Coronial
WAhospital

Inquest into the Death of Benedict Chifley David CANDY

Deceased

Benedict Chifley David CANDY

Demographics

66y, male

Date of death

2017-09-01

Finding date

2020-04-02

Cause of death

bronchopneumonia in a man with invasive sarcoma-like tumour of the head, with terminal palliative medical care

AI-generated summary

Benedict Chifley David Candy, a 66-year-old sentenced prisoner, died from bronchopneumonia complicating invasive sarcoma-like tumour of the head with terminal palliative care. He had a recurrent Merkel cell carcinoma that had been surgically removed in 2014. After surgery, Mr Candy adamantly refused recommended chemotherapy and radiotherapy despite clear warnings of recurrence risk. The tumour recurred in 2017 as predicted. Mr Candy consistently declined further treatment, choosing palliative care only. He was appropriately transferred to Bethesda Hospice when death became imminent and received appropriate end-of-life care. The coroner found the healthcare provided was appropriate and of good standard, despite Mr Candy's repeated informed refusals of curative treatment. This case illustrates the tension between respecting patient autonomy in treatment refusal and the clinical frustration when patients decline proven beneficial interventions.

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

Contributing factors

  • recurrent Merkel cell carcinoma
  • patient refusal of chemotherapy and radiotherapy
  • rapid tumour growth with neurological complications
  • invasive sarcoma-like tumour spreading into brain tissue
  • secondary infection with staphylococcus aureus
  • terminal illness with imminent death
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