Had a little lady who had a blue foot, faint pedal pulses..sent her out to hospital who sent her back with a diagnosis of cellulitis...well. we all knew it wasn't cellulitis, but her MD insisted on...
Personally the family members that I like are the ones who visit about once a year and then ask What have you done to Mother??? This is usually one of the little old ladies who get progressively...
There just doesn't seem to be anyway around prepouring meds where I work. I've even seen our DON do it. Best bet is to mark the med cups, stick them in the top drawer of the med cart and keep it...