This guest post is written by Jaime Todd, MBA, LNHA. His bio is found at the end. An elderly inmate was brought into the medical unit of a medium security prison to be checked for injury after an altercation in one of the housing units. He looked older than his 62 years and seemed disoriented. […]
Stress Reduction Through Yoga During Reentry (Podcast 148)
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Podcast: Play in new window | Download Lorry’s guest for this episode is Alexandra Wimberly, PhD, Assistant Professor at the University of Maryland School of Social Work in Baltimore. She and her colleague, Dr. Malitta Engstrom, published the article Stress, Substance Use, and Yoga in the Context of Community Reentry Following Incarceration in the January […]
Older Women in Prison: Menopause and Osteoporosis Concerns
Hazel is a diminutive 56-year-old state prisoner serving a life sentence for murder. She has been incarcerated for 18 years now and recently fell on the icy path while heading from her housing unit to breakfast early one morning. She sustained Colles fractures of both wrists. While being treated for the fractures she was also […]
Does Your Patient REALLY Understand? Using the Teach-Back Method
Inmate Odem showed up at the med line with his KOP medication card totally empty. The medication nurse was frustrated that he had not come last week so that an order could be placed before he was out of medication. She reminded him of the written instructions reviewed with him when he was started on […]
Unexplained Unconsciousness: Watch Out for Drug Overdose!
Jace had a difficult time withdrawing from heroin when he entered the jail 10 days ago on a burglary charge. He was stealing to meet the demands of his 5-bag a day heroin habit. A man-down emergency was just called for his housing unit where Jace was found unconscious and barely breathing. He may have […]
Factors that Promote and Hinder Medication Adherence in a Correctional Setting (Podcast 147)
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Podcast: Play in new window | Download In this podcast episode, Lorry talks with Keith Courtney, DO, CCHP, Alberta Health Services Facilities – Medical Director for Correctional Health Services, in Alberta, Canada. He and his colleagues (Dr. Lauren Cuthbertson, Dr. Karolina Koalewski, and Dr. Jennifer Edge)have published the article Factors that Promote and Hinder Medication Adherence […]
Caring for the Second Victim – It Could Be You!
Emma was having a busy evening shift at the minimum security prison she has worked at for the last couple years when officers called on her to evaluate an inmate having trouble breathing. While he was transported to the medical unit, Emma pulled his medical record and was reminded that she had seen him before […]
Correctional Nurse Legal Briefs: Consent Decrees
After working for 6 weeks in a large urban jail, Marta, a night shift registered nurse, is told that court monitors will be arriving next week to evaluate health care related to a consent decree. They will be reviewing her documentation on early morning withdrawal rounds. As the days go by, tension is building for […]
Stimulant Withdrawal: All Wound Up!
Primary concerns in substance withdrawal are alcohol and opiates, and rightly so. Withdrawal of these two drugs of abuse can cause serious health concern. Stimulants such as cocaine, methamphetamine, crack, and amphetamines are also popular among the inmate patient population and can cause significant effects when abruptly withdrawn upon incarceration. Fortunately, stimulant withdrawal, while uncomfortable, […]
The Heavy Burden of Moral Distress in Correctional Nursing
A while back I traded in my clunky 2009 laptop for a new streamlined model. It wasn’t until my first journey with this new laptop that I realized just how heavy my old version was. Now I have a good idea why my shoulders ached after a long day of traversing airports for gate changes […]
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