Guide In Choosing Among The Types Of Senior Housing Options

| Friday, August 11, 2017
By Martha Miller

A house is a place that exercises freedom. Its also believed as an investment. Every individual, young and old, deserves an ideal and good home where they could completely be free to show their freedom together with the ones they love while at the same enjoying all the advantages that this one has to offer.

As we age, our housing needs change as well, thus, the reason why we should assess what type suits best to us. With the many types of senior housing options available these days, finding that one property which address to your needs and wants is truly pivotal. The key here is to define your lifestyle and determine the factors which makes you feel comfortable. When deciding for this matter, we have presented some qualities and elements to check out for.

Physical and Health Needs. Seniors would certainly notice the changes on their lifestyles, especially when they separate themselves from others. The changes involve cleaning, shopping and even cooking too. Hence, its completely a wise thing that they will live in an environment where they can easily be granted immediate access to health and commercial establishments. Shorter distances matter.

Home Upkeep. Living alone at an old age is overwhelming. Not to mention that the maintenance of the house might spell inconveniences, especially when you have to deal everything with your own hands. To top it all, your current health situations might render you immobile. To keep you away from any physically daunting activities, choose a house that has minimal maintenance requirements.

Location. Should you wish to select a property that suits you and the ones you loved, discover the possible benefits and risks. It truly pays to determine a place accessibility. What is the approximate distance of medical areas and shopping centers. Are there less friendly roads and steep hills which you might pass. Think multiple prior to committing to a service.

Money. Besides the long term medical care, renovation of your house would surely cost you thousands. But you should learn that there is an equilibrium between health and also comfort to achieve happiness and satisfaction. Costly properties might be appealing. However, prefer those places that do not have huge cost yet the features are striking and promising.

Social and Caregiving Support. If you wish to be visited regularly by your loved ones and neighbors, it makes sense to select a place that within the proximity of their houses. This gives them ample time to visit you. Also, hire a caregiver who can immediately arrive to your location. Clearly, the choice to make can create a big difference on the possible outcome.

Care. There is no easy way to predict what will happen in the future. Should you firmly believe that your current situation might need a regular attention from medical practitioners, then the more reason to choose locations situated nearby health facilities to give the care you need.

To pinpoint the ideal homes, seek professional assessment. Experts could investigate the right properties that suit well to your needs. You basically have to discover and hire one who is willing to lend a hand from the start until the end.

About the Author:

READ MORE - Guide In Choosing Among The Types Of Senior Housing Options

The Benefits Of Non Medical Home Care For Seniors Temple Texas

By Pamela Russell

Formerly, if there was a medical predicament, majority of elderly members of the family would be sent to nursing home facilities. Nevertheless, presently, more persons with life-long chronic conditions are living in their homes. Hence, with non medical home care for seniors Temple Texas you are assured of the finest care for the senior members of your family.

Usually, non-medical services from your residence also known as non-medical concentrate on offering support to the members of the family who require the aid with day to day activities. Basically, non-medical care services cater for essential psychological and physical needs. This encompasses showering, utilizing the bathroom, companionship, basic housekeeping, transportation to and from errands and appointments, preparing and cooking meals among others.

Presently, this kind of care is common as it offers a few main rewards. One, it ensures that these senior family members do not move from their homes as they will receive all the support they need right at their homes. Therefore, they do not have to depart from their homes which hold numerous memories. Moreover, if they move from their homes, they will be emotionally bothered hence this will be mitigated by such aid services.

Secondly, in-home care is normally much more affordable unlike more intensive options like nursing services which include services offered by an expert such as registered nurse. Moreover, it has been found that such aid improves their psychological, as well as physical health. This is because the service givers within homes can remind them to take their medicine promptly and properly.

Again, these caregivers can be very influential in making sure the client does not easily slip into nuanced or silent conditions like depression. Essentially, when an elderly citizen experiences depression, their normal body operations are upset leading to various issues like fatigue, insomnia, irregular eating behaviors. Consequently, the companionship offered by these aides is necessary to avoid circumstances like these.

