title: Detained and Dying: Ethical Issues Surrounding End-of-Life Care in Prison.
abstract: Prisons are increasingly being called upon to provide end-of-life (EOL) care within the restrictive correctional environment. Several relatively recent phenomena have brought medical ethics to the forefront of prison EOL care-including aging behind bars, a paradigm shift in prison culture, the increasing rate of in-prison deaths, and the corresponding prison hospice movement. This article examines prominent ethical issues that emerge for prison personnel who are tasked with providing care to terminally ill offenders by presenting three offender composite characters that exemplify dying offenders and emergent ethical issues surrounding their care. Identification and critical analysis of these ethical issues demonstrate the need for strong commitment to ethical practice and highlights specific issues for prisons to examine in their own EOL care practice.
authors.affiliation: a University of Iowa School of Social Work , Iowa City , Iowa , USA.
authors.forename: Meredith
authors.initials: M
authors.lastname: Stensland
authors.affiliation: a University of Iowa School of Social Work , Iowa City , Iowa , USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Sanders
mesh_terms: D000328:Adult; D032722:Advance Care Planning; D000368:Aged; D057220:Health Literacy; D017051:Hospice Care / Q000941:ethics / Q000458:organization & administration; D006801:Humans; D008297:Male; D008875:Middle Aged; D010358:Patient Participation; D011330:Prisons / Q000458:organization & administration*; D019727:Proxy; D011787:Quality of Health Care; D013727:Terminal Care / Q000941:ethics* / Q000458:organization & administration* / Q000523:psychology; D014481:United States
keywords: End-of-life care; ethics; offenders; prison