Today, the patient's home was somewhat improved. The smell was still heavy but I did not need to put Vicks in my nose!! They did make some linen changes and the patient stated they were going to buy some plastic protected pillows.
I don't anticipate d/c'ing the patient because of this situation. Ron ----- Original Message ----- From: Jennifer Lordan <[EMAIL PROTECTED]> Sent: Friday, October 05, 2007 To: [email protected] <[email protected]> Subj: [OTlist] Ethics of D/C Treatment JL> Hi, JL> I the home health agency I worked for I encountered this. I had JL> make sure I was not abandoning the JL> patient before I was allowed to discharge. I document all JL> conversation I had with him about how the JL> state of his house (ie limited running water and no functional JL> bathroom when our goal was to get him JL> I with selfcare activities and moving through the house) limited my ability to provide therapy. I JL> also documented that he was not participating in other aspects of the sessions. We still has JL> nursing staff who was making visits for wound care and protective services was trying to find him JL> new housing (which he was refusing). In the end I would say to JL> make sure you are not going to harm JL> yourself and to make sure that you have contacted the correct JL> agency to make sure the patient will JL> get the help needed to hopeful correct the situation of prevent it from further deterioration. JL> -- JL> Jennifer Lordan Milby JL> [EMAIL PROTECTED] -- Options? www.otnow.com/mailman/options/otlist_otnow.com Archive? www.mail-archive.com/[email protected] ************************************************************************************** Enroll in Boston University's post-professional Master of Science for OTs Online. Gain the skills and credentials to propel your career. www.otdegree.com/otn **************************************************************************************
