Coronial

125 results for cancer pain

NSW2023-10-04

Inquest into the death of Melville Schrader

76y · Male·small bowel obstruction in the setting of terminal metastatic neuro-endocrine tu…

…view. Between October 2015 and November 2017, he submitted multiple self-referral forms reporting abdominal pain, weight loss (15kg), diarrhoea, and family history of bowel cancer. Despite nursing staff appropriately ide…

oncologygastroenterologydiagnosticsystempsyllium
VIChospital2025-08-04

Finding into death of Winifred Jean Carpenter

82y · Female·Peritonitis due to leakage of bowel contents from bowel anastomosis following el…

Winifred Carpenter, 82, died 11 days after a right hemicolectomy for colon cancer from peritonitis due to anastomotic leak. Critical failures occurred on discharge day (10 March 2023): cli…

general surgerycolorectal surgerydiagnosticcommunication
SAhospital2025-11-14

Coroner's Finding: Wallace, Peter John

67y · Male·hypoxic respiratory failure in the setting of pneumonia, pulmonary embolism and …

…n and received significant medical care including chemoembolisation, radiotherapy, and endoscopy for liver cancer discovered incidentally in 2021. In December 2022, he presented with chest pain and was found to have pneu…

hepatologyoncologyenoxaparin
NSWhospital2020-06-12

Inquest into the death of Thomas John KEDWELL

66y · Male·respiratory infection on a background of metastatic carcinoma

…ory infection secondary to metastatic carcinoma. He had undergone laryngectomy and tracheostomy for throat cancer in 2017, and presented with extensive nodal involvement discovered on imaging in December 2018. He was rec…

oncologypalliative carebuprenorphine/naloxone
NThome2017-05-05

Inquest into the death of Heather Fotiades

43y · Female·acute multiple drug toxicity on a background of chronic pain and morbid obesity

…ear-old woman died from acute multiple drug toxicity after 26 years of high-dose opioid therapy for chronic pain following a motor vehicle accident. Despite recognition by multiple clinicians that opioid doses exceeded s…

general practicepain medicinediagnosticmedicationoxycodone
SAhospital2021-11-23

Coroner's Finding: Beahl, Raymond Saxon

81y · Male·metastatic rectal adenocarcinoma with infected necrotic sacral ulcer

…sons Mental Health Service with severe dementia-related behavioural disturbance (Tier 7 BPSD) and terminal cancer. Critical failures included: inappropriate prolonged physical restraint (up to 17 hours daily) that exacer…

psychiatrypalliative carediagnosticcommunicationamoxicillin/clavulanate
VIC2014-03-21

Finding into death of Robert Theodore Stewart

59y · Male·Disseminated carcinoma (metastatic adenocarcinoma of unknown primary origin)

…rt Phillip Prison on 19 December 2013. He had been incarcerated since 2008 and diagnosed with disseminated cancer in January 2013, undergoing three chemotherapy courses at St Vincent's Hospital. In December 2013, his con…

oncologypalliative care
VICcommunity2024-04-19

Finding into death of Michael Molony

68y · Male·Unknown; likely suicide by unknown means

…raville, disappeared on 3 January 2020 after reporting health concerns to family. He had a history of skin cancer treated in 2015-2017 but was not receiving ongoing medical care. In late 2019, he reported stomach issues …

oncologypublic healthcommunication
WAhome2018-09-21

Inquest into the Death of Pamella Leslie REES

63y · Female·disseminated metastatic carcinoma of unknown primary in a woman with multiple sc…

…ng multiple sclerosis, died on 30 June 2014 from disseminated metastatic carcinoma of unknown primary. Her cancer went undiagnosed despite regular GP contact. In her final weeks, she refused external care services despit…

general practiceneurologydiagnosticcommunicationcodeine
TAShome2023-05-04

Coroner's Finding: Chuah Soo Lan

65y · Female·undetermined; possibly ischaemic heart disease or squamous cell carcinoma of ton…

