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Does Your Patient Understand You

Details: Health Literacy is the ability to obtain, process and understand basic health information and services needed to make appropriate health decisions. Inmate Franken is facing an uphill battle to understand his new condition and the lifestyle changes, treatment options, and future implications of this diagnosis. This struggle can be compounded by

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Health Literacy and Patient Education Behind the Wall

Details: Health Literacy is the ability to obtain, process and understand basic health information and services needed to make appropriate health decisions. Mr. Johnson is facing an uphill battle to understand his new condition and the lifestyle changes, treatment options, and future implications of this diagnosis.

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The New Scope and Standards: Correctional Nursing …

Details: Encouraging timely access to health care in the community is part of the patient education we provide for discharge/re-entry. Correctional Nurses may conduct health education with custody staff and even the greater community. Patient Advocacy is addressed in greater detail in this CorrectionalNurse.Net blog post. It includes three Core Values

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How to Perform a Psychiatric Nursing Assessment

Details: A medical nurse is floated to the mental health unit. The assignment includes documenting on any improvements or deterioration in the mental status of assigned patients. There are two basic components to a psychiatric nursing assessment – the biopsychosocial assessment and the mental status exam.

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Rapid Assessment for Correctional Nurses

Details: Second, assessment of vital signs in an unstable patient requires a different set of benchmarks than in a stable healthy patient, e.g., a patient being assessed during a 14-day health assessment. For example, we typically think of a blood pressure of, say, 110/60 as being a normal blood pressure.

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FIVE REASONS CORRECTIONAL NURSES NEED CLINICAL …

Details: Incarcerated persons are legally entitled to a clinical judgment whenever attention to a health concern is requested. Nurses most often are the first health care provider to see a detainee or inmate for any health concern. The nurse’s clinical judgment will determine if the person needs an evaluation by another health care provider, and if so

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Avoiding Documentation Pitfalls in an Electronic World

Details: The electronic health record also affords users with the ready availability of clinical decision support (like drug/allergy interactions or best practice guidelines), which has the potential to prevent errors and improve patient outcomes. Good systems, though, are costly. Initial costs for purchase and maintenance of an electronic health record

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Insertion and Self-Embedding Behaviors

Details: A mental health evaluation is scheduled. The Massachusetts Department of Corrections (MADOC) has seen a significant increase in insertion and self-embedding behaviors among the behaviorally challenging and the mentally ill. In 2015, 11 inmates used this behavior in 25 incidents. In addition, 49 incidents of insertion or self-embedding occurred

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Root Cause Analysis: Patient Safety Powerhouse

Details: Asking the “Why” question successively, it is found that the laboratory automatically faxes critical values to the site. The fax machine is located in the health service administrator’s office, which is locked and unattended on Saturday. Per protocol, the laboratory service also calls the phone of the ordering physician.

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Post Traumatic Stress Disorder Behind Bars

Details: The past life experiences of many incarcerated patients lead to post traumatic stress disorder (PTSD). According to the National Institutes of Mental Health, PTSD develops after a terrifying event or when a person is regularly put in danger or in a deadly situation.Inmate patient histories frequently include physical or sexual abuse and many have been involved in violent crime.

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The New Scope and Standards: Correctional Nursing

Details: The Health Services Administrator certification is for individuals who manage major health related units or programs within a correctional setting. They are management staff who may contribute to the development of policy and procedures, are responsible for their implementation, and have authority over staff members.

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How to Spot a Good Place to Work

Details: Correctional nurses must respectfully collaborate with officer peers regarding the health needs of the patient population. When an important patient health issue cannot be resolved at the peer level, there needs to be a mechanism to engage various levels of leadership until a mutually satisfying solution is found.

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Patient Advocacy for Correctional Nurses

Details: The Centers for Disease Control and Prevention’s report on Health Disparities and Inequalities found that mortality rates from various chronic illnesses were all higher for certain minority populations. For example, while African-American women develop breast cancer at lower rates than White women, they are more likely to die from their disease.

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A Patient Safety Model for Correctional Practice

Details: Health Care Workers. The competence and judgment of health care staff is a major factor in patient safety. Staff interact with the patient and take therapeutic actions to deliver health care. Throughout the continuum of practice, health care workers have an opportunity to improve patient safety by developing and maintaining clinical competence.

