Private-Pay In-Home Care & Patient Advocacy, Washington State

Hands-on care and honest advocacy, from one person you can trust, at every stage of aging.

I help seniors age at home with dignity, and help families make sense of the medical system along the way.

How I work

Home care agencies limit what caregivers are allowed to do, and geriatric care managers usually stick to advocacy and coordination without doing any hands-on care. I do both myself.

I've spent my career as a caregiver, advocate, and concierge caregiver for seniors who want to age in their own homes. I've helped families through difficult diagnoses, translated doctor jargon into plain language, and helped people understand their rights as patients, all while still showing up for the hands-on, day-to-day care that makes independence possible.

Working independently means I'm not boxed in by agency restrictions or pay structures that push caregivers toward doing the bare minimum. I get to care for people the way I actually think is right. Sometimes that's help with a morning routine, sometimes it's sitting in on a specialist appointment, and sometimes it's holding someone's hand through the hardest days of their life.

Credentials & Experience

  • Washington Home Care Aide (HCA) License
  • Nurse Delegation Certification
  • Extensive experience navigating complex medical systems and diagnoses
  • End-of-life care and death doula experience
  • Experience supporting people with disabilities

What I offer

Everything below is available separately or bundled together, and hands-on care is available to any senior aging in place, at any stage.

1

Hands-On Private Care

Personal, day-to-day support for seniors aging in place, at any stage.

  • Personal care: bathing, dressing, mobility, hygiene
  • Delegated nursing tasks under an active RN delegation
  • Companionship & engagement
  • Transportation to appointments
  • Post-hospital transition support
  • Respite care for family caregivers
2

Patient & Family Advocacy

Help understanding and navigating the medical system.

  • Accompanying you to doctor visits, translating medical jargon
  • Navigating new or complex diagnoses
  • Coordinating between specialists, pharmacy, and insurance
  • Understanding patient rights and options
  • Advance care planning support
3

End-of-Life & Death Doula Support

Comfort, presence, and guidance for patients and families.

  • Non-medical comfort and companionship
  • Legacy work and life review
  • Family support, including after-death guidance
  • Coordination alongside hospice teams
4

Integrated Concierge Care

This is really what sets things apart. One person handling both sides of your care.

  • One trusted relationship instead of coordinating multiple providers
  • Blended hours across hands-on care and advocacy, as needs shift
  • Consistency across the full arc of aging

Somewhere between an agency and a care manager, but built around you

01

One person you actually know

No rotating staff and no separate advocate to loop in. The same person who knows your situation is the one giving the hands-on care.

02

Licensed and experienced

Licensed as a Home Care Aide with nurse delegation certification, plus years of hands-on experience with complex medical navigation and end-of-life care.

03

Care without the restrictions

Private-pay and independent, so your care gets shaped around what you actually need instead of agency policy.

How we get started

1

Reach Out

Send an email or give me a call and tell me what's going on.

2

Talk it Through

We'll talk about your situation and what you're hoping for.

3

Build a Plan

I'll put together a plan combining whatever mix of care and advocacy makes sense.

4

Get Started

We begin, on whatever schedule actually works for you.

Get in touch

Reach out for a no-pressure conversation about your situation. There's no issue too complicated, and nothing too small to ask about.

Email: melissa@melissaatchison.com

Phone: (206) 395-8441

Email Melissa

Serving clients throughout the Puget Sound region, Washington State.