Coronial
WAhospital

Inquest into the Death of Brian Vincent ATTWELL

Deceased

Brian Vincent ATTWELL

Demographics

77y, male

Coroner

Coroner Linton

Date of death

2017-07-13

Finding date

2020-06-03

Cause of death

cardiac failure in an elderly man with valvular heart disease and other co-morbidities

AI-generated summary

Brian Attwell, a 77-year-old sentenced prisoner with multiple chronic conditions including diabetes, chronic renal failure, peripheral vascular disease, and valvular heart disease, died of cardiac failure in hospital. He spent most of his 8.5-year sentence in prison infirmary receiving supportive care. His health progressively deteriorated with multiple hospital admissions. The coroner found his medical care while incarcerated was of a high standard, comparable to community care. Management was complicated by his intermittent refusal of investigations and treatments, which were respected as he retained decision-making capacity. At end of life, restraints were appropriately removed and palliative care was provided following family consultation. No deficiencies in care were identified.

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

Specialties

geriatric medicinecardiologynephrologygeneral medicinepalliative carecorrectional health

Clinical conditions

cardiac failurevalvular heart diseasechronic renal failurediabetes mellitus type 2peripheral vascular diseaseanaemiaatrial stenosistransient ischaemic attackprior myocardial infarctioncongestive heart failurebilateral pleural effusions

Procedures

pleural fluid drainageechocardiographyCT brain scan

Contributing factors

  • advanced age and frailty
  • chronic renal failure
  • anaemia
  • valvular heart disease
  • diabetes mellitus type 2
  • peripheral vascular disease
  • patient refusal of investigations and treatments
  • progressive functional decline
Full text

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