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.
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Specialties
psychiatryrespiratory medicinegeneral medicinegeriatric medicinepalliative care
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