Smith, Lawrence Sylvester

81y · Male·Massive right cerebral haemorrhage due to hypertensive heart disease

An 81-year-old man with multiple comorbidities (diabetes, cardiovascular disease, chronic kidney disease, congestive heart failure) died from a massive cerebral haemorrhage due to hypertensive heart disease while in hospital following a stroke. He had been in custody for nearly two years. The coroner found his death was from natural causes and that appropriate medical care was provided. No preventable factors were identified. The case demonstrates appropriate management of an acutely deteriorating elderly prisoner with complex medical needs, including timely palliative care planning when recovery was deemed unlikely. Standard of care met community benchmarks.