Research and Gover

Administrating medication can become a complex issue when patients refuse to take their medication and it has to be given covertly. The professional, legal and ethical principles of covert administration have become more necessary to establish over the recent years, due to the areas of accountability growing concerning Health Professionals, Bassett, S (2012).  
I am going to be discussing a situation involving a gentleman named Mr. Paris who was admitted into a Nursing home for Respite care. His relatives informed staff on arrival of his refusal to take his medication; they stated that they had been concealing his medication within his food, and wanted staff to continue doing so. I will be looking at the professional, legal, ethical issues concerning this request, and the Quality Improvement Agenda concerning drug administration.

Professional issues
Duty of Care
Nurses have a duty to ‘Provide a high standard of practice and care at all times’ The Nursing and Midwifery Council (2012). A duty of care can be defined as “the professionals’ duty to make the care of the people their first concern treating them as individuals and respecting their dignity. Working to provide a high standard of practice and care at all times, while being open and honest, and acting with integrity while upholding the reputation of the profession” NMC (2010). ‘Duty of care involves managing risk, working safely, maintaining confidentiality, making professional judgements and maintaining high standards of conduct at all times’ Weaver (2011).
As professionals there is a duty of care to do what is best for Mr Paris to ensure his well-being and the safe-guarding of his health, NMC (2007). Observation and communication between patient and health professional is extremely important, and is a fundamental element of care in every nursing practice, Royal College of Nursing (RCN, 2009). On refusal of taking his medication, first protocol would be to find out his reasons why by...