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.
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Specialties
geriatric medicinecardiologynephrologygeneral medicinepalliative carecorrectional health
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