Coronial
WAhospital

Inquest into the Death of Robert James (aka Philip Kevin Luckie and Robert John Coughlin)

Deceased

Robert James

Demographics

44y, male

Coroner

Coroner Linton

Date of death

2013-02-01

Finding date

2014-11-21

Cause of death

Early bronchopneumonia in a man receiving palliative medical care for liver failure due to cirrhosis

AI-generated summary

Robert James, a 44-year-old prisoner with end-stage hepatitis C cirrhosis, died from early bronchopneumonia while receiving palliative care. He had been terminally ill for over a year, with progressively deteriorating liver function and multiple complications including hepatic encephalopathy and renal failure. He was admitted to Royal Perth Hospital on 24 January 2013 with infection and renal failure, and died on 1 February 2013. The coroner found his medical management was appropriate and coordinated well between prison and hospital specialists. His condition was inevitably terminal without liver transplantation, which was declined due to poor social circumstances and active substance use history. No clinical failures or preventable factors were identified. The coroner commended the quality of treatment and care provided.

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

Specialties

gastroenterologyhepatologypalliative carecorrectional healthgeneral medicine

Clinical conditions

hepatitis Ccirrhosisliver failurehepatic encephalopathyrenal failurebronchopneumoniacholelithiasisimmunocompromise

Contributing factors

  • End-stage hepatitis C cirrhosis
  • Chronic liver failure with immunocompromise
  • Renal failure secondary to infection
  • Hepatic encephalopathy
  • Longstanding intravenous drug use
  • Inability to undergo liver transplantation due to poor social circumstances and substance use history
Full text

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