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Analgesia and Pain Management01:25

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Updated: Apr 16, 2026

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Managing pain in prison: staff perspectives.

Elizabeth Walsh1, Christine Butt, Dawn Freshwater

  • 1Associate Professor: Offender Health, based at School of Healthcare, University of Leeds, Leeds, UK.

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|March 13, 2015
PubMed
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Prison staff demonstrate good awareness of pain management, identifying physical and emotional pain. Challenges include prisoners seeking analgesia for secondary gain and the emotional toll on staff caring for difficult inmates.

Keywords:
AnalgesiaCorrectional health carePrison staff

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Area of Science:

  • Prison Health
  • Pain Management
  • Qualitative Research

Background:

  • Understanding pain management in correctional facilities is crucial.
  • Prison environments present unique challenges to healthcare delivery.
  • Staff perceptions significantly influence patient care.

Purpose of the Study:

  • To explore prison staff attitudes and perceptions regarding pain management.
  • To investigate staff awareness of pain and its exacerbation within the prison setting.
  • To identify challenges faced by staff in managing prisoner pain.

Main Methods:

  • Qualitative research design utilizing questionnaires and focus groups.
  • Data collected from prison staff with direct prisoner contact.
  • Exploration of staff perceptions of pain and pain management strategies.

Main Results:

  • Staff exhibit a strong awareness of both physical and emotional pain in prisoners.
  • High frequency of prisoner requests for pain relief noted.
  • Prisoners acquiring analgesia for secondary gain poses a significant challenge.
  • Staff experience frustration and anger due to confrontational or deceitful patient behaviors.
  • Awareness of the prison environment exacerbating pain was discussed.

Conclusions:

  • This study is the first to present combined perspectives of healthcare and prison staff on prisoner pain in an English prison.
  • Findings highlight the complexity of pain management within a custodial culture.
  • Provides a foundation for future research and development in prison healthcare.
  • Acknowledges limitations including study location and potential staff reluctance to participate.