Senior Member (100+ posts) Joined: Feb 2005 Posts: 118 Likes: 1 | Linda's doctor can write an order for home health care agency nursing to assess and instruct in ostomy care AND home health care agency Medical Social Worker to assess patient's needs. Locate a Medicare certified "Home Health Care" agency through Linda's hospital or doctor, and the agency can assist in getting the order written correctly so insurance will pay for these medical needs. While you may feel that you do not need an RN, I believe the insurance guidelines require that before an MSW is sent in to a home, a nursing assessment must be done. I have been out of the field for a few years so you will want to speak directly with an administrator with the home health care agency to get the current guidelines.
I am so sorry for your family's distress, but I believe there is help available for you. Make the calls.
Be well. Zenda 12/04 SCC Tonsil, Stage IV T3N2BM0. Mod RND, resect right oropharynx, free-flap, resect right tongue base. Erbitux,Docetaxel,RT X 33. 6/08 Mets lung, hilar lymph node:Carboplatin, Docetaxel. 2010 2nd clinical trial:lung clear, node stable. ORN,trismus,dysphagia. 8-10/2012 cryoablation,brachytherapy,cyberknife to lymph node. 12/12 NED. 6/13 Mets RLL lung: 8/13 cyberknife. 11/13 NED.
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