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Is Patient-Centered Care Possible in Corrections

Details: 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

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Book Review: Humane Health Care for Prisoners

Details: No correctional health care text is complete without a presentation of mental health. In this case, Chapter 6 is a comprehensive description of the causes and outcomes of the mental health crisis in the criminal justice system. It is particularly helpful for medical practitioners like me who have little background in mental health care and context.

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Pender’s Model Could Transform Your Chronic Care Clinic

Details: Nola Pender developed the Health Promotion Model (HPM) in the early 1980’s as a framework to describe how nurses can motivate patients toward desired healthful outcomes.The model is based on nursing, human development, and social cognitive theory. Pender sees a nurse’s role as collaborating with the patient to create the most favorable conditions for optimal health and …

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Sleeplessness: A Major Inmate Health Issue

Details: Julia Worrall, RN, CCRN, is the Executive Director of the Foundation for Airway and Craniofacial Excellence in La Jolla, CA. This post is based on her session “Sleep Quality: An Important Health Issue for Staff and Inmates” taking place at the 2018 Spring Conference on Correctional Health Care in Minneapolis, MN April 21-24, 2018.Learn more about the conference and register HERE.

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Should Correctional Nurses be Compassionate

Details: One of the difficulties encountered right away is defining what compassion really means as it relates to health care practice. On a search for this answer I came across the national debate on compassion in healthcare currently going on within the British National Health

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Ethics in the Practice of Correctional Health Care

Details: He has been active in correctional health care for decades including nearly 20 years in healthcare leadership roles for the Michigan Department of Corrections. Ken is the author of the recently published book “ Humane Health Care for Prisoners ” and is presenting a session called Introduction to Ethics in the Practice of Correctional Health

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Correctional Nurses Keep Infection Under Control

Details: An IC nurse can be the key point person with the health department and initiate immediate action in the event of a potential outbreak. It appears that there was lack of communication with the health department in the IL situation cited above. Immediate response to a potential outbreak through containment and treatment can prevent further spread.

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Encouraging Patients to Participate in Self-Care

Details: The patient population can be ill-prepared to actively participate in their own health care. Limited English proficiency and low literacy levels can make self-care difficult. The inmate patient population is less educated than the general population and is …

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Women’s Health in Prison

Details: Women’s Health in Prison. By Lorry Schoenly. 28 Oct. Women’s health in prison needs our attention. The number of women in prison is much less than men, however, the rate of growth of female prisoners is nearly double that of males in the US. From 1995 to 2002 the female inmate population grew by 42% and is the fastest growing prison population.

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What’s Holding You Back

Details: Don’t overlook medical and mental health staff who often have similar concerns in their own disciplines. Band together to search out, evaluate, and apply research findings in your setting. If we all actively pursue EBP, we can implement best practices and change our world!

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Caring for Women in Prison: Reproductive Health

Details: Caring for Women in Prison: Reproductive Health. By Lorry Schoenly. 17 Oct. Twenty-five-year-old Joanie found out she was pregnant during routine screening on intake to the city jail. She had been picked up during a street sweep over the New Year’s holiday. A series of poor decisions and an addiction to cocaine that she couldn’t shake had

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Scope and Standards: New Definition of Correctional Nursing

Details: Correctional nursing is the protection, promotion and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, advocacy, and delivery of health care to individuals, families, communities, and populations under the jurisdiction of the criminal justice system.

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Book Review – Correctional Health Care: Practice

Details: The Health and Mental Health Needs of Incarcerated Women Another special population, incarcerated women, is discussed by chapter authors Rose, LeBel, and Blakey. Recommendations include linking health care to outside resources, screening all women for mental health concerns, and increasing substance use treatment.

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What Causes Clinical Error

Details: The blunt end, upstream from the clinical error, involves the many complexities of the structure and process in health care delivery that influence the point of care but are removed from it. This corresponds to latent system failures. Examples might be staffing patterns, a culture of silence, or poor training resources for off-shift staff.

