I currently work in LTC unit attatched to a hospital so we are fortunate that the doctors come weekly but, I have worked in free standing facility in past. One thing that we had done is have a careplan meeting with the md involved and explained the patients condition and what is needing done to care for resident. I also tried to notify them of any new changes. After a while it seemed that the families would start to understand and know what we needed to do and questioned less. It is hard to keep families happy these days and without accusing or questioing staff of procedures etc. due to all the information out there. There are just some families that can't be pleased also no matter what.