MSK Assessments: A Case Study

2. One of the important factors that you need to establish is how much pain the person is feeling. This can be difficult as we all have different pain levels. Several methods have been developed to measure pain but the most common one is to ask the person to describe it on a scale 1 to 10, with 1 being the mildest to 10 being the worst pain they have ever felt. It is about individual experience and you need to react to the level at which that person describes their pain as one persons pain thresholds may be different to another.

While our major access to these drugs is doctors, we cannot simply lay blame on them, as there is not enough knowledge about these treatments to correctly appropriate drugs, and therefore extra is given (Hemphill 373). Alexander of the Department of Epidemiology of the Journal of the American Medical Association, states that “There are serious gaps in the knowledge base regarding opioid use for other chronic nonmalignant pain” (Alexander 1865-1866), which leads to the unfortunately large number of leftover drugs. In fact, the main place that people get their drugs are from leftover prescriptions (Hemphill 373).

Health Care is not just of concern to the private sector. Health Care reaches into the prison system as well. Federal and state laws have been created to ensure that the prison system provides health care through the medical facilities available. The Federal Bureau of Prisons (BOP) is the government agency that regulates the health care that is given to federal inmates in the United States. The BOP licenses’, certifies, accredits, and runs the background checks necessary to obtain employment.

For my discovery event, I went on a tour of The California Health Care Facility in Stockton. I selected this event because I was very curious to know what it was like to work in a prison setting. My desire for future work settings has been between a nursing facility and prison facility. Before the visit I expected to know how a group was done in lower level prison and the safety precautions implemented. The facility tour was lead by CTRS John Widenmann and Gaganjot Singh. The first thing we toured was there medical mall building where all the prisons went to thee appointments for physical therapy occupational therapy, dentist, diagnostics, x-rays and medical needs. John told us that some inmates walk with out a guard because they have a card to specify where there suppose to be. If they refuse to go to there appointment than force is used too make them. Along the tour he mentioned that the rec therapists sees the inmate five time more in a week than other members of a treatment team. We were able to visit a facilitation room, which had a class for inmates to do artwork. One of the CTRS on staff mentioned that it is hard to have supplies for the art projects.

Bristol is a local prison and much of it dates back to the 19th century, receiving remand and convicted prisoners. Bristol Prison holds adult males as well as some young adults. The 2008 report illustrates that Bristol prison is an “old, cramped and vermin-infested buildings”, not only that but the prisoners have no hope for the outside world for they do not get any educational training skills nor do they have workshops for them. Furthermore, within one cell, two prisoners eating and live with an unscreened toilet no more than an arm’s length away. Prison system is just a business, however, the government needs to make sure they spend a lot of money on prisons such as Bristol because the condition and the environment of the prison is unbearable for the prisoner that have to put with it.

Nowadays individuals are always looking for a new drug that will give them 10 times more the effect they get on a daily. Therefore, some will look for a new vendor or they will ask current vendor’s for a stronger drug with an even stronger effect. Nevertheless this becomes a dangerous situation because they are no longer in control of their clear mindset as for someone that is not addicted to the feeling of being high.

In the hectic pill-popping world we live in today, around 6.5 million people in the U.S. currently abuse prescription medication and out of those 6.5 million, 4.5 of those people abuse pain relievers according to Nova Science Publishers (Greer). Codeine, oxycodone, Adderall, and Xanax just to name a few of the favorites among abusers (Fahey and Miller). These medications can end up on the streets and in the hands of party-goers looking for a “good time”. Dangerous pills such as those listed above can be quite useful by people with authentic medical conditions such as anxiety and ADHD, but also have the power to be abused by teenage party goers that crave a

Within the CJS, there are a number of people who are considered more vulnerable than oth-ers, including women, drug addicts and people affected by mental health illness. During treatment, a prisoners engagement within these areas can have a major impact on whether they will return to a life of crime when released, making this topic a crucial area of study from a

This author goes into great depth in telling what these medications are and what they do. She even goes as far as to tell how much pharmacies profit from patients pain and addiction. Although overdose is a concern with these medications, pain can also cause some people to contemplate suicide. This made medical professionals step back and ask themselves what would be the best way to save a life in that particular situation. (Kirkey-3). Although Kirkey talks about the risk

The Federal Bureau of Prisons has guidelines and regulations that they must adhere to when it comes to providing healthcare to inmates within the prison system. Although some of the guidelines and regulations vary from institution to institution, the authority given to the BOP when it comes to health services is much the same regardless of which prison an inmate is housed at. The BOP regulates the health care services that are provided to the inmates based upon the needs of such. Most prisons have psychological services available to each inmate along with a provider for other medical services. As other needs arise, the BOP is responsible for providing and maintaining

There are approximately 1,600,000 million inmates are behind bars in America (Glazer, 2014, para. 11) . Without a doubt, much of state prisons are overcrowded, which can lead to, very dangerous situations and environments. Due to the overwhelming number of inmates incarcerated it is difficult to deal with medical and mental health problems in prison. If most inmates complain about not feeling well or have symptoms, medical condition or disease that is not immediately, they would get some form of medication and get turned life back without seeing a doctor for a proper medical exam. A clear majority of the health care professional that work in the prison systems are very under qualified to work in such dangerous and trauma environments like prisons

Having poor heath care within the prison system is something that is very dangerous. It can lead to things such as accidental deaths, worsening pre-existing conditions, and conditions occurring that could have been prevented if the proper care was

The research puts forward that although antipsychotic medications may provide temporary management of an inmate in crisis, it may also be causing irreversible chronic side effects, thus creating an even more uncontrollable inmate for correctional staff in the future (Floyd, 1990). As a correctional practitioner and administrator, one must be cognizant of creating conditions that will cause greater hazards for inmates and staff in the future. I believe it more operationally sound for correctional staff to use the involuntary administration of medication of an inmate as a last resort and only when lesser forms of inmate management are employed. Therapeutic or soft restraints provide a lesser form of inmate control that could keep an inmate safe during a crisis and does not produce devastating protracted side effects unlike antipsychotic medication. Therapeutic restraints require no medication and immobilize the inmate’s body without hard metal restraints until the inmate becomes compliant or able to be transported safely for evaluation (Vlach & Daniel, 2007). An example a therapeutic restraint is padded leather straps that immobilize arms and legs to the body of an inmate. Therapeutic restraints offer an inmate management solution that requires minimal training and involves almost identical use of force as its involuntary

(2013) noted, “Crowded prisons violate constitutional standards, decrease access to programs and services, create major administrative problems, and increase violence” (p. 472). Prison overcrowding is a major concern and in most cases, it is considered as a cruel and unusual punishment according to the Eighth Amendment (Newman & Scott, 2012). Studies from Newman and Scott (2012) further revealed that “prisons are totalitarian and repressive institutions where structures to support responses with human rights of patients are nonexistent or ineffective” (p. 550). Medical and mental health professionals constantly face ethical dilemmas when encountered with pressures to fulfill medical objectives rather than patient

In order to provide high quality advice, each store will employ a physiotherapist (to provide advice on problems such as injuries or