Court appearance 1: the English and Welsh court system.
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Biomedical subjects
Publications and source records attributed to Richard Griffith.
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Medicines are a key therapeutic intervention in community care but their adverse effects can give rise to concern for patient safety. This article considers the legal regulation of medicines with emphasis on the right to administer medicines and the standard of administration. It further considers the consequences for primary care staff of the inappropriate use of widespread practices such as tablet crushing and covert administration of medicine.
The practice of crushing tablets is thought to be widespread. Whether this is done to make swallowing a medication easier for a patient with physical difficulties or to disguise the administration of a drug, there are several legal implications for nurses. Health professionals must be very sure that their reasons for crushing tablets could be justified in a court of law.
The authors outline the legal and professional consequences for nurses of failing to adhere to the law relating to the administration of medications. Part 2, next week, will look at the biological consequences for patients of non-adherence to drug administration schedules.
In the second part of this article, the authors examine the biological consequences for patients of changes in drug formulation, non-adherence to drug administration schedules and failure to accommodate drug/food interactions.
A debate has been developing in Nursing Standard on the issue of childhood immunizations. This article adds to the discussion by considering the likelihood of legislation being introduced to make immunisation compulsory in the UK. It also discusses how the courts approach an application for childhood vaccination against the wishes of a parent and the implications for nursing practice of that approach.