natgillin/translations-raw huggingface dataset:
Moreover, it is well placed to make a positive impact on the overall quality of life in the establishment within which it operates.
Prav tako pa ima pozitiven učinek na vsesplošno kakovost življenja v ustanovi, kjer deluje.
In the following paragraphs, some of the main issues pursued by CPT delegations when examining health care services within prisons are described.
V naslednjih odstavkih so opisana nekatera temeljna vprašanja glede stanja zdravstvene oskrbe v zaporih ali priporih, ki jim delegacija CPT-ja posveča pozornost med svojimi obiski.
However, at the outset the CPT wishes to make clear the importance which it attaches to the general principle - already recognised in most, if not all, of the countries visited by the Committee to date - that prisoners are entitled to the same level of medical care as persons living in the community at large.
Na začetku želi CPT poudariti pomen, ki ga daje splošnemu načelu, priznanemu v večini, če ne vseh, državah, ki jih je CPT do sedaj obiskal. To načelo pravi, da so zaporniki upravičeni do enake stopnje zdravstvene oskrbe kot vsi ostali ljudje.
This principle is inherent in the fundamental rights of the individual.
To načelo predstavlja temeljno in neodtujljivo pravico vsakega posameznika.
The considerations which have guided the CPT during its visits to prison health care services can be set out under the following headings
Posamezni sklopi vprašanj, ki so vodili CPT med njegovimi obiski pri zdravstveni službi v zaporih, so sledeči
a. Access to a doctor
a) Dostop do zdravnika
b. Equivalence of care
b) Enakost zdravstvene oskrbe
c. Patient&apos;s consent and confidentiality
c) Pacientov pristanek in zaupnost
d. Preventive health care
d) Preventivna zdravstvena nega
e. Humanitarian assistance
e) Humanitarna pomoč
f. Professional independence
f) Poklicna neodvisnost
g. Professional competence.
g) Strokovnost
Access to a doctor
Dostop do zdravnika
When entering prison, all prisoners should without delay be seen by a member of the establishment&apos;s health care service.
Ob prihodu v zapor bi moral vse zapornike takoj pregledati zdravstveni delavec v zaporu.
In its reports to date the CPT has recommended that every newly arrived prisoner be properly interviewed and, if necessary, physically examined by a medical doctor as soon as possible after his admission.
V svojih dosedanjih poročilih je CPT priporočil, da se z vsakim novo prispelim zapornikom opravi ustrezen pogovor in da ga, če je to potrebno, takoj ko je mogoče, pregleda zdravnik.
It should be added that in some countries, medical screening on arrival is carried out by a fully qualified nurse, who reports to a doctor.
Potrebno je dodati, da v nekaterih državah zdravniške preglede ob prihodu izvajajo medicinske sestre oz. medicinski tehniki, ki nato poročajo zdravniku.
This latter approach could be considered as a more efficient use of available resources.
Ta pristop bi lahko šteli kot učinkovito uporabo razpoložljivega osebja.
This requirement has subsequently been reformulated as follows: every newly-arrived prisoner should be properly interviewed and physically examined by a medical doctor as soon as posible after his admission; save for in exceptional circumstances, that interview/examination should be carried out on the day of admission, especially insofar as remand establishments are concerned.
Ta zahteva je bila pozneje preoblikovana na in sicer:sledeč način »Z vsakim novo prispelim zapornikom mora zdravnik takoj ko je mogoče opraviti ustrezen pogovor in da ga fizično pregledati. Razen ob v izjemnih okoliščinah, bi moral biti tak pregled/razgovor opravljen še isti dan po sprejemu zapornika v ustanovo, še posebej, če gre za pripornika.
Such medical screening on admission could also be performed by a fully qualified nurse reporting to a doctor.
To opravilo lahko izvajajo tudi ustrezno usposobljene medicinske sestre oz. zdravstveni tehniki, ki nato poročajo zdravniku.
