The cohort of geriatric inmates are special needs offenders ( Wright & Bronstein, 2007 Rikard & Rosenberg, 2007) that are growing exponentially. Looking to the future, development and testing of programs to enhance inmates' self-management of chronic conditions and to facilitate health promotion are in order. A key motivator for pursuing good health was to be respected and perceived as healthy and strong by fellow inmates. However, these older inmates engaged in a variety of self-care strategies, including: accessing resources and support staying positive managing diet and weight engaging in physical activity and protecting self. Cost issues, prison personnel and policies, food concerns, fellow inmates, and personal barriers all challenged older inmates’ abilities to maintain their health in prison. Data were collected from 42 male inmates age 50 and over who were aging in place and living with comorbidity. The purpose of this study was to identify perceived challenges to the health of older male inmates and to explore their self-care strategies. Elderly prisoners are likely to live in small tight quarters with other inmates, have two or more chronic health conditions, and encounter multiple barriers impeding health promotion while incarcerated. A multitude of intersecting factors including the graying of the broader society, a paradigm shift away from rehabilitation, fewer opportunities for parole, and retrospective prosecutions contribute to an exponential increase in number of geriatric inmates.
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