Hi, I the home health agency I worked for I encountered this. I had make sure I was not abandoning the patient before I was allowed to discharge. I document all conversation I had with him about how the state of his house (ie limited running water and no functional bathroom when our goal was to get him I with selfcare activities and moving through the house) limited my ability to provide therapy. I also documented that he was not participating in other aspects of the sessions. We still has nursing staff who was making visits for wound care and protective services was trying to find him new housing (which he was refusing). In the end I would say to make sure you are not going to harm yourself and to make sure that you have contacted the correct agency to make sure the patient will get the help needed to hopeful correct the situation of prevent it from further deterioration. -- Jennifer Lordan Milby [EMAIL PROTECTED]
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