It is also desirable that a leaflet or booklet be handed to prisoners on their arrival, informing them of the existence and operation of the health care service and reminding them of basic measures of hygiene.
Zaželeno je tudi, da se zapornikom ob prihodu izroči knjižica, ki jih obvešča o obstoju in načinu delovanja sistema zdravstvene oskrbe v zaporu in jih opozarja na osnovne higienske ukrepe.
While in custody, prisoners should be able to have access to a doctor at any time, irrespective of their detention regime (as regards more particularly access to a doctor for prisoners held in solitary confinement, see paragraph 56 of the CPT&apos;s 2nd General Report: CPT/Inf (92) 3).
Med prestajanjem zapora mora biti zapornikom ob vsakem času omogočen dostop to zdravnika, ne glede na to kakšen je način izvrševanja zaporne kazni v primeru konkretne osebe (glede dostopa do zdravnika za zapornike, ki so v osamitvi glej 56 odstavek CPT-jevega drugega splošnega poročila: CPT/Inf (92) 3).
The health care service should be so organised as to enable requests to consult a doctor to be met without undue delay.
Sistem zdravstvene oskrbe naj bi bil organiziran tako, da je mogoče zapornikovi zahtevi po pogovoru z zdravnikom ugoditi brez nepotrebnega odlašanja.
Prisoners should be able to approach the health care service on a confidential basis, for example, by means of a message in a sealed envelope.
Zapornikom bi moral biti omogočen zaupen dostop do zdravstvene službe, na primer preko sporočila v zaprti in zapečateni kuverti.
Further, prison officers should not seek to screen requests to consult a doctor.
Zaporniški pazniki naj ne bi pregledovali zahtev po posvetu z zdravnikom.
A prison&apos;s health care service should at least be able to provide regular out-patient consultations and emergency treatment (of course, in addition there may often be a hospital-type unit with beds).
Zdravstvena služba v zaporih bi morala biti sposobna nuditi redne ambulantne preglede in nujno pomoč (seveda pa so lahko pogosto na voljo tudi službe bolnišničnega tipa s posteljami).
The services of a qualified dentist should be available to every prisoner.
Usluge usposobljenega zobozdravnika morajo biti na voljo vsakemu zaporniku.
Further, prison doctors should be able to call upon the services of specialists.
Nadalje bi morali imeti zdravniki v zaporu možnost zahtevati pomoč specialista.
As regards emergency treatment, a doctor should always be on call.
Kar zadeva nujno pomoč, bi moral imeti zapor stalno dosegljivega dežurnega zdravnika.
Further, someone competent to provide first aid should always be present on prison premises, preferably someone with a recognised nursing qualification.
Nadalje naj bi bil v zaporu vedno prisotna oseba, usposobljena za nudenje prve pomoči. Zaželeno je, da ima ta oseba izobrazbo medicinske sestre oz. medicinskega tehnika.
Out-patient treatment should be supervised, as appropriate, by health care staff; in many cases it is not sufficient for the provision of follow-up care to depend upon the initiative being taken by the prisoner.
Ambulantno zdravljenje pacientov bi moralo biti ustrezno nadzorovano s strani zdravstvenega osebja. Pogosto ni dovolj, da je zdravniški nadzor prepuščen zapornikvi iniciativi.
The direct support of a fully-equipped hospital service should be available, in either a civil or prison hospital.
Neposredna podpora popolno opremljene bolnišnične službe bi morala biti na voljo v civilni ali v zaporniški bolnici.
If recourse is had to a civil hospital, the question of security arrangements will arise.
Če je potrebno zdravljenje v civilni bolnici, se postavi vprašanje varnosti.
In this respect, the CPT wishes to stress that prisoners sent to hospital to receive treatment should not be physically attached to their hospital beds or other items of furniture for custodial reasons.
CPT bi rad poudaril, da zaporniki poslani v bolnico na zdravljenje, ne bi smeli biti privezani na posteljo ali druge kose pohištva zaradi preprečitve pobega.
