Coronial

168 results for terminal illness

SAhospital2006-01-24

Coroner's Finding: McMAHON Gary Michael

63y · Male·pancreatic carcinoma

…gioma was subsequently diagnosed; neurosurgery was planned but deferred due to electrolyte abnormalities. Terminal pancreatic cancer with liver metastases was later discovered, leading to palliative care only. The corone…

psychiatryneurosurgery
WA2025-03-27

Inquest into the Death of Travis Dion BAUMGARTEN

48y · Male·Complications of human immunodeficiency virus infection with terminal palliative…

…s by health services staff, he maintained his refusal throughout 2021-2022, developing end-stage HIV with terminal complications including pneumocystis pneumonia and a brain lesion. Assessment confirmed he had capacity t…

infectious diseasesgeneral medicine
WAhospital2020-12-02

Inquest into the Death of Simon John SHARPE

Male·non-specific interstitial pneumonia

…care, hospital admissions, and palliative management. Sharpe's complaints appeared driven by anxiety over terminal diagnosis and incarceration, with misplaced hope that demonstrating poor care would secure early release.…

respiratory medicinetransplant medicine
NSWhospital2021-10-22

Inquest into the death of Ivan Goolagong

68y · Male·Metastatic Pancreatic Adenocarcinoma

Ivan Leo Goolagong, a 68-year-old Wiradjuri man, died of metastatic pancreatic adenocarcinoma while in Long Bay Prison Hospital Medical Subacute Unit in July 2017, five months after undergoing a Whipple procedure. The co…

oncologypalliative caresystemcommunicationamylase
NSWhospital2017-06-09

Inquest into the death of Colin HAY

69y · Male·Waldenstrom's Macroglobulinemia, a type of non-Hodgkin lymphoma

… haematologist confirmed his death was not preventable. The case demonstrates appropriate management of a terminal malignancy in a custodial setting, with no identifiable failures in care.

haematologyoncology
WA2026-04-14

Inquest into the Death of Wayne HARRIS

56y · Male·complications of advanced metastatic sigmoid adenocarcinoma in an adult man with…

…elays in resolving transportation issues meant care was not equivalent to community standards, though the terminal nature of his condition meant earlier intervention would not have prevented death.

oncologypalliative carecommunicationsystemchemotherapy
QLDhospital2012-12-19

Evans, William Alfred

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

…le. 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 s…

geriatric medicinenephrology
WAhospital2024-04-04

Inquest into the Death of Karl Frederick Dominic HOLMES

66y · Male·Complications of metastatic lung adenocarcinoma, with terminal palliative care, …

…prisoner with metastatic lung adenocarcinoma and hepatocellular carcinoma, died from complications of his terminal cancer while serving a 7-year sentence. He received excellent medical care from Dr S. who actively manage…

oncologypalliative caresystemdelaymorphine
VIChospital2022-03-28

Finding into death of John Paul Barnett

77y · Male·Complications of chronic obstructive airways disease and ischaemic heart disease

…were identified. The case illustrates appropriate end-of-life planning in a complex prisoner-patient with terminal malignancy.

cardiologyrespiratory medicine
WAhospital2015-07-02

Inquest into the Death of John MAJINSKI

55y · Male·Complications of fibrosing alveolitis

…th prison and hospital was of high standard, with no deficiencies in supervision, treatment, or care. His terminal decline was managed with palliative care and compassionate removal of restraints. The coroner concluded t…

respiratory medicinegeneral medicinemirtazapine
NSWhospital2022-06-09

Inquest into the death of Steve FESUS

60y · Male·metastatic atrial sarcomatoid tumour

Steve Fesus, aged 60, died in custody at Prince of Wales Hospital from metastatic atrial sarcomatoid tumour. He had been diagnosed with cardiac cancer in 2016, underwent surgery, and was in remission until metastases wer…

oncologycardiologypazopanib
QLD2020-12-11

Martyn, John Francis Alex

75y · Male·Metastatic prostatic carcinoma

A 75-year-old Indigenous man died from metastatic prostate cancer while in prison custody. Diagnosed with cancer in 2012, he also had haemophilia A, ischaemic heart disease, and prior cerebrovascular accidents. By 2016, …

palliative careoncologyoxycodone
NThome2003-07-31

Inquest into the death of Queenie Michaels

11y · Female·pneumonia complicating cytomegalovirus embryopathy

…exemplary throughout her life, with appropriate escalation decisions and family-centred management of her terminal illness.

paediatricsneurologyanti-convulsants
SAhospital2011-12-07

Coroner's Finding: VAN GELDER Herman

40y · Male·large bowel obstruction complicating disseminated carcinoma of rectum

…ate by the coroner. The death was natural and not preventable, with no evidence that custody affected his illness progression. No clinical errors or systemic failures were identified.

oncologysurgery
NSWaged care2021-09-22

Inquest into the death of Vakabauta LEONE

47y · Female·complications of rapidly progressing motor neurone disease

…rological assessment and family discussion. The coroner found nursing staff acted in good faith given the terminal nature of her condition, but identified lack of clarity about her resuscitation status as problematic. Th…

palliative careemergency medicinecommunicationdelay
WAhospital

Inquest into the Death of Robin David MACARTNEY

62y · Male·bronchopneumonia in a man receiving terminal palliative care for metastatic carc…

Robin David Macartney, a 62-year-old prisoner serving a life sentence for murder, died from bronchopneumonia secondary to metastatic colon cancer. He was diagnosed with sigmoid colon cancer in December 2006 but refused s…

oncologygeneral surgery
NThospital2015-02-19

Inquest into the death of Victor Campbell

63y · Male·cancer in the left lung metastatic to the heart, right lung, liver, pancreas and…

…taff during his incarceration and hospitalisation, commending staff for their humane approach in managing terminal illness within the prison setting. No failings in care or preventable factors were identified.

oncologypalliative caredexamethasone
NSW2021-10-12

Inquest into the death of Donald GREENAWAY

88y · Male·Metastatic prostate carcinoma

Donald Victor Greenaway, an 88-year-old man serving a 21-year prison sentence, died from metastatic prostate carcinoma in the Aged Care Ward at Long Bay Correctional Centre. He had been diagnosed with stage IV prostate c…

oncologyradiation oncologyandrogen deprivation therapy
WAhospital2025-11-27

Inquest into the Death of Stephen Joseph SCHIPP

58y · Male·complications of oesophageal cancer, with terminal palliative care

…ephen Joseph Schipp, a 58-year-old sentenced prisoner, died from complications of oesophageal cancer with terminal palliative care at Bunbury Regional Hospital. He had been diagnosed with oesophageal carcinoma in January…

oncologypalliative caresystemdelaychemotherapy
WA2013

Inquest into the Death of Hale, David Maxwell

32y · Male·complications of metastatic pancreatic cancer

… defeated the purpose of mercy provisions and highlighted the need for faster administrative processes in terminal cases.

oncologypalliative caredelaysystem
13459

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