Inquest into the Death of Charles William MAPP
Deceased
Charles William MAPP
Demographics
82y, male
Coroner
Coroner Linton
Date of death
2014-06-16
Finding date
2015-10-08
Cause of death
Pneumonia in an elderly man with advanced lung cancer (squamous cell carcinoma)
AI-generated summary
Charles William Mapp, 82, died of pneumonia secondary to advanced lung cancer at Sir Charles Gairdner Hospital. He had been an involuntary psychiatric patient at Graylands Hospital for nine years with chronic schizophrenia and frontal lobe syndrome from a 1957 self-inflicted gunshot wound. In November 2013, he was diagnosed with terminal lung cancer and had a subsequent stroke increasing aspiration risk. He was deemed high-risk for aspiration and a nasogastric tube was not tolerated. Conservative palliative management was appropriately chosen given his mental state and comorbidities. A not-for-resuscitation order was completed. His death followed aspiration of food and was entirely expected. The coroner found care provided by Graylands Hospital and Sir Charles Gairdner Hospital to be appropriate and of high standard, with good interdisciplinary collaboration including palliative care teams.
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Specialties
Clinical conditions
Procedures
Contributing factors
- Aspiration of food
- High aspiration risk from previous stroke
- Advanced terminal lung cancer
- Dysphagia
- Inability to tolerate nasogastric tube
Full text
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