranged. He deteriorated and suffered cardiac arrest on 30 July 2023. The coroner found no clinical mismanagement by either the SIL provider or hospital staff. The case represents appropriate management of advanced cancer with timely diagnosis, specialist consultation, and family-centred decision-making regarding end-of-life care.
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