OpenPlacement Community > Questions > Tagged: difficult patient

The patient won’t leave!!

asked November 4, 2013 | 0 followers | follow | 0 answers

Happy Monday everyone! Was wondering if you could help me with this . A Medicare patient placed in Observation refused to leave. It was a matter of convenience for family members who were here on vacation and wanted to finish out their tours, etc. Physician felt patient was stable for discharge, nothing else being provided to this patient that warranted an extended stay/ inpatient admit. I dodged the bullet on this one because patient did end up going home. But what should have been presented to the patient if she stayed? Correct me if I’m wrong but I didn’t think ABN or HINN didn’t seem to be appropriate in this situation. I would greatly appreciate your input!


asked June 22, 2013 | 0 followers | follow | 1 answers

How are hospitals coping with people too large for the bed or operating table?

Chronic health problems

asked June 17, 2013 | 0 followers | follow | 7 answers

So many people have multiple long term issues with Diabetes, obesity, hypertension and hypercholesterolemia. How do you help these people get into a lifestyle program to improve their health or prevent more complications from the above? The Adult Day Care population I’ve worked with is mostly Hispanic and most of the clients have at least 2 of the above if not all of the above diagnoses. I’ve tried counseling and exercise programs and just haven’t made any significant progress. These issues have become major health problems for America. How can we begin the fix this?

Undocumented Immigrant Problem

asked May 30, 2013 | 0 followers | follow | 4 answers

Hi, I am having some difficulty with a case involving an undocumented immigrant who comes to the ED to get dialysis. Due to his status, no dialysis center will treat him and he has no means to pay for this out of his own pocket. I really feel bad for the guy and I want to help him out. What should I do?


Placement for Sex Offenders

asked May 23, 2013 | 0 followers | follow | 3 answers

Hi guys, I have a patient who is a registered sex offender and I can’t find a facility that will take him in. Does anyone know of any nursing facilities (post acute care LOC) who accept people that are registered sex offenders? I am in Lincoln, NE but I am open to all options…doesn’t really matter what state at this point. It would be great if anyone can point me to the right direction.

Morbidly Obese Patient

asked May 20, 2013 | 0 followers | follow | 5 answers

Hello Open Community!

I desperately need some input regarding a patient in our facility. He is 42 and morbidly obese. He was admitted at our facility for treatment of lower extremity lymphedema and cellulitis. He cannot walk anymore but he refuses to accept that he has a weight problem! He is uncooperative and at times, violent with our attempts to keep him on a diet and restrict food consumption. He becomes very upset when staff attempts to throw away bottles and containers left at his bedside. Recently, we found out that his mother brings food items that are not on his prescribed diet, and the patient hoards items left in the room.

In terms of skilled need, the patient is receiving BID wound care (Silvadine cream and Bacitracin) and bathing with each session taking approximately 20 minutes and requiring four staff members. He is receiving weekly INR checks. He was also ordered PT, but he often refuses to participate.

He has been in our facility for 74 days now and we have still been unable to find a facility able to meet his needs. Any ideas or thoughts would be greatly appreciated!


Patient Refuses to Leave!!!

asked May 13, 2013 | 0 followers | follow | 8 answers

What do you do when a patient refuses to leave although medically ready for discharge? Is there a a policy/protocol to follow?

Thanks in advance,
Kathleen Navarro

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