No ,
I totally get it. But in my area of nursing I really do get to know my consumers (patients) I have known most of them for years. I suppose it's easier when you are working in an acute setting and only see your patients for 1 to 3 days. When I get denials because medicare/Medicaid says a psych patient can't be on more than two psychotropics it kills me. My clients have multiple medical diagnoses but they still work and live in community settings. They literally have no voice in their care and need strong advocates. By way of example - Medi/Medi would not approve a medication change for one of my patient's until he had had a full neurological work-up, but they weren't going to pay for it. So it took me 18 months to get this profoundly delayed man an appointment for differential diagnosis at a medical school. All to get him a $20.00 a month medication. They would not approve it before because it would be an off-label use. He's been on it now for 3 months and experienced dramatic improvement. Still he had to wait almost two years to get it.
Hppy