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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Mr. Cushing: Developing Confusion
You are the Intake/Booking nurse when Mr. Cushing is arrested and brought to the county jail on Friday evening. He is 28 years old, denies any medical or mental health history, but does admit to using alcohol and methamphetamines “recreationally” for “a while”. When asked to define “recreationally,” he states, “you know, a little every day …. for fun. I am definitely…
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Ms. Burns: Red Eye
Ms. Burns, a 23 year old woman, submitted a Health Service Request form for cold symptoms that had been ongoing for 2-3 days. She arrives for Nurse Sick Call and you immediately note two things – she is wearing “eye-liner” and her eyes are bloodshot. Ms. Burns tells you that she has been having symptoms for the last 48 hours,…
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