In addition, these assistants can deal with pertinent issues. For instance, they can aid the elderly to ensure they stick to suggestions made by their doctors or stop accidents within their homes. Moreover, they can function as personal hygiene promoters. Furthermore, these caregivers can garner crucial information about the homes which can be reviewed by the doctor. This is because this kind of information can help the physicians customize the treatment plan of the senior.

To find out if a senior member of your family needs such care, you need to consider a few things. First and foremost, if the individual wants to remain autonomous and does not want to leave their home for a nursing facility then this kind of help will be useful. Also, the capabilities and age deteriorate at diverse rates. Likewise, there are a few signs that the elderly individual needs aid such as problems with their personal hygiene or not being able to complete house tasks.

In addition, you must ensure you get the services of renown care agencies. Indeed, in-home care is convenient for family members and the client themselves as well as being inexpensive. As a result, you will be able to access the best service for you or a family member.

About the Author:

READ MORE - The Benefits Of Non Medical Home Care For Seniors Temple Texas

Tips For Selecting Elderly Home Care Houston

| Wednesday, August 9, 2017
By Frank Scott

When your loved ones grow old, they need constant care. Jobs and the daily commitments may not allow you to provide the proper attention and company that these seniors need. This is where nursing homes become relevant. Some considerations for selecting elderly home care Houston include the following.

Look at the foods served. They should be meeting all the dietary requirements and served at an appropriate frequency. The foods ought to be appealing and tasty. Old age comes with some difficulty with feeding, and many are times such persons do not like eating. This is where one should think about creativity to raise their appetite. The food should have an attractive look and probably a delicious taste while having all the necessary nutrients.

Listen to the sounds you hear around the home. If you notice that persons are shouting, then you can be certain that something is wrong. Therefore be keen to determine if people show any happiness. Constant quarrels would be a negative sign sighting probable mistreatment or discomfort.

Sanitation is another factor that one should consider. Be keen to differentiate the types of smell in the home. If the place is stinking, it could mean poor hygiene and consequently improper work. The place should be neat and clean especially the rooms, beddings and also the floors. The environment should not pose any dangers of infections.

Examine the staff load and learn their shifts and overtime routines. If you see any form of overworking, then you are likely to find that your beloved one will not get the best care which may affect his health. If the ratio of staff to clients is unreasonably high, then you need to understand there could be a possible neglect of the elderly.

Cross examine the staff interactions. If they are always shouting and using vulgar language against each other, you cannot expect better for your beloved ones. If you notice that the employees are always divided and gossiping, you have the right to go elsewhere.

Take a look at the general look of the persons in the home. The individuals there should not have any bruises or marks that look suspicious. Be keen to observe the level of happiness and satisfaction of the seniors. All the older people in the center ought to look contended, clean and healthy before you settle for the establishment.

Lastly, look at how the personal requirements of all the clients get handled. Determine how medicines get administered and the conditions thereof. It should be done by professionals and with the necessary supervision. Any form of negligence to personal needs should raise worries about the suitability of the place for the elder. Determine the frequency in the change of diapers and attendance to those who require special attention.

About the Author:

READ MORE - Tips For Selecting Elderly Home Care Houston

Ways Of Preparing The House For In Home Care For Elderly In Temple Texas

| Tuesday, August 8, 2017
By Anthony Adams

Old age for many people does come with lots of limitations. You may not find it easy to accept the fact that it is a stage that everyone goes through. When you are getting older, your bones and muscles can also become weaker. Therefore, the house can be very dangerous for any elder person. In this case, you may be required to make some small changes for In home care for elderly in Temple Texas.

One thing you should do is to improve how safe your indoors are. It is not possible for you to prevent all falls. However, there are things to do so that you prevent them. One is to clear the floors from all clutter. Most of the falls happen because of having a house that is messy. You should make sure that you have a lit house so that you see the floor are clear.

