Caring for people in prison with palliative and end-of-life care needs.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-09-01 DOI:10.1097/SPC.0000000000000661

Chris McParland, Bridget Johnston, Isa E I Ouwehand

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引用次数: 0

Abstract

Purpose of review: The prison population is growing and ageing, and many people will die from natural causes while incarcerated. This article provides a contemporary review of key issues related to palliative and end-of-life care in prisons.

Recent findings: Few countries have integrated prison hospices. Palliative care needs may go unrecognised in prison. Older offenders may not trust the prison to care for them and may benefit from segregation. Cancer remains a major cause of death. Training staff remains a priority, and technology can help facilitate this. The coronavirus disease 2019 (COVID-19) had a significant impact on prisons, less is known about its impact on palliative care. Compassionate release is underutilised, and the issue of medically assisted dying adds complexity to decisions around end-of-life care. Peer carers can provide reliable symptom assessment. Family members are often absent when someone dies in prison.

Summary: Palliative and end-of-life care in prisons requires a joined-up approach, and staff must understand the challenges of both this and custodial care in general. The relational network both inside and outside of the prison should be involved, and when possible and appropriate, we should consider alternatives to dying whilst incarcerated, such as compassionate release.

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照顾狱中有临终关怀和临终关怀需求的人。

审查目的:监狱人口正在增长和老龄化，许多人将在监禁期间死于自然原因。这篇文章提供了与姑息治疗和临终关怀在监狱的关键问题的当代审查。最近的发现:很少有国家将监狱临终关怀纳入其中。缓和医疗的需求在监狱里可能得不到认可。老年罪犯可能不相信监狱会照顾他们，并可能从隔离中受益。癌症仍然是导致死亡的主要原因。培训工作人员仍然是一个优先事项，技术可以帮助促进这一点。2019冠状病毒病(COVID-19)对监狱产生了重大影响，但对其对姑息治疗的影响知之甚少。有同情心的释放没有得到充分利用，医疗辅助死亡的问题增加了围绕临终关怀的决策的复杂性。同侪照护者可提供可靠的症状评估。当有人在监狱中死亡时，家人往往不在身边。摘要:监狱中的姑息治疗和临终关怀需要一种联合的方法，工作人员必须了解这种方法和一般监禁护理的挑战。监狱内外的关系网络都应该参与进来，在可能和适当的情况下，我们应该考虑在监禁期间死亡的其他选择，比如同情释放。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.