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Related Experiment Video

Updated: Mar 17, 2026

Adapting Human Videofluoroscopic Swallow Study Methods to Detect and Characterize Dysphagia in Murine Disease Models
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District nurses' role in managing medication dysphagia.

Richard Griffith1

  • 1Senior Lecturer in Health Law, College of Health Science, Swansea University.

British Journal of Community Nursing
|August 2, 2016
PubMed
Summary

Altering solid medications in care homes is common, posing risks to patients with swallowing difficulties. District nurses must ensure safe medication management, adhering to legal and professional standards to protect patient safety.

Keywords:
dysphagiamedication managementpatient safetytablet crushing

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Area of Science:

  • Nursing Practice
  • Patient Safety
  • Medication Management

Background:

  • Altering solid-form medication is a frequent practice in care homes to aid patients with swallowing difficulties.
  • This practice, though common, poses significant risks to patient safety.
  • District nurses and community matrons play a crucial role in identifying and mitigating these risks.

Purpose of the Study:

  • To highlight the prevalence and risks associated with medication alteration in care homes.
  • To emphasize the duty of care for district nurses in managing medications for patients with swallowing difficulties.
  • To examine the legal and professional standards guiding district nurses in this area.

Main Methods:

  • Review of a survey commissioned by the Patients Association (2015).
  • Analysis of the role of district nurses and community matrons.
  • Consideration of legal and professional standards.

Main Results:

  • The survey indicates that altering solid medications is a daily occurrence in care homes.
  • District nurses are in a key position to address patient safety concerns related to medication tampering.
  • Effective medication management tailored to individual patient needs is essential.

Conclusions:

  • District nurses must uphold their duty of care by supporting safe and individualized medication management.
  • Adherence to legal and professional standards is paramount when assisting patients with swallowing difficulties in care homes.
  • Raising awareness about the impact of medication tampering is vital for enhancing patient safety.