Recently on prac i was allocated 4 patients that i was treat everyday for my placement. When it came to my attention that one of my patients was a prisoner, i didn't know what to think. The usual thoughts went through my head: is he dangerous, do i treat him differently so he can't take advantage of the situation (i.e. use of equipment that could be a potential weapon), are there things i shouldn't say etc etc.
This man was convicted for armed robbery. He sustained his head injury from a gun shot to the head leaving him a hemiplegic and this is why he was in hospital. After seeing him for the first time i immediately knew that i could treat this patient just like any other and i was safe. Even though this patient was a hemiplegic and couldn't stand independently let alone crawl away, he had shackles around his ankles at all times (except physio) and 2 armed guards with him 24/7, which was later reduced to 1. It was intriguing to observe that all prison rules applied to him while in hospital. Visiting hours were scheduled and limited and he was only allowed to wear prison clothing and shoes.
Treatment progressed as normal, the most difficult aspects i found was the communication. What do i talk about with him? Trying to get a subjective history off him was really difficult as it was to do with his criminal history, unlike other patients where they had just a motorbike accident. I asked the standard questions and he gave me very brief answers. I didn't push for the details unless i felt some more information was necessary for the treatment. Over the next couple of weeks, most preconceptions i had of prisoners disappeared as he slowly opened up and were then able to have friendly conversation.
What i'm trying to say (as its not everyday you are treating a prisoner) is don't have preconceptions about individuals because of sterotypes. Everyone has a past and so don't judge a book by its cover. Having said that, never be complacent and treat each case individually as it presents.
If anyone has any insight though on whether there are any guidelines we have to abide by in these situations. i.e. not discussing criminal offences with the patient or if you see them on tv?? i gather that it is just up to the individual's discretion.
1 comment:
Far out I think I would have thought exactly the same things as you initially. Even though it's important not to stereotype people or alter their treatment because of this, I think it is important to take extra caution with some people. I think being aware of their criminal history is important just so that you can be a little more alert when first getting to know them. I dont think this is stereotyping them unfairly it's just being safe and protecting yourself. However I think you're right that it's important not to give them inferior treatment just because of their past.
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