Coronial
WAaged care

Inquest into the Death of Bill PORTELLI

Deceased

Bill PORTELLI

Demographics

64y, male

Date of death

2012-03-22

Finding date

2014-04-11

Cause of death

bronchopneumonia in a man receiving palliative care for terminal cancer of the rectum

AI-generated summary

Bill Portelli, a 64-year-old man with chronic paranoid schizophrenia and terminal rectum cancer with liver metastases, died of bronchopneumonia (from aspirated vomit) while receiving palliative care at Alma Street Centre. He was an involuntary Mental Health Act patient. The coroner found supervision, treatment and care were exemplary. The deceased refused cancer diagnosis, believing his symptoms were caused by his psychiatric treatment and the devil. He deteriorated rapidly from bowel obstruction on 20 March 2012 and died two days later. The coroner noted no preventable errors; appropriate palliative management occurred throughout. The case demonstrates the challenge of treating patients with severe mental illness and comorbid terminal cancer who lack insight and lack compliance.

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

Contributing factors

  • terminal rectum cancer with hepatic, splenic and pulmonary metastases
  • bowel obstruction
  • aspiration of vomit
  • chronic paranoid schizophrenia with poor insight
  • chronic obstructive pulmonary disease
  • rapid deterioration in final days
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