Title |
Surgery in Shackles: What Are Surgeons’ Obligations to Incarcerated Patients in the Operating Room?
|
---|---|
Published in |
The AMA Journal of Ethic, September 2017
|
DOI | 10.1001/journalofethics.2017.19.9.pfor1-1709 |
Pubmed ID | |
Authors |
Sara Scarlet, Elizabeth Dreesen |
Abstract |
Incarcerated patients frequently require surgery outside of the correctional setting, where they can be shackled to the operating table in the presence of armed corrections officers who observe them throughout the procedure. In this circumstance, privacy protection-central to the patient-physician relationship-and the need to control the incarcerated patient for the safety of health care workers, corrections officers, and society must be balanced. Surgeons recognize the heightened need for gaining a patient's trust within the context of an operation. For an anesthetized patient, undergoing an operation while shackled and observed by persons in positions of power is a violation of patient privacy that can lead to increased feelings of vulnerability, mistrust of health care professionals, and reduced therapeutic potential of a procedure. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 17 | 68% |
Venezuela, Bolivarian Republic of | 1 | 4% |
United Kingdom | 1 | 4% |
Unknown | 6 | 24% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 18 | 72% |
Scientists | 4 | 16% |
Science communicators (journalists, bloggers, editors) | 2 | 8% |
Practitioners (doctors, other healthcare professionals) | 1 | 4% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 15 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Master | 4 | 27% |
Student > Doctoral Student | 2 | 13% |
Researcher | 2 | 13% |
Student > Bachelor | 1 | 7% |
Unspecified | 1 | 7% |
Other | 2 | 13% |
Unknown | 3 | 20% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 6 | 40% |
Agricultural and Biological Sciences | 2 | 13% |
Psychology | 1 | 7% |
Unspecified | 1 | 7% |
Unknown | 5 | 33% |