✨ Our Services
Comprehensive Nursing Assessments
In-person or virtual RN evaluations of health, safety, and social needs.
Review of diagnoses, medications, and risk factors (falls, readmissions, caregiver strain).
Development of a customized nursing care plan aligned with physician orders.
Ideal for seniors, adults with chronic illness, and families seeking professional guidance.
Care Coordination & Case Management
Central communication between clients, providers, and community resources.
Scheduling appointments, coordinating services, and ensuring follow-up care.
Monitoring progress and adjusting plans to meet evolving needs.
Goal: reduce ER visits, hospitalizations, and care fragmentation.
Medication Management & Safety
RN review of all prescriptions, over-the-counter meds, and supplements.
Identification of potential interactions or duplications.
Education for clients and caregivers on proper use and side effects.
Collaboration with prescribers for safe, effective medication plans.
Chronic Disease Management
Ongoing support for conditions such as diabetes, heart failure, COPD, dementia, and hypertension.
Symptom monitoring, lifestyle coaching, and education.
Preventive strategies to reduce complications and hospitalizations.
Focus on empowering clients to manage their health confidently.
Hospital-to-Home Transition Care
RN-led support immediately after discharge to prevent readmission.
Review of discharge instructions, medication changes, and follow-up needs.
Safety checks and caregiver education.
Smooth transition from hospital to community services.
Patient & Family Advocacy
Acting as a healthcare advocate during appointments, care planning, or insurance discussions.
Assisting with advance care planning (living wills, advance directives, POLST forms).
Guidance in navigating Medicare, Medicaid, and Wisconsin long-term care programs.
Support for families making complex healthcare decisions.
Wellness & Preventive Care
RN-led education on nutrition, exercise, and healthy aging.
Fall prevention and safety evaluations.
Preventive screenings and health promotion strategies.
Support to maintain independence and quality of life.
Ongoing Monitoring & Reassessments
Regular nurse check-ins via visits, phone, or telehealth.
Updates to care plans as conditions change.
Early identification of new risks or complications.
24/7 RN support available for urgent needs (optional service model).