Ron
When I worked for Home Care we had policy directives re our personal safety
and 'a reasonable place to provide care' to help us make these kind of
decisions. It was especially difficult with homeless people.
The reasons you give would never have stood up for our managers who would
expect to know why this was the case and especially what were the attitudes
and abilities of the client and the other people involved in the situation
as well as what alternatives for care provision were possible. However there
were cases when service was denied.
It is a very big question with lots of variables.
There are probably privacy issues in providing any of the details of the
reason for your question. It's a good one as it stands.
I'll follow this discussion with interest. 
Joan

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf
Of Ron Carson
Sent: Tuesday, October 02, 2007 1:15 AM
To: [email protected]
Subject: [OTlist] Ethics of D/C Treatment

Hello All:

I   would  like  to  hear  opinion  on  the  ethical  considerations  of
discharging  patient  treatment  because the home environment has a very
foul smell and very unclean?

Thanks,

Ron




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