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NRSG 477 > Correctional health > Flashcards

Correctional health Flashcards

1
Q

1976 Estelle v Gamble

A

Supreme court ruling that not providing medical services is a violation of the eighth amendment

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2
Q

Deinstitutionalization

A

Deinstitutionalization of clients with mental illness led to increasing number of inmates.
(1970- 368,000 beds; 1992- 84,000 beds for mentally ill)

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3
Q

Correctional nursing funding

A

Via public money/taxes

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4
Q

Correctional nursing: Managed care organizations

A

Managed care organizations are utilized to provide constitutionally-mandated services.

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5
Q

T/F Imprisonment and its effects are concentrated where people of color and poor people live

A

True

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6
Q

What is true of those whom are incarcerated?

A

Harder to find jobs
Incomplete education
Stigma
Family experiences increased poverty

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7
Q

**6 inmate rights (ANA, 2007)

A 
Right to access care
Right to professional judgement
Right to care that is ordered
Right to informed consent
Right to refuse treatment
Right to medical confidentiality
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8
Q

Population demographics

A
  • All have committed a crime, nearly 1/2 violent crimes
  • Larger proportion is African-American or Hispanic than in general population
  • More males
  • More from lower SES, longer trajectory of poorer access to health care
  • More chronic illness and infectious disease than the non-incarcerated population.
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9
Q

T/F All have committed crimes which 75% committing violent crimes

A

False; 50% have committed violent crimes

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10
Q

T/F larger proportion of inmates are African-American or hispanic

A

True

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11
Q

T/F inmates experiences more chronic illness and infectious disease than the general population.

A

True

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12
Q

Nursing Role

A

-Practice is shaped by the nurse practice act, Code of Ethics, federal & state laws, regulations, supreme court decisions.

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13
Q

Nursing Role

A
  • Practice is shaped by the nurse practice act, Code of Ethics, federal & state laws, regulations, supreme court decisions.
  • On site care
  • Focus on individual, immediate & ambulatory care, attend to emergency needs
  • Manage chronic conditions
  • Screenings, preventative services, education
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14
Q

What MUST nurses utilize to guide nurse practice (what we can and can’t do)?

A

Utilizing the nurse practice act. NOT determined by doctors.

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15
Q

Education in correctional nursing

A

BSN preferred- requires a level of judgement, skill and AUTONOMY that is supported and developed within baccalaureate education.

  • Certification available
  • Criminal justice, mental health & psych nursing, assessment, decision-making, administrative skills.
  • NP’s are often utilized as PCP
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16
Q

T/F Doctors are utilized as primary care providers

A

False; Nurse practitioners

17
Q

Is certification available for nurses in correctional health?

A

Yes

18
Q

Nursing functions

A
  • Restore and maintain inmate health
  • *Autonomy (make decisions & make good clinical judgement)
  • Communicable disease
  • Education and health promotion
  • Review sick call requests “kites”
  • Medication administration
  • Health Assessment required w/n 14 days of admittance
  • Post-release planning
19
Q

When does a health assessment have to be completed in a correctional facility?

A

Within 14 days

20
Q

Common health problems in correctional settings (4)

A

Mental health
Drug abuse
Communicable disease
Chronic conditions

21
Q

Mental health

A
  • 25% of inmates diagnosed prior to incarceration
  • Mental illness rates 3-6x that of general population
  • 3x more likely to have been abused in their life (ACE)
  • 4.5% of inmates are sexually victimized at least once while in prison.
  • Tend to have longer sentences and cost more while imprisoned
  • TBI 60% among adult offenders; 8.5% among general population
22
Q

T/F 20% of adult offenders have TBI’s

A

False; 60% among adult offenders; 8.5% among general population

23
Q

T/F 25% of inmates dx with mental illness prior to incarcerations

A

True

24
Q

Substance abuse

A

76% of local inmates, 74% of state inmates, 50% of federal inmates.

  • Drug tx is an essential service
  • Monitor for withdrawl- knowing when their last drink was
  • Organizing support groups
25
Q

What is one thing we need to assess inmates who come to a facility for?

A

For alcohol withdrawl; knowing when their last drink was.

26
Q

Communicable diseases in correctional health

A 
TB
MRSA
Influenza
Hep C
STI's, HIV/AIDS
27
Q

Future trends

A

More older, sicker inmates living and dying in prison

  • More females
  • More chronic conditions.
28
Q

Pregnant inmates: Assessments

A

Illicit drug use, STI’s, HIV, Hepatitis status, other kids?, father of kids?, family?

29
Q

Pregnant inmates: Concerns

A

What’s going to happen to baby; who will take care of baby?

30
Q

Pregnant inmates: Prevention

A

HIV tx & prevention. STI tx, no substances, good nutrition, prenatal care

31
Q

Pregnant inmates: Policy

A

What will happen when child is born

NRSG 477 (11 decks)

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