Standard of care

Female health care provider performing an eye exam on a male patient.

Initial Health Assessments: Getting It Right from the Start

(Note: This is Part 1 of a two-part series on initial health assessments.) Nelson Mandela Rule #30 says something that to us might seem obvious:   A physician or other qualified health-care professional … shall see, talk with and examine every prisoner as soon as possible following their admission and thereafter as necessary.   The United Nations …

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Lower half of a person's face, covered in orange and yellow swirls to depict heat.

“Hotter than Three Hells”: Heat-Related Deaths in Prison

On December 7, 2020, 44-year-old Thomas Rutledge was found unresponsive in the mental health ward of William E. Donaldson Correctional Facility in Bessemer, Alabama. His body temperature was 109°F, ten degrees above normal body temperature. He died soon afterward from severe hyperthermia. So how does someone die from hyperthermia in December? According to an investigation, …

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Woman holding magnifying glass up to her left eye

Correctional Oversight Systems: Who’s Watching the Watchers?

“The simple presence of an outside observer changes what happens inside a prison environment. It also can show us who we really are.” Michele Dietch From 2001 to 2019, the U.S. Department of Justice compiled the records of every inmate death in federal and state prisons (Carson, 2021a, 2021b). The results painted a grim picture of what …

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The Responsible Health Authority in Correctional Healthcare

Correctional healthcare, like care in the community, involves a patient and a doctor who meet in an examination room.  The patient voices his or her complaints, the doctor takes a history and then performs a physical examination.  Perhaps some testing is needed.   There is then a diagnosis and a recommended treatment.  Straightforward, right? Not quite. …

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Physician Expert Witnesses and Standard of Care

Standard of care is a legal term that essentially revolves around the concept of the reasonable person standard – i.e. whether someone acted with care as another ordinary, law-abiding individual would have in the same circumstances. When it comes to medical care, the definition refers to the type and level of care that a prudent health care …

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