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Updated: Jan 20, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
[Medication administration and cognitive disorders: from crushing to consent?]
1Institut de formation interhospitalier Théodore-Simon, 3, avenue Jean-Jaurès, 93331 Neuilly-sur-Marne cedex, France.
Student nurses explored a nurse crushing and concealing medications for patients with cognitive disorders without consent. This ethical dilemma highlighted patient rights and professional conduct in nursing education.
Area of Science:
- Nursing Ethics
- Patient Safety
- Healthcare Legislation
Background:
- A nursing student group examined a case involving medication administration.
- The scenario involved crushing and concealing medications without patient consent.
- The context was a patient with cognitive disorders.
Purpose of the Study:
- To analyze the ethical and legal implications of a nurse's actions.
- To facilitate a collaborative study on professional conduct in nursing.
- To enhance student understanding of patient rights and consent.
Main Methods:
- Case study analysis within a 'Legislation, ethics, professional conduct' teaching unit.
- Collaborative research involving student nurses and training institute stakeholders.
- Discussion and critical evaluation of the ethical dilemma presented.
Main Results:
- Identified breaches in patient consent and medication administration protocols.
- Highlighted the importance of ethical decision-making in nursing practice.
- Underscored the need for clear guidelines on handling patient medication with cognitive impairments.
Conclusions:
- Reinforced the principle that patient consent is paramount, even with cognitive impairments.
- Emphasized the critical role of ethical training in nursing education.
- Called for a review of institutional policies regarding medication management and patient rights.
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