Coronial
WAhospital

Inquest into the Death of Stephen Craig SOLLY

Deceased

Stephen Craig SOLLY

Demographics

63y, male

Coroner

Coroner Jenkin

Date of death

2018-03-11

Finding date

2021-03-08

Cause of death

respiratory failure in a man with lung cancer, chronic obstructive pulmonary disease and pulmonary fibrosis

AI-generated summary

Stephen Craig Solly, aged 63, died from respiratory failure due to advanced lung cancer, COPD, and pulmonary fibrosis while an involuntary psychiatric patient at Graylands Hospital. He had paranoid schizophrenia, cognitive impairment, and poor insight into his conditions. Despite heavy smoking (30 cigarettes daily) that he refused to cease, oxygen therapy was contraindicated due to safety risks and lack of capacity to tolerate it. A multidisciplinary team appropriately decided in December 2016 to focus on quality of life rather than aggressive investigations or treatment. The coroner found supervision, treatment and care were of a very good standard, with clinical staff managing his complex psychiatric and medical needs sensitively and patiently. No preventable factors were identified.

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

Specialties

psychiatryrespiratory medicinegeneral medicinegeriatric medicinepalliative care

Drugs involved

duloxetinezucopenthixolsodium valproateparacetamolprednisoloneantibiotics

Clinical conditions

paranoid schizophrenialung cancerchronic obstructive pulmonary diseasepulmonary fibrosisemphysemapulmonary hypertensionearly onset dementiaorganic personality disordercognitive impairmentrespiratory failuretype-1 respiratory failurepneumonia

Contributing factors

  • advanced lung malignancy
  • severe emphysema and pulmonary fibrosis
  • heavy smoking (30 cigarettes daily)
  • refusal to cease smoking
  • limited insight into medical conditions due to paranoid schizophrenia and cognitive impairment
  • inability to tolerate oxygen therapy due to lack of capacity and safety risks
  • declining respiratory function
Full text

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