I have worked in home health for over 2 years. I love the one on one. I have 1 client for an entire shift. You get to know them so well that you can take one look and tell if they are not feeling well that day. The down side for me is you do not use alot of your skills. I am also very close to the entire family, you laugh with them and cry with them. I do not see how you can keep distant, nor do I see why you would want to. There is alot of down time, sometimes good, sometimes a little boring. I wouldn't trade it for a hospital position where 10 patients are needing your attention. I think it is about finding your niche.