Increasing the safety of your home can be easily done by having the non-slip mats placed under every rug in the house. They most especially need to be in the bathtub and on the stairs. You can also put in place the safety railings. There are also bed railings that are important to make sure that the elderly do not fall when getting up.

There are other helpful devices that you can have installed in your home. When living in a house with two stories, then you may not know if you should limit the elderly to the downstairs section only. If this is the case, you might need to invest in the lift stair case. This one will help them to move up and down the stairs.

It is also vital that you ensure that the outdoors are equally safe. There is little control that you have over the dangers that lay outdoors. When you go outside with your loved one, you can ensure they are safe by making sure they have a walking stick where the ground is not even. You should also hold their hand when taking a walk.

Caring for the elderly is no easy job. Therefore enlist for help from your friends and family. You are not expected to do all this work by yourself. You can also find a good nurse to give you some help. When the nurse comes to help a few times in the week, you will find that things become less stressful and also easier for you to handle.

You should make sure that you stay involved. When you are the one providing care to your parents, you can at times feel like all your hours are spent on caregiving. Therefore, do all you can so that you stay involved in the community. This gives you a chance spend time with other people as you will need to get out of the house. This will help you feel all relaxed when you get home.

You may feel that preparing the house is a hard task. However, this is not true. Take time to go room by room to confirm that they have been secured. You may find that you were even more prepared than the way you had originally thought.

About the Author:

READ MORE - Ways Of Preparing The House For In Home Care For Elderly In Temple Texas

Why Home Care Assistance For Elderly Temple Texas Has Been A Success

By Deborah Patterson

Children will start to worry about their parents as they begin to get older. As time goes by, people begin to lose their sense of mobility. They may develop various illnesses and they don't manage to take care of themselves. Loved ones of the elderly will suggest nursing homes, but this can be an adjust for them. Home care assistance for elderly Temple Texas can be to their advantage because they find that they are able to more comfortable in their own environment.

Sometimes a person will be recovering from a major operation. Elderly people will have a terminal illness. This can sometimes happen at a much younger age. Children of loved ones are not able to care for them. They won't be able to take time off work.

A more general carer will take care of basic needs. They may provide transport for when the patient needs to run errands. They may need to visit friends. Sometimes they will have to go out shopping. It is important that they get out and about. Some carers will plan the meals according the dietary requirements of the patient.

IF you compare the costs with nursing homes and hospitals as well as other establishments for the elderly, you will find that this is less costly. People don't always think along these lines. They think because you are getting the one on one attention, it should surely be more expensive. However, it is actually better off in the long run.

By having a carer in the home, it means that there is less for family members to worry about. There may be an emergency and usually the loved one will have to rush out and attend to this. However, they will have more confidence knowing that there is someone with skills and experience to take care of their parent.

They may become depressed and isolated because of this. It can definitely be a lonely life. It is especially not something that is suitable for the introvert, and families should keep this in mind.

There are all sorts of carers that are available. Some of them are more experienced with specialized skills. They will have more knowledge with something like Alzheimer's disease, for example. They will know what activities to provide for a patient like this. It is still important to provide them with a good quality of life.

Elderly people can become stubborn at a certain point. They may refuse to eat or take medication. The carer can become frustrated, but will know how to handle these types of situations. This is why, as a child of an elderly parent, one needs to make the effort to look for a carer who has the experience to cope with these types of situations.

About the Author:

READ MORE - Why Home Care Assistance For Elderly Temple Texas Has Been A Success

Tips For Home Care Assistance Houston

By Elizabeth McDonald

For most seniors, having care administered in their home is much more preferred compared to checking into a facility. The advantage of this option is that they are able to spend time with their families more freely. It is important to know that not always will it be possible for someone from the family to be besides the senior citizen. When looking for home care assistance Houston provides a myriad of options for you.

Most people feel the obligation to give assistance to the senior citizen in the family, but are not able to since they have other pressing issues to handle especially to make a living. This means that somewhere down the road, you may need the assistance of reliable a caregiver.

