Evans, William Alfred

78y · Male·Acute renal failure due to metastatic malignancy (primary site unknown)

William Alfred Evans, aged 78, died of acute renal failure secondary to metastatic malignancy while in custody at Princess Alexandra Hospital Secure Unit. He had been diagnosed with advanced dementia and prostate cancer. Medical review found his care at PAHSU exceptional and appropriate care was provided at other facilities. The key clinical lesson is the importance of appropriate placement for elderly prisoners with complex needs requiring high-level dementia-specific nursing care. While Mr Evans was appropriately assessed by ACAT and placed on waiting lists, community-level aged care resources were unavailable. The coroner found no deficiencies in medical care but noted that prisoners with advanced dementia and terminal illness require specialist facility placement to ensure dignified end-of-life care. The case highlights system-level challenges in accessing appropriate aged care facilities.