Biggest challenge for me would be keeping everyone happy. Yes, I work 12 hr shifts dear, you might have to feed the dogs and the kids. Yes, I do need some sleep tonight and yes I'm off tomorrow.
Other challenges is the medicare guidelines that steers the medical fields for there reimbursement and rules and regs that effect patients and staff. I want my pt to have the best, but medicare doesn't really care that you don't have running water to wash up.
Trying to get adult protective services to help some of my patients is hard. As long as the pt has some type of food and fluids available to them and they can do there business in a pot or can, they are ok. Can they dial 911? Then nothing they can do.