Coronial
WAhospital

Inquest into the Death of Lindsay WOODS

Deceased

Lindsay WOODS

Demographics

48y, male

Date of death

2022-02-19

Finding date

2024-08-09

Cause of death

metastatic high-grade neuroendocrine carcinoma, treated palliatively

AI-generated summary

Lindsay Woods, a 48-year-old Aboriginal man with chronic paranoid schizophrenia, organic psychosis, and ischaemic heart disease, died from metastatic high-grade neuroendocrine carcinoma. He was subject to a custody order at the Frankland Centre forensic mental health facility. After complaining of back pain on 20 January 2022, he was rapidly transferred to hospital where aggressive metastatic cancer was diagnosed. He declined active treatment and received palliative care until death on 19 February 2022. The coroner found supervision and medical care at both the Frankland Centre and hospital were of a very good standard. However, culturally safe care was inadequate—Aboriginal Liaison Officers were largely unavailable during most of his admission. The coroner noted the cancer's rapid progression made earlier detection unlikely, and that palliative management was appropriate given the aggressive tumour biology and patient's wishes.

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

Contributing factors

  • rapidly progressive malignancy
  • advanced stage cancer at presentation
  • patient's refusal of active treatment

Coroner's recommendations

  1. The North Metropolitan Health Service should consider engaging sufficient numbers of Aboriginal Liaison Officers to service the Frankland Centre to enhance care and treatment of Aboriginal patients
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