Coronial
WAhospital

Inquest into the Death of Lorna May WOODS

Deceased

Lorna May WOODS

Demographics

39y, female

Coroner

Coroner Jenkin

Date of death

2017-01-10

Finding date

2019-03-12

Cause of death

pulmonary thromboembolism due to deep vein thrombosis and sepsis due to pyelonephritis on a background of metastatic ovarian cancer

AI-generated summary

Lorna May Woods, 39, died from pulmonary thromboembolism due to deep vein thrombosis and sepsis secondary to pyelonephritis on a background of metastatic ovarian cancer. She presented to Joondalup Health Campus with urosepsis and was found to have advanced ovarian cancer, bilateral pulmonary emboli, and a chronically infected left kidney. She was placed on a Mental Health Act treatment order due to schizophrenia relapse complicated by delirium. The coroner found the supervision, treatment and care provided was reasonable and appropriate. Key clinical lessons: patients with chronic mental illness and intellectual disability have reduced insight into health needs, making early cancer detection difficult; sepsis and thromboembolism in the context of malignancy require urgent specialist input; and involuntary treatment orders may be necessary when patients lack capacity and refuse life-saving care.

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

Specialties

emergency medicinepsychiatrygynaecologyoncologyintensive caregeneral medicine

Drugs involved

heparinantibiotics

Clinical conditions

sepsisurosepsispyelonephritispulmonary embolismdeep vein thrombosismetastatic ovarian cancerschizophreniadeliriumintellectual disabilityanaemia

Procedures

abdominal paracentesisultrasoundCT chestCT brainblood transfusion

Contributing factors

  • metastatic ovarian cancer not previously diagnosed
  • chronic pyelonephritis of left kidney (infected since 2015)
  • sepsis secondary to pyelonephritis
  • bilateral pulmonary emboli
  • schizophrenia relapse
  • delirium secondary to acute medical illness
  • intellectual impairment limiting health literacy
  • patient non-compliance and lack of insight into health needs
  • previous self-discharge against medical advice in 2015
Full text

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