Parental Neglect

I have been reading some posts and can identify with many of them!!!! I thought my pediatric home situation was unique, but apparently not! I have been in the home almost 3 years. Mom expects more and more from the nurses (doing dishes, washing clothes, babysitting for other children, etc). If I could offer any advise to a new pediatric home care nurse I would say: Never start doing things in the home that you are not responsible for; it is eventually expected and often not appreciated. I am the "case manager" and have to listen to all the other nurse's complaints, but they are afraid to say anything to the mom. There have been many parental neglect issues over the time I have been there, to the point where the child's life has been endangered. Not only that, you are there to care for the child, not the rest of the family. One of the nurses called child protective services about mom not giving the child meds when nurses are not there, but they said there is nothing they can do because the child has 16 hour a day nursing care. There are many, many safety issues in the home. I called my manager today because I am afraid something will happen to the child and the nurses will be blamed ( this has been the history -- mom blames nurses for things that she is responsible for.) Mom pits the nurses against one another, lies at doctor appointments, gets upset if the nurse calls the doctor about anything (she wants to do all the doctor calls). Recently I was told by another nurse that mom did not want me aware of the things that were told to her at an appointment with a specialist. I realize there is a "control" issue here, and do all I can to give mom as much control as possible. I could go on and on but I think I have said enough. The agency told me to call and talk to the doctor. I am afraid this will make matters worse. Has anyone had any experience confronting a parent in a "staff meeting" type setting where all nurses are present. That way everyone knows what has been said and what is expected. I would very much appreciate any input or suggestions. This is how I feel --