I think giving a present is different than buying a ticket to a movie. If my clients want or require staff to be with them during a movie or event, then they must pay for the ticket. They are paid so little as it is.Buying food out is another story. Clients don't usually pay for dinners out. When any of my clients want to buy me something out, I tell them that they can buy me a cup of coffee. They feel like they are helping because they know I am only eating out because of them, but it is not costly for them.
I agree that accepting present should be banned in a facility setting but banning presents in an one on one HPC setting seems almost unnatural. Those of us who provide HPC often times get close to our clients and sometimes are considered almost family. During the day, I work in nursing home administration and the no present policy is very appropriate but somehow it feels wrong to refuse a small present from my HPC clients. Both big and small must to adhere to Medicaid rules but the two types of businesses can be in reality two different animals.
Thanks for the discussion.