Whose responsibility

[grannynurse FNP student]

I had an interesting coversation today. A relative of my SIL called asking if he could install a grab bar. In the course of the conversation, I learn that a HHA had sent an RN and PT in. She had been advised to remove the scatter rugs and to use a lawn chair, in the bathtub, to bath her husband in. My question, what is the responsibility of the HHA to do a home assessment, suggest and possible order assistive equipment? When I did home health, back in the 70s, it was my responsibility. When I was injuried and had a HHA in my home, they did the assessment and ordered the necessary equipment. When my father need the same services, in 1997, the same thing happen. Has home health changed that much?

Grannynurse:balloons:

[katwoman7755]

Sounds like someone could have seriously benefitted from an OT eval....

Kathryn

[renerian, BSN, RN]

I would say therapy first, then nursing....do an evaluation for adaptive aides. I have done them but gladly turf it to therapy first.

renerian

[grannynurse FNP student]

Thanks for your replies. It scared me that the minimal suggestions she was given, was just that minimal. And the danger the lack of a full assessment put the patient and his spouse in.

Grannynurse:balloons:

[NRSKarenRN, BSN, RN]

Medicare DOES NOT pay for a tub chair; hence the possible recomendation to use a plastic lawn chair which are usually found for $8-10.00 this time of year. Usual cost in PA is $50.00-$100.00 for chair with back.

Caveat with using lawn chair--has no foot grips; old tennis ball cut and slipped over back legs will somewhat improve stability and minimize some sliding. This at least beats NO chair in tub for those with unsteady gait/risk for falls.

Homecare RN: detective and fine craftman when needed

PS: Tennis ball works great on back legs of walkers that need ski's too.