Patient does have a rare genetic condition with multiple other comorbidities. Just didn't want to give too much detail due to Hipaa. There are very few agencies around here..and are not particularly up to par with the high tech care, let's say. Around here there seldom is any 24hour PDN approved..only getting 8hr/day, initial period of 13 weeks. Yes, I took the case to help out since it is difficult to find any nursing services here. I do have experience, just not in the home setting. Any patient I have encountered in every facility I've been in has had BP ordered, that's why it seems strange to me to not take a BP. That's what great about nursing; the possibilities are vast, the learning never ends, and it's always a quest for knowledge.