Depending on the service to be rendered, the kind of attention rendered will differ. The best option for you ought to sufficiently cater for the needs of the senior citizen. A good option for you is one that caters for your will create a plan that covers your needs as much as possible.

Following some tips will guarantee that you maximize the possibility of winding up with the best package. Online research is one of the key steps to take before you settle on anyone. Good research increases how you make your judgment on the kinds of standards look out for. It also widens your scope when it comes to zeroing in on the particular services on offer for your loved one.

Prior to hiring a service provider, you need to ensure you select an agency that has a valid license. Ensure that they have the right accreditation. This would be an indicator that they have a procedure, follow regulation and rules of the industry. Great caregivers often consider this not only a job but also a calling. This guarantees the best service for your loved one.

To increase the chances of finding a reliable caregiver, there is a need to search for references. These can be sourced from friends and colleagues. There is a great chance to have some great recommendations that you can try or consider. The right caregivers understand that offering care from home is different from being confined to an institution owing to the memories they come with.

Ensure all requisite background checks on the caregiver are conducted. Remember that patients are likely to heal more quickly from their home, as compared to a facility. This means, you need to ensure that you settle on someone who is able to deliver more than what you need. They should also be likable people since they are the people who will be interacting with the patient more often.

Lastly, you need to look at the kind of training the caregivers have undergone. With this, you have proof they have been certified to offer the kind of service you need. This indicates that you are about to get the right expertise. Make sure you speak to some clients that they have worked with before to be certain you are about to make the best decision.

About the Author:

READ MORE - Tips For Home Care Assistance Houston

Discover Why Non Medical Home Care Houston Is Very Imperative

By Marie Thompson

People anticipate that life will get easier as they age. They anticipate retirement as that time of life when one can finally relax. However, as much as the golden years might be the best years of life, concerns are always there. Aging comes with some challenges that are common to all seniors. This is why seniors require great care during this time. Sadly, by the time the parents are aging; their children are old enough and can longer remain at home at all times to look at their parents. They therefore have to look for providers such as non medical home care Houston to look after their seniors.

Old people go through mega challenges. To overcome these challenges they require the help of people who understands and can relate with these challenges. One of the challenges the aged face as lack of someone they can interact with. If the seniors have to remain at home alone, life will be very unbearable as they will not have someone to offer them companionship. Caregivers play a major role in ensuring that the seniors do not suffer from loneliness.

As they age, the seniors have high chances of falling and tripling. Remember that their bodies are not as strong as when they were young. Their bones are weak and even their walking style changes as they age. In case such seniors are living alone at home they may not be able to find help in case they fall.

As one ages, the ability to tend to their daily personal errands diminishes. The senior might find challenges completing errands both outside and in their homes. They may find that they require help with upkeep of their houses and also with errands such as getting to appointment and shopping for grocery.

Many seniors suffer from illnesses such as dementia. Basically, dementia makes the seniors forget things so fast. One of the most critical things seniors might forget is taking their medication. They may skip taking the medication or even take overdose. This can have a negative implication on their health. Having someone to look after your senior can ensure that they take their medications in the right way.

The importance of eating a balance diet can never be under looked. This is because seniors need nutritious food to live strong and keep off illnesses. However, some seniors detest cooking and therefore they turn to eating unhealthy junk food. This has a negative effect on their health. They also skip meals, which is not good for their health.

In case you are contemplating finding care providers to look after your aging relatives, it is important to ensure that you settle for the right caregivers. You certainly want to ensure that your loved one is comfortable, and that they are offered the best care possible. With so many caregivers, finding the best providers will require you to do your homework well.

Since they are used to their independence, seniors may at times view caregivers as people with an aim of taking away this independence. This means that the caregivers should be tactical to ensure that the seniors do not feel as if their independence is compromised.

About the Author:

READ MORE - Discover Why Non Medical Home Care Houston Is Very Imperative

Tips In Finding The Right Elderly Care Services

| Saturday, August 5, 2017
By Frances Hughes

Taking care of elderly people could be a hard task for a lot of individual since not all are learned or have the luxury of time to do so due to their lifestyle. This is one of many reasons several individuals are opting for employing elderly care services to care of their elderly loved ones. But then again, it may also prove to be difficult to choose the right service to hire.

