“…For example, in the UK, 61% of staff in nursing homes crushed or opened medications for patients (Wright, 2002), and 25% of oral doses were altered in a mental institution (Stubbs et al, 2008). In Australia, medications were altered before being given to the patient in 34% of 408 observations in aged care facilities (Paradiso et al, 2002), and nurses at 79% of 97 health facilities altered medicines to ease administration (Nissen et al, 2009). This commonly involves crushing tablets or opening capsules and mixing the contents into food or fluids such as apple sauce, jam, custard, yoghurt, honey or juice (Nissen et al, 2009, Lee et al, 1996, Gidal et al, 1998, McLean et al, 2001, Fay et al, 2005, Jann et al, 1986, Damle et al, 2002.…”