An 81-year-old man with advanced lung cancer and multiple comorbidities died of natural causes while receiving palliative care in prison. He had documented his wishes for comfort-focused care and was registered on the DNR list prior to death. Medical review occurred appropriately in the days before death, with pain management prescribed and advance directives completed. Clinical staff identified signs of deterioration and death occurred peacefully without distress. The coroner found no suspicious circumstances or third-party involvement. This case illustrates appropriate end-of-life care planning and symptom management in a custodial setting, with timely documentation of patient preferences and respect for autonomy in the final days.
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Specialties
palliative caregeneral practicerespiratory medicine
Clinical conditions
lung cancermetastatic cancer of unknown originchronic obstructive pulmonary diseasetype 2 diabeteschronic kidney diseaseatrial fibrillationischaemic heart diseasevascular dementiacerebrovascular accident
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