Home Health Chronicles: The Good, The Bad, and The Ugly

Trust your gut in home health - one missed warning sign can turn a routine visit into a crisis. In this eye-opening conversation, Lisa and physical therapist Mai Haynes share two real-world stories that every clinician should hear before stepping into another home.Mai, a physical therapist with 26 years of experience and 3.5 years in home health, recounts the moment she called for a police wellness check after a patient who had recently fallen down the stairs and been left undiscovered for 24 hours failed to answer the door. What looked like a possible emergency turned out to be a patient asleep inside - but the visit still uncovered abnormal vitals that needed medical follow-up, proving that acting on intuition can make all the difference.Then the conversation turns to a far more alarming encounter: a patient in an adult family home who suddenly jumped up, screamed, and moved aggressively toward Mai mid-visit. She explains how she positioned herself near the exit, backed out safely, and made the call not to return after learning the behavior had happened before and should have been flagged sooner.You'll hear:Why "better safe than sorry" can be the right clinical decision when a patient doesn't answerHow to handle a wellness check and when to escalate to police or 911What to look for before and during visits that might signal anger, aggression, or violenceWhy knowing your exits, keeping your bag clear, and trusting your instincts are non-negotiable in home healthHow strong manager support can change the outcome after an unsafe encounterThis episode is a reminder that home health can be unpredictable, and clinicians are often the only line between a patient getting help and a situation getting worse. If you work in the field, support people who do, or simply want to hear the kind of stories that sharpen your awareness, this one belongs in your queue.Essential listening for nurses, therapists, and anyone who enters patients' homes alone. Sometimes the most important skill isn't what you do in the visit - it's knowing when to leave.

When a simple home health visit turns into a life-or-death crisis, trusting your training can make all the difference. Jennifer Seager, a physical therapist assistant with a decade of experience, shares a gripping firsthand account of a medical emergency that changed her forever, and offers vital lessons for every healthcare worker navigating the unpredictability of patient care.In this episode, Jennifer recounts how a routine session turned into a cardiac arrest, and how CPR, instinct, and preparation helped her respond in the moment. Her story highlights the warning signs to watch for, the emotional toll of sudden trauma, and why staying calm under pressure matters so much in home health.

Home health isn't always predictable,and sometimes, things can flip in seconds. Angela's story of navigating a volatile situation with a patient armed and threatening is a tough reminder: always know your exits, stay calm, and prioritize your safety. Whether it's a gun in the home or locked doors you can't escape through, preparation can make all the difference.This isn't meant to scare,it's about empowering you to recognize warning signs before things escalate.Remember: trust your instincts, assess the environment, and always plan your escape routes. Your safety comes first, always.

Join me, myself, and I as I discuss the 5 different times I have showed up for an appointment and found my patient on the floor.

Please join me and Meghan (@slpontheroad) as we discuss speech therapy in the home, mobile MBSS, a day in the life as a PT and SLP, and finish with a quick home health horror.

Join me and Jackie OT (@the.journalinglife) as we discuss self care and fighting burnout in home health, ways to enhance your skills, and as always - stories. Smelly, smelly, smelly stories.

On this episode I have Alyssa and Ellen who both started out in home health as new grads. They answer your questions regarding what it was like and can it be done. And filled with lots of HH stories.

Join me as I discuss all things pediatric home health with Megan PT and Abby PT. We discuss the pros and cons of peds HH as well as differences and similarities between geriatrics and peds HH. And as always- ends with some stories!

Join myself and fellow PTs Lyndzy and Fisayo from @homehealthambassadors as we discuss all things pregnancy, pumping, and parenting in home health. Pros and cons!

Join me as I discuss with fellow PT @zachpevnickpt regarding how to ask for a raise, tips on scheduling patients in home health, and as always, finishing up with home health stories. These two stories may show the uglier side of home health, but they need to be discussed.

Join me on this episode as I speak with Miranda, RN regarding therapy vs nursing, dealing with family members, office/companies limiting visits, home health from a nursing perspective, and finish off with one of Miranda's craziest home experiences.

Welcome to the first episode of Home Health Chronicles: The good, the bad, and the ugly. This episode is just myself giving a quick intro to who I am, why I started this podcast and my IG , ALFs vs Homes, and then the one meme/post I have been struggling to make for over a year. I can't wait to continue to discuss all things home health in future episode with you all as guests!