监狱囚犯的息护理:"不要让我在监狱里死去"
John F Linder1, Frederick J Meyers
1Department of Internal Medicine, Division of Hematology and Oncology, UC Davis Cancer Center, University of California, Davis, Sacramento, Calif.
JAMA
|August 23, 2007
概括
美国越来越老的监狱人口需要加强息和临终关怀. 解决惩戒设施内部的独特障碍对于改善老年囚犯的护理质量和结果至关重要.
科学领域:
- 老年医学 老年医学
- 公共卫生 公共卫生
- 刑事司法 卫生 刑事司法 卫生
背景情况:
- 越来越多的老年人在美国的惩戒设施.
- 在这个老龄化的囚犯群体中,患病率和死亡率很高.
- 越来越多的监狱需要专门的息医疗保健服务.
研究的目的:
- 为了强调由于监狱人口结构的变化,临终关怀的必要性.
- 识别和讨论医生为囚犯提供息护理所面临的障碍.
- 提出实际建议,以改善在惩戒机构中的息和临终关怀.
主要方法:
- 审查现有文献和成功的监狱临终关怀模式.
- 分析在惩戒设施内提供息护理所面临的独特挑战.
- 包括社区医生和系统级解决方案的实际建议.
主要成果:
- 监狱中的息护理与社区共同面临的挑战,但也面临着独特的障碍.
- 具体问题包括标准,囚犯-医生/家庭关系,保密性和提前指示.
- 有成功的监狱临终关怀模式存在,需要传播和评估.
结论:
- 人口变化需要整合和扩大监狱中的临终关怀和息护理.
- 克服已识别的障碍对于有效的护理提供至关重要.
- 实施实际建议可以改善对被监禁和最近释放的个人的护理.
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