…concerns and preference for alternative therapy. She deteriorated over months with worsening oral symptoms, pain, and functional decline. In her final week she became incontinent, lethargic, and dyspnoeic. She died at ho…

oncologydentistrydelaysystem
VIC2016-11-22

Finding into death of Mahmoud Taiba

36y · Male·Hanging

A 36-year-old male prisoner with complex psychiatric history, substance use disorder, and recent cancer diagnosis died by hanging in prison. Recent mental health assessments (within 3 days) had classified him a…

psychiatrycorrectional healthcommunicationsystemolanzapine
QLDhospital2006-06-15

Hedges, John Walter

76y · Male·morphine toxicity and carcinomatosis

John Walter Hedges, a 76-year-old man with terminal metastatic cancer, died at Greenslopes Private Hospital following a morphine overdose administered by agency nurse Cornelia …

palliative carepain medicinemedicationproceduralmorphine
NSWhospital2021-06-24

Inquest into the death of William BERGER

74y · Male·Acute exacerbation of chronic airways disease, with carcinoma of prostate being …

…der, died from acute exacerbation of chronic obstructive pulmonary disease (COPD) with metastatic prostate cancer as a significant contributing condition. In June-July 2020, he presented with shortness of breath, was dia…

respiratory medicineemergency medicinesalbutamol
VIChospital2024-12-09

Finding into death of Donald Charleson

68y · Male·pneumonia in the setting of metastatic malignancy of unknown primary, likely bow…

…accommodation, was admitted to Monash Medical Centre on 19 January 2023 with pneumonia, vomiting, and chest pain. He had recently been diagnosed with metastatic malignancy of unknown primary (likely bowel) and was receiv…

respiratory medicineoncology
TAShospital2016-08-08

Coroner's Finding: Teressa Beswick

45y · Female·Combined effects of widely metastatic (end-stage) carcinoma of the cervix and br…

Teressa Maree Beswick, a 45-year-old woman with end-stage metastatic cervical cancer, died from the combined effects of her cancer and bronchopneumonia accelerated by a critical medication er…

emergency medicinegeneral practicemedicationproceduralmorphine
WAhospital2022-01-05

Inquest into the Death of Terrence Alexander Penman WELLS

61y · Male·metastatic oesophageal neuroendocrine carcinoma

…Wells, a 61-year-old prisoner, died from metastatic oesophageal neuroendocrine carcinoma in December 2018. Cancer was diagnosed in April 2018 after he reported difficulty swallowing, which was initially attributed to mis…

oncologypalliative caremedicationsystempantoprazole
VIChospital2020-09-10

Finding into death of Allan Richard Hodson

73y · Male·Metastatic rectal carcinoma

…al causes. Medical care during his final admission appeared appropriate, with palliative measures including pain and agitation management, removal of restraints causing skin injury, and activation of end-of-life protocol…

palliative careoncologymorphine
SAhospital2020-12-18

Coroner's Finding: ANKER Paul Eugene

53y · Male·metastatic carcinoma of the rectum (operated)

…etastatic rectal carcinoma at the Queen Elizabeth Hospital. He had been appropriately diagnosed with bowel cancer in 2016 whilst in custody and underwent surgery, chemotherapy, and radiotherapy. Despite initial treatment…

oncologycolorectal surgerydexamethasone
NSWhospital2015-02-17

Inquest into the death of Neal Richardson

48y · Male·large cell carcinoma of lung with metastases

…lliative care at Prince of Wales Hospital. He had presented to prison health services in May-June 2014 with pain attributed to kidney stones. A CT scan on 27 April 2014 showed renal calculi; a subsequent CT on 23 June re…

palliative careoncologydiagnosticmethadone
VIChospital2026-03-19

Finding into death of George Scott Boyens

66y · Male·Complications of multiple sclerosis and left tongue squamous cell carcinoma

…e conditions following a brief palliative care admission. He was admitted in May 2025 with malnutrition and pain, underwent nasogastric tube placement and short-course palliative radiotherapy, but declined further treatm…

oncologypalliative care

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