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

McParland, C. , Johnston, B. and Ouwehand, I. E.I. (2023) Caring for people in prison with palliative and end-of-life care needs. Current Opinion in Supportive and Palliative Care, (doi: 10.1097/SPC.0000000000000661) (PMID:37399538) (Early Online Publication)

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.

• Item Type: Articles
• Status: Early Online Publication
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Johnston, Professor Bridget and Ouwehand, Dr Isa and McParland, Mr Chris
• Authors: McParland, C., Johnston, B., and Ouwehand, I. E.I.
• College/School: College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing; College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Nursing and Health Care
• Journal Name: Current Opinion in Supportive and Palliative Care
• Publisher: Lippincott, Williams and Wilkins
• ISSN: 1751-4258
• ISSN (Online): 1751-4266
• Published Online: 03 July 2023