I'm fairly new to home health (~6 months, did hospital nursing for 3 1/2 years before running for the hills!) and so far am enjoying the new challenges of the position.
My question comes from a patient of mine with horrible stasis ulcers to her left leg. She's very bossy and particular about her wound care. She's seen by vasc MD weekly and our wound care RN has been in numerous times to make changes/suggestions to wound care. It had been draining A LOT but has since been reduced greatly. I've had her since November and Medicare is getting pretty ticked about the supplies. She's INSISTING on covering her entire leg with abd pads with an optilock despite the reduced drainage.
How do you put your foot down with patients who manage everything you do? She's quick to talk about nurses to other nurses but I need to find a way to politely let her know that things aren't going to be run by her anymore...help! I'm a terribly weak human being and hate confrontation but something must be done!