Coroner's Court of Western Australia

Inquest into the Death of Aurelio Monterlegre CRUZ

Inquest into the Death of Aurelio Monterlegre CRUZ

Delivered on :31 May 2019

Delivered at : Perth

Finding of : Coroner Linton

Recommendations :N/A

Orders/Rules : N/A

Suppression Order : N/A

Summary : The deceased at the time of his death was a sentenced prisoner who had been receiving terminal palliative medicate care at Fiona Stanley Hospital.

The deceased was first sentenced on 17 January 2003 to a term of 4 years immediate imprisonment with eligibility for parole. While serving this term of imprisonment the deceased was seen at the prison medical centre predominantly for monitoring of his diabetes, blood pressure and asthma. Some testing suggested his diabetes was poorly controlled and his renal function was slightly impaired. He also underwent surgery in September 2003 for a disc extrusion in his neck. He was released after two years in prison on parole and attended his local medical facilities. His renal function remained impaired and his diabetic control and blood pressure fluctuated. In January 2008 he developed congestive heart failure. By the end of June 2014 the deceased’s renal function had deteriorated further.

In 2015 the deceased was convicted for a second time and returned to custody. He was eventually moved to the Casuarina Prison Infirmary due to his multiple health conditions. The deceased was treated for various medical complaints from February 2015 until he presented at Fiona Stanley Hospital Emergency Department on 7 December 2016 under the care of Nephrology Dialysis Department. The deceased was diagnosed with end stage renal failure, uraemic encephalopathy, hypercalcaemia and urinary retention. The deceased declined treatment and was given palliative care for until his death. The deceased died in the early hours of 11 December 2016.

The Coroner found the deceased’s treatment, supervision and care were of an appropriate standard.

Catch Words : Death In Custody : Royal Prerogative of Mercy : Restraints : Natural Causes

Last updated: 13-Jun-2019

[ back to top ]