Prisoner of policy

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As a nurse working in a women's jail, I'm worried about one of the older inmates. She has such bad arthritis that she can't move around easily, and now she's developed Stage II pressure ulcers on her sacrum.I think that frequent turning and a special mattress would do a lot to help, but our jail's policy doesn't allow us to go into inmates' cells for frequent care of any kind. Plus, all the inmates have the same type of nonfoam mattress, without exception. I can't see how this woman's ulcers will improve without more frequent turning and dressing changes.Am I liable if they progress? Or is the jail responsible because its policies prevent me from providing proper care?—R.D., IDAHO

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