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Three Sources of Fast Correctional Nursing CE Hours for

Details: Pedagogy Correctional Health Care Campus. Lorry Schoenly, our co-author here at CorrectionalNurse.Net, has written a few classes for Pedagogy, including Correctional Health Care Processes and Safety in the Correctional Setting. Correctional Health Nursing CE at …

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Are Your Education Materials Patient-Friendly

Details: Health literacy, the ability to understand medical information, is a challenge in the standard healthcare setting. According to the Agency for Healthcare Research and Quality “Low literacy is associated with several adverse health outcomes, including low health knowledge, increased incidence of chronic illness, poorer intermediate disease

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Are Your Education Materials Inmate-Friendly

Details: Health literacy, the ability to understand medical information, is a challenge in the standard healthcare setting. According to the Agency for Healthcare Research and Quality “Low literacy is associated with several adverse health outcomes, including low health knowledge, increased incidence of chronic illness, poorer intermediate disease

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CLINICAL JUDGMENT: A VITAL CORRECTIONAL NURSE …

Details: CLINICAL JUDGMENT: A VITAL CORRECTIONAL NURSE COMPETENCY. By Lori Roscoe. 13 Apr. Joanne has been called to the booking area to medically screen a 44 year old man brought by the police on charges of driving a stolen vehicle and drinking while driving. On the way to jail he hit his head on the window of the squad car.

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What Makes Correctional Nursing a Specialty

Details: Correctional nursing is the delivery of evidence-based nursing to protect, promote, and optimize health and abilities; prevent illness and injury; facilitate healing; alleviate suffering through the diagnosis and treatment of human response with care and respect; and advocate for individuals, families, groups, communities, and populations under the jurisdiction of the justice system …

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Preventing Inmate Suicide: The Ultimate Patient Safety Measure

Details: Recommendations, if any, for changes in policy, training, physical plant, medical or mental health services, and operational procedures; Suicide is a potential patient safety issue throughout the incarceration period. By being ever mindful of this possibility, we may have opportunity to prevent patient self-injury and death. Organizational

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How to Tactically Speak with Inmates (Podcast Episode 134)

Details: He presented a session on Strategic Bedside Manner: How to Tactically Speak with Inmates at the NCCHC Spring Conference on Correctional Health Care in Atlanta, April 29-May 2, 2017. Words have power, and they are particularly powerful in a controlled environment like a jail or prison.

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Moral Distress and Correctional Nursing

Details: Just returned from a fantastic National Commission on Correctional Health Care (NCCHC) conference. This year the Nurse Manager Round Table tackled moral distress and burnout for correctional nurses. It was an energizing discussion as about 40 nurse leaders from jails and prisons around the country grappled with the issue and suggested some remedies …

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How to Work with Correctional Officers

Details: Here, in addition to other health care professionals, correctional nurses must also collaborate, and negotiate, and work with correctional officers as legitimate members for the health care team. It is a mistake to minimize the impact of good communication among nurses and officers on safe patient outcomes.

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New Code of Ethics for Nurses: Civic Professionalism

Details: Certainly, health care has changed in 14 years and so has correctional health care. This change is reflected in the new Code of Ethics for Nurses. Correctional Nurses in the Public Square. One significant area of increased emphasis is the growing involvement of nurses in national, international, and global health care issues.

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Ethical Dilemmas in Correctional Health Care (Podcast

Details: Ethical Dilemmas in Correctional Health Care (Podcast Episode 131) Use Up/Down Arrow keys to increase or decrease volume. Aleksander Shalshin, MD, CCHP, former Medical Director for the New York City Department of Health for Correctional Health, joins Lorry for a conversation about the ethical challenges of correctional health care practice. Dr.

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Top Correctional Nurse Legal and Ethical Issues (Podcast

Details: Patricia Blair, PhD, LLM, JD, MSN, CCHP-A is a nurse attorney practicing in Texas. She serves as the American Bar Association representative on the National Commission on Correctional Health Care Board of Directors and frequently writes and speaks on ethical, legal, and policy issues in healthcare.

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Correctional Nurse Clinical Update: Mental Health

Details: A constant theme in addressing mental health disorders is the importance of ruling out a medical cause for the symptoms presenting. One study of admissions to a VA psychiatric unit found that about 3% of those admitted were incorrectly diagnosed as having symptoms of mental illness when they were actually suffering from a medical condition.

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Elderly Inmates – Increasing the Need for Correctional Nurses

Details: This is exacerbated by a general lack of access to health-care services and a poorer socio-economic background than the general public. In fact, a study by the Florida Department of Corrections found, in 2000, that two-thirds of the inmates surveyed had their first significant health care experience while in prison.

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Correctional Nurse Dilemma: Compassion or Cynicism

Details: Correctional Nurse Dilemma: Compassion or Cynicism. “Compassion becomes real when we recognize our shared humanity” – Pema Chodron. One of the many advantages of working behind bars is the amazingly appreciative patient population. Not only are our patients delighted with our services, but they only access health care when absolutely

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