Learning Focus: Recognizing and escalating care for acute musculoskeletal injuries sustained in correctional settings while supporting safe function and continuity of care. Patient Presentation A 30-year-old incarcerated person presents to Nursing Sick Call with right knee pain and swelling after a basketball injury. History of Present Illness Review of Systems Focused Assessment Prompt:Which assessment findings are most concerning and require…
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Clinical Judgment: Ms. Jenkins – Abdominal Pain, Missed Period, and Positive Pregnancy Test
Learning Focus: Recognizing reproductive health emergencies and escalating timely care for suspected ectopic pregnancy in the correctional environment. Patient Presentation A 27-year-old incarcerated female presents to Nursing Sick Call with complaints of worsening abdominal pain and a missed period. History of Present Illness Review of Systems Focused Assessment Prompt:Which findings are abnormal and require immediate provider notification?How do the patient’s…
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Mr. Howard: Foot Pain
Today scheduled on your Nursing Sick Call list is a 23 year old patient who submitted a slip last night for right foot pain. On the slip, he stated that he noticed his foot hurting that day and doesn’t know why it is hurting. Your review of his health record in preparation for the Nursing Sick Call indicates that he…
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Mr. Villegos: Abdominal Pain
Mr. Villegos is a 46 year old man with no medical history except alcoholism for the past 20+ years. When asked last week during his Receiving Screening by medical staff, he stated that he has been sober for the past two years prior to incarceration, although he did disclose at that time that he drank pretty steadily for about a…
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Ms. Jonas: Blood in Stool
Ms. Jonas is a 50-year-old woman who was recently arrested by the Federal Marshalls and is housed at your facility. She initiated a Sick Call Request yesterday complaining of rectal bleeding. Today you are the nurse triaging sick call slips, and you see Ms. Jonas in a face-to-face encounter. You learn that she has a history of hypothyroidism and is obese, despite…
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