Mr. Owens is a 52 year old gentleman with a history of diabetes and hypertension who was mostly non-adherent to medication and follow-up in the community. At the facility, he is prescribed metformin 500 mg BID and lisinopril 20 mg QD. he has been incarcerated for about 10 weeks, and his blood sugars have been averaging 140 mg/DL and his…
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Ms. Wilson: Suicide Prevention
Ms.Wilson just returned from court, where she was sentenced to 10 years for drug trafficking. She was not expecting to serve any time. She has three small children at home, who she was sure she would get home to soon. Your facility understands that individuals receiving long or unexpected sentences are at high risk for self-harm, and have put processes…
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Mr. Simmons: Abdominal Pain
Mr. Simmons is a 42-year-old male who arrived at the jail three weeks ago. In Intake, he reported a history of GERD for which he takes omeprazole and chronic lower back pain for which he takes ibuprofen. Mr. Simmons admits to drinking alcohol every week, but he denies drug use. In intake, his vital signs were 124/72, 76, 16, 98.6°F,…
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Ms. Sloan: Heart Palpitations
Ms. Sloan is a 32 year old female incarcerated in the state prison system for the past 2 years. She has no chronic medical conditions. About a month ago she complained to her unit officer that her heart felt like it was “racing.” The medical clinic was called and the nurse instructed the officer to send her to the unit for evaluation. Upon arrival,…
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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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