Other means of meeting security needs satisfactorily can and should be found; the creation of a custodial unit in such hospitals is one possible solution.
Mogoče in nujno je poiskati druga sredstva, s katerimi se zadosti varnostnim pogojem; ena od možnih rešitev je ustanovitev posebne varnostne službe v takšnih bolnicah.
Whenever prisoners need to be hospitalised or examined by a specialist in a hospital, they should be transported with the promptness and in the manner required by their state of health.
Če je potrebno hospitalizirati zapornika ali ga odpeljati na pregled k specialistu, je to potrebno storiti takoj in na način, ki je primeren njegovemu zdravstvenemu stanju.
Equivalence of care
Enakost oskrbe
general medicine
Splošna medicina
A prison health care service should be able to provide medical treatment and nursing care, as well as appropriate diets, physiotherapy, rehabilitation or any other necessary special facility, in conditions comparable to those enjoyed by patients in the outside community.
Zdravstvena služba v zaporih bi morala priskrbeti zdravljenje in nego, kakor tudi primerne diete, psihoterapijo, rehabilitacijo ali druge potrebne storitve oz. opremo ob pogojih primerljivih s tistimi, ki jih imajo ljudje zunaj zapora.
Provision in terms of medical, nursing and technical staff, as well as premises, installations and equipment, should be geared accordingly.
Ureditev in delovanje zdravstvenega, negovalnega in tehničnega osebja, kot tudi prostorov, naprav in opreme mora slediti istemu načelu.
There should be appropriate supervision of the pharmacy and of the distribution of medicines.
Obstajati bi moral primeren nadzor nad lekarno in razdeljevanjem zdravil.
Further, the preparation of medicines should always be entrusted to qualified staff (pharmacist/nurse, etc.).
Priprava zdravil bi morala biti vedno v rokah usposobljenega osebja (npr. farmacevtov, medicinske sestre oz. medicinskih tehnikov ipd.).
A medical file should be compiled for each patient, containing diagnostic information as well as an ongoing record of the patient&apos;s evolution and of any special examinations he has undergone.
Zdravstvena služba v zaporu bi morala voditi zdravstveni karton za vsakega pacienta. Karton bi moral vsebovati podatke o diagnozi, kakor tudi tekoč zapis sprememb v zdravstvenem stanju pacienta in zaznambo morebitnih posebnih pregledov, ki jih je pacient opravlil.
In the event of a transfer, the file should be forwarded to the doctors in the receiving establishment.
V primeru premestitve zapornika bi morali zdravstveni karton poslati zdravnikom v ustanovi, kamor je zapornik premeščen.
Further, daily registers should be kept by health care teams, in which particular incidents relating to the patients should be mentioned.
Poleg tega bi moralo zdravstveno osebje voditi dnevne evidence, v katerih bi zaznamovali posamezne posebne primere v zvezi z zdravstvenim stanjem pacientov.
Such registers are useful in that they provide an overall view of the health care situation in the prison, at the same time as highlighting specific problems which may arise.
Tovrstne evidence so koristne, ker zagotavljajo celovit pregled na področju zdravstvenega stanja v zaporu in obenem poudarjajo specifične probleme, ki bi se lahko pojavili.
The smooth operation of a health care service presupposes that doctors and nursing staff are able to meet regularly and to form a working team under the authority of a senior doctor in charge of the service.
Predpogoj za neovirano delovanje zdravstvene službe je možnost zdravnikov in drugega medicinskega osebja, da se vsakodnevno srečujejo in dejansko tvorijo delovno skupino pod vodstvom glavnega zdravnika, ki je šef službe.
psychiatric care
Psihiatrična nega
In comparison with the general population, there is a high incidence of psychiatric symptoms among prisoners.
Pri zapornikih je v primerjavi z ostalo populacijo mogoče zaslediti veliko pojavnost psihiatričnih simptomov.
Consequently, a doctor qualified in psychiatry should be attached to the health care service of each prison, and some of the nurses employed there should have had training in this field.
