Give an inch and a mile is taken. If I can schedule my cluster I always do, you have given her options and she is adamant to have what she wants, PUT IT BACK TO YOUR SUPERVISOR and document CLEARLY she has refused your offers and flexibility. Maybe a per diem can see her at the time she wants once a week and you can see her once a week clustering in the morning. all patients cant have the times they want all the time. Can family do the dressing? also notify the physician if she refuses for the day to CYA. BE CRYSTAL CLEAR. "I WILL be there 2-4, as I work in efficient time sensitive geographical rotation, I am UNABLE to deviate do to all patients needs as I cover a large geographical area" Do not give wiggle room more than that. IF she refuses then cancel and document she does not want the time frame you provide. YOU ARE NOT A SERVANT.