I have done home health, of all kinds, hospice, home to home nursing care only visits, (dressings, lab draws, foleys, etc) and shift work, where i was in a home for an entire shift. Sometimes for peds, sometimes adults. I've also been an HH admissions nurse (harder work, imo, getting everything set up for brand new pts)
Not nearly as much as the OP has, not at all, but, off/on through the years, i have done home health.
loved it! Getting to know a patient and their family well, is such a plus. Having time to really do the things you want to, awesome. Autonomy, wonderful. Being creative, is a must now and then, loved that part, too. Lots of great things about HH.
I have never ever felt afraid.
I've been afraid more than once in a hospital, with some of the patients i've interacted with there, oh my yes! Yes i have felt a lil wave of fear now and then over someone's behavior. and i once had a brain-damaged pt grab my head and twist my neck. Ouch! I've also witnessed many a coworker take a punch or slap from some demented pt here or there.
in a hospital.
but in a home care setting, nope, hasn't happened to me, anyway, that i was afraid of the patient or of their family, either.
I suppose, if i ever ever was justifiably afraid, i'd pull out my cell phone and dial 911 as i left the home, i guess, seems like that'd be what to do, but, never having experienced that, i don't know.
Different people have different comfort levels, i once had a coworker in ICU who was so so easily terrified, (i do mean terrified) all the time, over what seemed to me to be nothing. Lots of people scared her. but, i kind of think that was just something odd about her.