Tako bi moral biti del vsake zdravstvene službe v zaporih tudi zdravnik, specializiran za psihiatrijo, prav tako bi morala služba zaposlovati vsaj nekaj medicinskih sester oz. medicinskih tehnikov z usposobljenostjo na tem področju.
The provision of medical and nursing staff, as well as the layout of prisons, should be such as to enable regular pharmacological, psychotherapeutic and occupational therapy programmes to be carried out.
Ukrepi medicinskega in drugega zdravstvenega osebja ter ureditev zapora bi morala biti taka, da bi omogočala redno izvedbo farmacevtskih, psiho-terapevtskih in delovnih terapij.
The CPT wishes to stress the role to be played by prison management in the early detection of prisoners suffering from a psychiatric ailment (eg. depression, reactive state, etc.), with a view to enabling appropriate adjustments to be made to their environment.
CPT poudarja vlogo uprave zapora pri zgodnjem odkrivanju zapornikov, ki trpijo zaradi psihiatričnih motenj (npr. depresije ipd.), saj jim lahko prav uprava pomaga z izboljšavami njihovega okolja.
A mentally ill prisoner should be kept and cared for in a hospital facility which is adequately equipped and possesses appropriately trained staff.
Duševno bolan zapornik bi moral biti nastanjen v primerno opremljenih bolnišničnih prostorih, zanj pa bi moralo skrbeti primerno usposobljeno osebje.
That facility could be a civil mental hospital or a specially equipped psychiatric facility within the prison system.
Tovrstni prostori so lahko v civilni psihiatrični bolnici ali pa v posebno opremljenih psihiatričnih prostorih znotraj sistema zaporov.
On the one hand, it is often advanced that, from an ethical standpoint, it is appropriate for mentally ill prisoners to be hospitalised outside the prison system, in institutions for which the public health service is responsible.
Po eni strani se pogosto poudarja, da je z etičnega vidika za duševno bolne zapornike bolj primerno, da so hospitalizirani zunaj zapora, v institucijah, za katere odgovarja javna zdravstvena služba.
On the other hand, it can be argued that the provision of psychiatric facilities within the prison system enables care to be administered in optimum conditions of security, and the activities of medical and social services intensified within that system.
Po drugi strani pa lahko trdimo tudi, da obstoj psihiatričnega oddelka znotraj zapora omogoča, da se skrb za te zapornike izvaja ob optimalnih varnostnih pogojih in da se aktivnosti medicinskih in socialnih služb okrepijo znotraj tega sistema.
Whichever course is chosen, the accommodation capacity of the psychiatric facility in question should be adequate; too often there is a prolonged waiting period before a necessary transfer is effected.
Nastanitvene kapacitete psihiatričnega oddelka bi morale biti primerne, ne glede na to, za katerikoli način reševanja tega problema se odločimo; pogosto obstaja dolga čakalna doba preden se potrebna premestitev zapornika dejansko izvrši.
The transfer of the person concerned to a psychiatric facility should be treated as a matter of the highest priority.
Zato je potrebno premestitev zapornika v psihiatrični oddelek obravnavati kot najvišjo prioriteto.
A mentally disturbed and violent patient should be treated through close supervision and nursing support, combined, if considered appropriate, with sedatives.
Duševno moten in nasilen pacient bi moral biti strogo nadzorovan, prav tako pa bi mu morala biti nudena zdravstvena nega; če je potrebno tudi z uporabo pomirjeval.
Resort to instruments of physical restraint shall only very rarely be justified and must always be either expressly ordered by a medical doctor or immediately brought to the attention of such a doctor with a view to seeking his approval.
Uporaba sredstev fizične prisile oz. omejevanja bo redkokdaj upravičena in jo mora vedno ali izrecno odrediti zdravnik ali pa mora biti zdravnik takoj obveščen o uporabi fizične prisile in jo mora odobriti.
Instruments of physical restraint should be removed at the earliest possible opportunity.
