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and amphetamines are also popular among the inmate patient population and can cause significant effects when abruptly withdrawn upon incarceration.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 […]
Responding to Microaggression in Correctional Practice
Jennifer, an RN at a city jail. is about to go off shift but wants to check on an inmate who was still in booking awaiting a housing assignment. He had come in disheveled and wasn’t making logical connections in conversation. His BAL and FSBS were in normal range. She wanted to know if he […]
Is Patient-Centered Care Possible in Corrections?
The concept of patient-centered care was originally described in the Institute of Medicine (IOM) report on health care quality Crossing the Quality Chasm as “providing care that is respective of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions”. This is a difficult proposition in a […]
Book Review – Game Over! Strategies for Redirecting Inmate Deception
In many ways, dealing with incarcerated patients is like dealing with a patient in any setting. After all, diabetes, hypertension, and arthritis are conditions experienced by patients in general practice, too. However, correctional nurses must also interact with prisoners as our patients and it is the personality, motivations, and mindsets of our patient population that […]
Victims Behind Bars: Sex Trafficking of Women Offenders (Podcast 146)
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Podcast: Play in new window | Download Evelyn Bush, Correctional Program Specialist at the National Institute of Corrections in Washington, DC joins Lorry to talk about sex trafficking of female inmates. Some of her current work involves sex trafficking and the impact on the lives of women who come in contact with the correctional system. […]
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