Complications of metastatic renal cancer in a man with multiple medical co-morbidities
AI-generated summary
A 76-year-old man with metastatic renal cancer and multiple comorbidities died in prison from complications of his malignancy. Following a family meeting in November 2023, goals of care were clarified and the patient chose to remain in the prison medical unit for end-of-life care rather than continue hospital admissions. His condition deteriorated through November and December, with increasing confusion and drowsiness managed with comfort care. Oral medications were ceased on 8 January with comfort care initiated. He was found unresponsive on 9 January and declared deceased shortly after. A comprehensive departmental review found custodial management and healthcare were appropriate and met required standards. The coroner found no issues of concern with his care and confirmed death from natural causes.
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