Sredstva fizične prisile bi morala biti odstranjena takoj, ko je to mogoče in primerno.
They should never be applied, or their application prolonged, as a punishment.
V nobenem primeru pa tovrstna sredstva ne bi smela biti uporabljena (ali trajanje njihove uporabe podaljševano) kot kazen.
In the event of resort being had to instruments of physical restraint, an entry should be made in both the patient&apos;s file and an appropriate register, with an indication of the times at which the measure began and ended, as well as of the circumstances of the case and the reasons for resorting to such means.
Uporaba sredstev fizične prisile in omejevanja bi morala biti zabeležena v pacientovi kartoteki kot tudi v primerni evidenci. Označen bi moral biti tako čas začetka in konca izvajanja tega ukrepa, kot tudi okoliščine primera in razlogi za uporabo teh sredstev.
Patient&apos;s consent and confidentiality
Pacientov pristanek in zaupnost
Freedom of consent and respect for confidentiality are fundamental rights of the individual.
Svoboda privolitve in spoštovanje zaupnosti sta osnovni pravici posameznika.
They are also essential to the atmosphere of trust which is a necessary part of the doctor/patient relationship, especially in prisons, where a prisoner cannot freely choose his own doctor.
Ta dva pogoja sta bistvenega pomena za vzpostavitev zaupnega odnosa, ki je nujno potreben med zdravnikom in posameznikom, še posebej v zaporu, kjer zapornik ne more svobodno izbirati svojega zdravnika.
patient&apos;s consent
Pacientova privolitev
Patients should be provided with all relevant information (if necessary in the form of a medical report) concerning their condition, the course of their treatment and the medication prescribed for them.
Pacientu morajo biti na voljo vse relevantne informacije (če je mogoče v obliki zdravstvenega poročila) v zvezi z njegovim stanjem, potekom njegovega zdravljenja in predpisanimi zdravili.
Preferably, patients should have the right to consult the contents of their prison medical files, unless this is inadvisable from a therapeutic standpoint.
Zaželeno je, da bi imeli zaporniki vpogled v svoje zaporniške zdravstvene kartoteke, razen če to ni priporočljivo s terapevtskega vidika.
They should be able to ask for this information to be communicated to their families and lawyers or to an outside doctor.
Zaporniki bi morali imeti pravico zahtevati, da se te informacije posredujejo njihovim družinam, odvetniku ali zunanjemu zdravniku.
Every patient capable of discernment is free to refuse treatment or any other medical intervention.
Vsak pacient, ki je sposoben lastne presoje, ima pravico zavrniti zdravljenje ali katerikoli drug zdravstveni poseg.
Any derogation from this fundamental principle should be based upon law and only relate to clearly and strictly defined exceptional circumstances which are applicable to the population as a whole.
Kakršnokoli odstopanje od tega temeljnega načela bi moralo temeljiti na zakonu in se nanašati na jasne in strogo določene izjemne okoliščine, ki se uporabljajo za celotno populacijo.
A classically difficult situation arises when the patient&apos;s decision conflicts with the general duty of care incumbent on the doctor.
Splošno znan problem se pojavi, kadar si nasprotujeta pacientova odločitev in splošna dolžnost pomagati, ki zavezuje zdravnika.
This might happen when the patient is influenced by personal beliefs (eg. refusal of a blood transfusion) or when he is intent on using his body, or even mutilating himself, in order to press his demands, protest against an authority or demonstrate his support for a cause.
Do tovrstnega položaja lahko pride, ko pacient odklanja pomoč zaradi osebnih prepričanj oz. verovanj (npr. zavračanje transfuzije) ali kadar namerava uporabiti svoje telo ali se celo pohabiti, da bi uveljavil svoje zahteve, protestiral proti oblastem ali na ta način izkazal svojo podporo določeni stvari.
In the event of a hunger strike, public authorities or professional organisations in some countries will require the doctor to intervene to prevent death as soon as the patient&apos;s consciousness becomes seriously impaired.
