168 results for “terminal illness”
68y · Male·end stage liver failure due to hepatitis C
…r failure due to hepatitis C while an inmate at Yatala Labour Prison, admitted to Mary Potter Hospice for terminal care. He had multiple comorbidities including prostate cancer treated with radiotherapy, lung malignancy,…
60y · Male·pneumonia in a man with underlying advanced metastatic cancer and chronic airway…
… ischaemic heart disease, died from pneumonia while in prison custody. He was appropriately classified as terminally ill and placed in the prison infirmary. During his final hospitalisation at Royal Perth Hospital, he re…
65y · Male·Pneumonia in a man with chronic pulmonary disease (COPD and emphysema), with asp…
… his care was equivalent to community standards. The death resulted from natural disease progression in a terminally ill patient, not from any failures in custody or medical management.
55y · Male·Glioblastoma multiforme
…easonably prevented. The case highlights the importance of compassionate early release considerations for terminally ill prisoners, though this is not a clinical lesson directly applicable to hospital practice.
15y · Female·complications of Batten disease (CLN3)
Damilia Kelly Holmes, a 15-year-old Aboriginal girl, died from complications of Batten disease (CLN3) while in palliative care. She was in out-of-home care under the Territory Families and Housing (TFHC) and was loved an…
76y · Male·complications of cerebrovascular accident on a background of atrial fibrillation
…ervention would have changed the outcome. The case highlights appropriate palliative care management in a terminally ill, frail elderly prisoner with multiple comorbidities.
49y · Male·Complications in Association with Advanced Gastric Malignancy
…tal management was often uncooperative. He was escalated to palliative care in December 2013 and declared terminally ill (Phase 2). He died at Royal Perth Hospital on 21 December 2013 from complications of advanced gastr…
66y · Male·metastatic adenocarcinoma (palliated) from an unidentified primary tumour
Bradley John Murdoch, a 66-year-old prisoner serving a life sentence for murder, died in the palliative care unit of Alice Springs Hospital from metastatic adenocarcinoma on 15 July 2025. He had presented to the correcti…
50y · Male·Chronic liver disease (alcohol, hepatitis C) with hepatocellular carcinoma and c…
…th clinical care was appropriate. However, earlier structured monitoring and clearer documentation of his terminal prognosis might have enabled better custodial management and consideration of compassionate release. The …
70y · Female·fungal pneumonia as a complication of breast cancer and its treatment
…r patients missing diagnostic appointments, poor record-keeping, lack of structured follow-up for serious illness, absence of discharge summaries upon hospital return, and no formal notification system when critically i…
62y · Female·hyponatremia (low sodium level 114mmol/L) resulting in seizure, with aspiration …
…c admission, even when patient cooperation is poor, are important; (4) symptoms attributed to psychiatric illness may actually indicate metabolic derangement. The coroner found no fault with care but recommended elevate…
29y · Male·Not determined; likely multiple injuries from fall from coastal cliff or drownin…
This inquest concerns the disappearance and suspected death of Gavin Cheng, a 29-year-old man last seen on 29 October 2023 in North Bondi, NSW. Gavin had a documented history of schizophrenia diagnosed in 2015, with peri…
66y · Male·Cardiac arrhythmia in a man with arteriosclerotic cardiovascular disease, pulmon…
… inappropriate use of restraints during his final hospital admission. Despite being classified as Stage 3 terminally ill with severe mobility issues and no escape risk, Stinson was restrained with leg chains and mechanic…
59y · Male·Disseminated carcinoma on a background of emphysema
Robert Fullerton, a 59-year-old Aboriginal man from Palm Island, died from disseminated carcinoma while remanded in custody at Townsville Correctional Centre. He presented with abdominal pain on 5 December 2018, was diag…
80y · Male·metastatic oesophageal cancer
…cellent, exceeding community standards. However, systemic prison management issues arose during his final illness: delayed removal of restraints and shackles despite frailty (resolved only after legal intervention), res…
64y · Male·bronchopneumonia and sepsis with chronic obstructive pulmonary disease in a man …
…acerbating his lung disease; (5) he was inappropriately restrained after hospital admission despite being terminally ill on palliative care. The coroner found the general medical care otherwise appropriate for complex co…
69y · Male·advanced cholangiocarcinoma
Mr Lifa Faafete, aged 69, died from advanced cholangiocarcinoma while in remand custody at Metropolitan Special Programs Centre. He was appropriately transferred to Prince of Wales Hospital on 22 March 2025 for symptom m…
38y · Female·end stage renal failure (Stage 5 chronic kidney disease)
…undertaking dialysis due to her difficulty maintaining strict regimens amid substance use and psychiatric illness. Declining life-saving treatment for a terminal natural disease does not constitute suicide. The coroner …
73y · Male·Complications of metastatic neuroendocrine lung carcinoma
…stice Health and Corrective Services, and in medication management for incarcerated patients with serious illness. The coroner recommended amending the Health Problem Notification Form to include explicit prompts for ce…
53y · Male·Metastatic pancreatic carcinoma
Michael Sanderson, a 53-year-old Gamilaroi man, died from metastatic pancreatic cancer while in custody. Critical clinical lessons emerge: (1) failure to review pathology results within required 14-day timeframe delayed …
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