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Nursing  Services

If a client’s condition is stable and predictable, and with an order from a primary care or specialty physician, our Registered Nurse can delegate to a caregiver nursing care services such as:

  • Gastrostomy care and nutrition

  • Blood Glucose monitoring

  • Subcutaneous injections of medication such as insulin

  • Catheter care

  • Ostomy care

  • Wound care (non-sterile dressing changes)

  • Tracheostomy care

  • Intermittent catheterization

  • Bowel and bladder care

We also provide care and management for diseases and conditions such as:

  • Traumatic brain injuries

  • Spinal cord injuries (paraplegia, tetraplegia, quadriplegia)

  • CP (Cerebral palsy)

  • PSP (Progressive Supranuclear Palsy)

  • Hypertension

  • Arthritis

  • COPD (Chronic obstructive pulmonary disorder)

  • Respiratory failure

  • ALS (Amyotrophic lateral sclerosis)

  • Stroke

  • Obesity

  • MS (Multiple sclerosis)

  • MD (Muscular dystrophy)

  • Diabetes

  • Mental health: Alzheimer's and Dementia

Injury, post-procedural and post-operative assistance

  • Pain management

  • Wound care (non-sterile dressing changes)

  • Communication with surgeon or primary care physician

Our agency Registered Nurse trains and orients the caregiver to the skill and watches them perform the task before “delegating” the task. Delegation required excellent communication between the RN and the caregiver(s).


A detailed step-by-step written instruction is left in the client's home binder for reference. This process ensure safety for the client and a good experience for the client and caregiver(s).

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Diana Kiefer

RN MSN Case Manager

As an RN Case Manager and health coach my mission is simple, the foundation of everything I do is to help seniors (55+) have a better everyday life. I am passionate about providing seniors with education and resources to improve their overall well-being.

Services provided:

  • One to one and group coaching to get to the root cause of poor lifestyle choices and develop strategies for improving health. This can be completed where the client(s) is/are most comfortable. Coaching can also take place virtually via zoom or FaceTime.

  • Assistance with managing a chronic disease.

  • Care coordination and advocacy for options and services to meet an individual’s health needs.

  • Communication with physicians and health insurance providers to promote quality of care and cost-effective outcomes.

Types of coaching include digital programs and workshops.

Additionally, I provide private case management services to seniors in the Rogue Valley. Health insurances provide limited coverage for RN Case Management, but research supports that it’s a needed service. There are a limited number of qualified RN Case Managers in the Rogue Valley. Ashland, OR has a large population of seniors and there are a lot of retired veterans living in Medford, OR due to the VA facility close by.


Fee for services: $50 a session