Caring for the Incarcerated: An Orthopedic Perspective

Munns, Justin; Samora, Julie Balch; Granger, Jeffrey F.; Ng, Vincent Y.

doi:10.3928/01477447-20131120-02

Cited by 7 publications

(4 citation statements)

References 9 publications

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“…However, developing knowledge of cultural considerations when working with someone who has been incarcerated may be important to those working in orthopaedic care because the reported incidence of violent and accident-based orthopaedic injuries is higher in the inmate population compared with the free world 11,12 . In addition, logistical hurdles within the prison health referral system and punitive measures such as solitary confinement frequently prevent inmates from being seen acutely after injuries sustained in prison, and these individuals may seek care after being released from incarceration 13 .…”

Section: Cultural Considerationsmentioning

confidence: 99%

“…For already licensed health care professionals, hours focused in developing cultural humility and competency can be added as a requirement for continuing education for licensure. The goal of this education process should be the provision of intellectual and practical leadership that engages health care professionals in an ongoing, courageous, and honest process of self-critique and self-awareness 13 .…”

Section: Education and Trainingmentioning

confidence: 99%

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Know the Person, Not Just the Disease

Lopez¹,

Miller²,

Corral³

2022

JBJS Journal of Orthopaedics for Physician Assistants

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Orthopaedic surgery is one of the least diverse fields of medicine. According to the 2018 American Academy of Orthopaedic Sugeons census, orthopaedic surgeons are 93% male and 85% White. The predominance of people who have long-held power and privilege in society highlights the importance of cultural humility and cultural competence in musculoskeletal medicine. In this article, we present 3 patient experiences that highlight the influence of social and cultural factors: ethnicity, occupation, and environment. Health care professionals can expand their understanding of culture and increase awareness of their own cultural identity, which improves team bonding and camaraderie. Knowledge and training in cultural humility can improve care. Having diverse expertise present in 1 facility is more conducive to comprehensive treatment of the whole patient. This may help reduce health disparities, improve access to better care, increase health literacy, and promote health equity.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSJOPA/A167).

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Section: Cultural Considerationsmentioning

confidence: 99%

Section: Education and Trainingmentioning

confidence: 99%

Know the Person, Not Just the Disease

Lopez¹,

Miller²,

Corral³

2022

JBJS Journal of Orthopaedics for Physician Assistants

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“…Therefore, this workgroup decided to develop a feasible practice to improve care for institutionalized patients who came to our facility for care. As we reviewed the literature, we found an inspiration to anchor our process improvement and implement practice change: “developing strategies to effectively and efficiently care for prisoners is ethically imperative and essential to control costs and manage resources.” 2 (p906)…”

Section: The Changementioning

confidence: 99%

Preoperative Screening of Institutionalized Residents: A Practice Change

Lyons¹,

Mangum²,

Allen³

2020

AORN Journal

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“…Frequently, two armed guards are present observing the entire surgical procedure. It is difficult to know the extensiveness of such practices; however, evidence suggests that they are not unique to the authors' institution [12,13].…”

Section: The Need For Trust During Surgical Proceduresmentioning

confidence: 99%

Surgery in Shackles: What Are Surgeons' Obligations to Incarcerated Patients in the Operating Room?

Scarlet

Dreesen

2017

AMA Journal of Ethics

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Incarcerated patients frequently require surgery outside of the correctional setting, where they can be shackled to the operating table in the presence of armed corrections officers who observe them throughout the procedure. In this circumstance, privacy protectioncentral to the patient-physician relationship-and the need to control the incarcerated patient for the safety of health care workers, corrections officers, and society must be balanced. Surgeons recognize the heightened need for gaining a patient's trust within the context of an operation. For an anesthetized patient, undergoing an operation while shackled and observed by persons in positions of power is a violation of patient privacy that can lead to increased feelings of vulnerability, mistrust of health care professionals, and reduced therapeutic potential of a procedure. What I may see or hear in the course

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Caring for the Incarcerated: An Orthopedic Perspective

Cited by 7 publications

References 9 publications

Know the Person, Not Just the Disease

Know the Person, Not Just the Disease

Preoperative Screening of Institutionalized Residents: A Practice Change

Surgery in Shackles: What Are Surgeons' Obligations to Incarcerated Patients in the Operating Room?

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