Unfortunately, a lot seems to depend on who you deal with and their understanding. Our public health nurse changed about five times, and some were way better than others. Unfortunately, it's a case of the squeaky gate gets the most oil! Unless you are actively keeping after them, trying to get more help, they will choose to assume that you are fine, because there aren't enough resources.
So true LadyA. The quiet, stoic, "I won't bother them, else they'll think I'm nagging and a nuisance" approach, gets you nil - well it certainly was the case for me.