Thank you very much for reading through my work, I quite liked the response
I have two dimensions to the answer.
1. I will advice a team approach to the care with other healthcare professionals., Firstly, to collaboratively screen the inmate to establish diagnosis with other expert.Reasons been that long standing ill health in the prison could involve multiple systems & organ, thus demands specialists involvement for expert care. For example, Mental health Nurse, a psychologist, a geriatric nurse etc
Yes, a nurse that is skillful, specialized in the healthcare challenge of the inmate & fully licensed can offer care to the inmate considering the disease condition and the knowledge based capacity of the nurse practitioner in diagnosing, treatment, and decision making. However, peer review in patient management gives positive management outcome BC of the experience shared among the workers
2. Cost effective & efficient care are achieved based on early detection, accurate diagnosis, prompt treatment, and the individual role to support accept treatment regimen optio.
Yes - there are both positives (strangely) and negatives (obviously) about the prison environment. Firstly the environment is closely regulated - so that medication regimes are closely adhered to. This makes compliance a virtual non-issue. In the community compliance is actually only around 54%. However, the lifestyle in prison is inherently unhealthy, with only limited opportunities for exercise (for example) and it is difficult for people to lose weight - thus causing issues with lifestyle modification needed to manage many chronic disease conditions optimally, unless the individual is exceptionally self-motivated.