Ron, my gut feeling, for what its worth (and I have worked in home health for 
20 years)  is that you are not going to get far any time soon with 
remediation of underlying issues, and that you would help the client/family more by 
pursuing adaptive methods and equipment for her bathroom and transfer needs, and 
also by advocating for her that the health care system continue to explore 
whether pain ( due to hip fracture or other cause) is causing this behavior.  -- 
Jody

>  Should we
> continue
> > working  on remediation of underlying issues or begin adaptive strategies
> to
> > decrease the family's burden and promote the client's safety
> 

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