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Specializations · Pierce, Kitsap, and North Thurston Counties, WA

The conditions and moments we know most deeply

These are the situations we know best. A specialization tells us what we are walking into, and a service is the shape our help takes once we are there.

  • One point of contact

  • Led by a board-certified gerontological nurse

  • With your family the whole way

Alzheimer’s, Parkinson’s disease dementia, Lewy body, vascular and frontotemporal dementia, and the relationship strain families never see coming. The most important call is often the one before the diagnosis.

An in-home care consultation between a nurse care manager and an older adult

A complex, changing picture, coordinated as one whole person rather than a stack of specialists. A focus at the center of our ongoing training.

Older hands fitting together a jigsaw puzzle shaped like a head

Heart failure, COPD, diabetes, mental health conditions, and the medication tangles when several arrive at once. One person keeps every medical team on the same plan.

A nurse checking an older adult's blood pressure at home

Court healthcare assessments, Special Needs Trust petitions, support for legal guardians, and families concerned someone is not getting the care they deserve.

A person working at a laptop with a clipboard beside it