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and amphetamines are also popular among the inmate patient population and can cause significant effects when abruptly withdrawn upon incarceration.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, is rarely life-threatening. A Case…
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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 as stable or deteriorating. When…
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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 secure environment where health care…
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