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At Ambient Aging, our approach is centered around building trusted relationships and supporting each client with their comprehensive needs.

Ambient Aging offers a wide range of services and support, and our Concierge Nurse Care Management Service is a comprehensive and highly personalized process designed to meet your evolving needs with collaboration, compassion, and clarity. This model provides in-depth, ongoing support for individuals who require comprehensive care coordination and personalized guidance.

Step 1: Assessment+

We begin by meeting with you and your family in your home, taking time to listen, connect, and truly understand who you are. This visit allows us to learn about your current circumstances and gather important medical and personal history.

We explore the following areas of your life to form a comprehensive picture of your needs:

  • Medical – current diagnoses, medications, and providers
  • Cognitive & Behavioral – memory, mood, and emotional well-being
  • Environment – home safety and accessibility
  • Safety – fall risk, emergency preparedness, and abuse prevention
  • Legal – presence of advance directives, powers of attorney, or guardianship
  • Spiritual & Cultural – values, beliefs, and traditions that guide your care
  • Functional – ability to perform daily activities and maintain independence
  • Social – support network, relationships, and engagement in the community
  • End-of-Life – preferences, planning, and preparation for future care

Step 2: Identification+

During the initial assessment, we take the time to understand your story, identify potential barriers to progress, and help you clarify what matters most. Whether you come to us with clear goals or feel overwhelmed by medical or family challenges, we are here to help.

Some individuals face multiple barriers, including complex medical situations, unique family dynamics, financial concerns, or unclear legal needs. Based on our findings, we also recommend additional goals to enhance your quality of life and overall sense of well-being.

Step 3: Planning+

With your goals in mind, we create a customized written Plan of Care that outlines:

  • Identified barriers, needs, and concerns
  • Recommendations and strategies for improvements in your daily life
  • Referrals to trusted professionals and services to help reach your goals

We only recommend individuals and organizations we would trust with our own loved ones. After the Plan of Care is completed, you will be included in the review of the plan, and adjustments will be made based on your preferences and feedback. This plan belongs to you—your values and care needs shape it.

Step 4: Implementation+

Once you approve the Plan of Care, Ambient Aging begins implementing it alongside you. We will:

  • Contact and coordinate with approved specialists or service providers
  • Vet and introduce any new services or professionals to ensure a good match
  • Order necessary medical equipment or supplies
  • Assist with scheduling appointments and arranging transportation
  • Attend medical appointments to advocate, ask the right questions, and explain complex information given to you by your providers in clear, everyday language, so you understand your condition and choices.

We understand that health encompasses more than just medical aspects. Our team also supports you in areas that may fall outside traditional healthcare—family relationships, home management, spiritual beliefs, and life transitions all shape your overall wellness. We are here to help with everything.

Step 5: Evaluation+

Your Plan of Care is not set in stone—it evolves with you. Throughout the process, we check in regularly with you and your support team to ensure that your care is progressing in a direction that feels right to you.

As your needs or goals change, we will adjust the plan accordingly. This ongoing evaluation ensures that the care you receive is meaningful, responsive, and aligned with what matters most to you.