1. How do you determine the homebound status for the homeless??
2. What if you had a patient that lived in a motel at night, checked out during the day, and then lived in his car? I'm new in home health. What do you think?
The skilled need is wound care. The patient is noncompliant. He does not pick up a glucometer when encouraged to do so. Frequently he does not take his medication too.
I know some nurses that give noncompliant patients a good amount of time before they discharge them because they make no effort to educate, practice, etc. whatever skilled need. I do agree with this.
3. After a reasonable amount of time, can we continue care legally if the patient is not taking their meds, checking their blood sugar, etc.?
If their noncompliance is prohibiting them from healing, etc., I believe that after a reasonable amount of time, they should be discharged.
I'm really curious to hear from nurses that have been in home health and know the all the regulations. Thanks!