I could not refuse providing care to my patient whose home is infested. In hospice, because I have been willing to just deal with it, was able to get a patient out of truly deplorable conditions and into a safe clean place where she was able to die in dignity. In home health I have a patient who is dear to my heart, yet she has roaches all over her home, even in the daytime. She is worth every bit of my discomfort. I hate roaches. I am terrified of them. But I make sure I don't sit on the furniture and I never bring my bag in. I have even managed to arrange to bring a hard chair in from the front porch on the pretense that it allows me to sit closer to my patient, and not hurt their feelings by never sitting down. Heck, bring in a small portable stool if you have to. I realize we all have limits and boundaries and I respect that. But nursing does call for us to step out of our comfort zone.