Anticoagulation for the Correctional Nurse

Anticoagulation for the Correctional Nurse In the United States today, anticoagulant therapy is prescribed for individuals who are at risk for deep vein thrombosis, pulmonary embolism and stroke due to atrial fibrillation.  Historically, and even today, most patients with a blood clotting disorder are treated with warfarin and heparin.  These medications require careful monitoring, and…

Abdominal Assessment for the Correctional Nurse: Lower Abdominal Pain

Abdominal Assessment for the Correctional Nurse: Lower Abdominal Pain Abdominal pain is perhaps one of the most frequent complaints listed on a sick call/request to be seen slip in the correctional environment.  Changes to routine and diet, stress, and the “unmasking” of symptoms as patients become “detoxed” from substances like alcohol and drugs may contribute…

Abdominal Assessment for the Correctional Nurse: Upper Abdominal Pain

Abdominal Assessment for the Correctional Nurse: Upper Abdominal Pain Abdominal pain is perhaps one of the most frequent complaints listed on a sick call/request to be seen slip in the correctional environment.  Changes to routine and diet, stress, and the “unmasking” of symptoms as patients become “detoxed” from substances like alcohol and drugs may contribute…

Heart and Lung Auscultation for the Correctional Nurse

Heart and Lung Auscultation for the Correctional Nurse Patient assessment/evaluation are critical skills for the correctional nurse.  Often, the findings during patient evaluation determine the nursing “next steps”.  Can the patient be treated using the Nursing Protocols/Guidelines or does the patient presentation require that a provider be notified?  Abnormal findings such as elevated blood pressure,…

Diabetes for the Correctional Nurse – Update 2019M

A Diabetes Primer for the Correctional Nurse In the US Department of Justice’s Special Report on the Medical Problems of State and Federal Prisoners and Jail Inmates, 2011-12 that was published in early 2015, a 200% increase in the number of incarcerated individuals with diabetes was documented from 2004 to this report.  Nine percent of…

Homeostasis and Electrolytes for the Correctional Nurse

Homeostasis and Electrolytes for the Correctional Nurse Homeostasis refers to the body’s ability to maintain a stable internal environment in spite of changes that are occurring externally.  It is a healthy state that occurs through the constant adjustment of biochemical and physiological mechanisms, also known as the body’s dynamic equilibrium. Variables that impact the maintenance…

Hepatitis for the Correctional Nurse

Hepatitis for the Correctional Nurse Hepatitis, a general term referring to inflammation of the liver, may result from various causes, both infectious (viral, bacterial, fungal, and parasitic organisms) and non-infectious (alcohol, drugs, autoimmunediseases, and metabolic diseases).  This class will focus on viral hepatitis, which accounts for more than 50% of cases of acute hepatitis in the…

Wound Care for the Correctional Nurse

Wound Care for the Correctional Nurse In the correctional environment, depending upon the population and the type of facility (jail or prison), the wounds typically seen could be acute or chronic, but all require nursing assessment, treatment and monitoring.  In this class, both acute and chronic wounds will be discussed. Obtaining the wound history, conducting a…

Abdominal Assessment for the Correctional Nurse: Constipation and Diarrhea

Abdominal Assessment for the Correctional Nurse: Constipation and Diarrhea Constipation and diarrhea are common complaints in the correctional environment.  In this class, the basic abdominal assessment skills will be reviewed.  Constipation and diarrhea will be explained, and potential reasons for each will be discussed.  Common nursing interventions for the patient with constipation and diarrhea will…