V nekaterih državah bodo v primeru gladovne stavke javne oblasti ali strokovne organizacije zahtevale od zdravnika, da ukrepa, da bi preprečil smrt, takoj ko postane pacientova zavest resno motena.
In other countries, the rule is to leave clinical decisions to the doctor in charge, after he has sought advice and weighed up all the relevant facts.
V drugih državah prepuščajo medicinske odločitve zdravniku, ki vodi primer, potem ko je pretehtal vsa pomembna dejstva.
As regards the issue of medical research with prisoners, it is clear that a very cautious approach must be followed, given the risk of prisoners&apos; agreement to participate being influenced by their penal situation.
Iz očitnih razlogov je vprašanje medicinskih raziskav na zapornikih zelo kočljivo, zato ga je potrebno obravnavati s posebno pazljivostjo. Mogoče je namreč, da je pristanek zapornika na določeno medicinsko raziskavo posledica njegovega specifičnega položaja.
Safeguards should exist to ensure that any prisoner concerned has given his free and informed consent.
Zato bi morala obstajati jamstva, ki bi zagotavljala, da je vsak tak zapornik obveščen o raziskavah in njihovih posledicah in da je njegova privolitev v raziskave dejansko plod svobodne volje.
The rules applied should be those prevailing in the community, with the intervention of a board of ethics.
Pravila, ki se v takih primerih uporabljajo, bi morala biti enaka tistim, ki na splošno veljajo v svobodni družbi, z možnostjo intervencije etične komisije.
The CPT would add that it favours research concerning custodial pathology or epidemiology or other aspects specific to the condition of prisoners.
CPT bi dodal, da daje prednost raziskavam, ki se ukvarjajo z vprašanji patologije zapornikov ali epidemiologijo ali z drugimi vidiki, ki so specifični ali pomembni za pogoje, v katerih živijo zaporniki.
The involvement of prisoners in the teaching programmes of students should require the prisoners&apos; consent.
Vključevanje zapornikov v različne učne programe in projekte študentov bi moralo biti prav tako pogojeno s pristankom zapornika.
Medical secrecy should be observed in prisons in the same way as in the community.
Zaupnost zdravstvenih podatkov bi morala biti v zaporu zagotovljena na enak način kot drugje v svobodni družbi.
Keeping patients&apos; files should be the doctor&apos;s responsibility.
Za hranjenje pacientovih datotek bi moral biti odgovoren zdravnik.
All medical examinations of prisoners (whether on arrival or at a later stage) should be conducted out of the hearing and - unless the doctor concerned requests otherwise - out of the sight of prison officers.
Vsi zdravstveni pregledi zapornikov (ob prihodu ali kadarkoli pozneje) bi se morali izvajati izven slušnega polja zaporniškega osebja in - razen, če zdravnik ne zahteva drugače - tudi izven njihovega vidnega polja.
Further, prisoners should be examined on an individual basis, not in groups.
Pregledi zapornikov se bi morali izvajati posamično in ne v skupinah.
Preventive health care
Preventivna zdravstvena nega
The task of prison health care services should not be limited to treating sick patients.
Naloga zdravstvene službe v zaporu ne bi smela biti omejena na zdravljenje bolnih pacientov.
They should also be entrusted with responsibility for social and preventive medicine.
Izvajati bi morala tudi socialno in preventivno medicino.
It lies with prison health care services - as appropriate acting in conjunction with other authorities - to supervise catering arrangements (quantity, quality, preparation and distribution of food) and conditions of hygiene (cleanliness of clothing and bedding; access to running water; sanitary installations) as well as the heating, lighting and ventilation of cells.
Naloga zdravstvene službe v zaporu je, da v sodelovanju z ustreznimi drugimi organi nadzira pogoje prehranjevanja (količina, kakovost, priprava in razdelitev hrane) in higienske pogoje (čistost oblačil in posteljnine; dostop do čiste vode; sanitarije), kot tudi gretje, osvetlitev in prezračevanje celic.