A lot of people do not realize that there are several considerations which come along picking the right service provider. There are several Elderly Care Services Chicago IL to choose from which may make the search and selection harder for some. Luckily, there likewise are a couple of tips you can take that would make yours easier.

With regards to searching for the correct administrations to enlist, one thing you ought to dependably remember is to guarantee you would pick those who have the correct qualifications. You need to ensure that you pick people who have experienced the correct preparing and training for them to become qualified and guaranteed for this occupation. Keep an eye on the licenses, confirmations, and grants that they have.

Another thing which you likewise must keep in mind is to make sure you choose those who has been in the field for quite some time. You want to become sure you are opting for professionals who have earned all the needed experience for them to be able to deliver the best because they have had their skill set honed. Experienced individuals are the same people who likewise could provide the best services with minimal mistakes.

Additionally, you have to likewise guarantee you would pick individuals who earned the required notoriety for such occupation. There are an awesome number of individuals whose notoriety could be dictated by keeping an eye on their records to guarantee that it is perfect and also that what other people are saying in regards to them are in like manner incredible. Besides, you will locate that most legitimate people are similar people who toward the end in this field since they are more dependable.

The costs of hiring one is also something that should never be overlooked and should always be noted of beforehand. This will be helpful in making certain you would be able to prepare the needed amount to obtain the services of a particular individual or services. Moreover, it would be helpful if you pick those who are offering rates that would be within the limits of your own budget.

If you wish to find information that will help in making your search less demanding, you will find that the web is a place to do this. There are several sites which would help you in terms of looking for information that would be helpful in locating the correct services. Also, the search can be done at home or at work so it will be very convenient.

However, of course, you likewise have the alternative of looking for the proposals of other individuals in this. You must verify you will select the ones who as of now worked or have been under the watch of particular specialists since they are similar people that are viable in giving pertinent and solid criticism. This is on the grounds that such criticism might be founded on their experiences.

You should remember that there likewise are a lot of things which need to be kept in mind when looking for the correct service providers. You need not just take the tips that are listed in the above paragraphs but also remember to conduct your own research. This would help in assuring you do not waste your time as well as money on the wrong individuals.

About the Author:

READ MORE - Tips In Finding The Right Elderly Care Services

Features Of Great Nursing Services Brooklyn

| Thursday, August 3, 2017
By Catherine Murphy

Becoming a nurse can be interesting and remunerating in comparison to many other forms of career. It is one of the branches of medicine since this is a wide area. Staff in this sector have to be motivated and dedicated to service given the many challenges encountered in the coursework. They are bound to handle stressful situations, work for long and endeavor to make time with their families. Evaluate these attributes that nursing services Brooklyn staff have.

Excellent communication skills. Great communication is key to the success of every business. As a nurse, you will constantly meet new people with different needs and be required to survive within diverse environments. Having the best skills to express yourself when discussing issues with coworkers and casualties will be helpful in ensuring better service.

Being calm under pressure. It is possible to work with a client who experiences varying emotional heights. In this case, the nurse will have to cope and work under pressure to manage through and provide the required care well. It can be rather stressful, but the career has to remain calm to the end. All this would only be work if the specialists are willing and dedicated to the service of others.

Empathy and compassionate. As a staff in the hospital, it is vital to try and understand the conditions patients will be facing, so you serve them best. Ensure to establish a good rapport where you are free and willing to give the best care to a given casualty. Given that you work in different stations calls for high-level empathy to allow you care well for every situation you are bound to handle.

Docility. It simply concerns the ability to be adjustable to fit the tight schedule involved. The sector has no established pattern of work because the timetable is subject to change based on the demand of service by patients. The time frame for a given nurse to serve a given ward may not be prolonged, and their help can be required elsewhere. This can happen at night or on weekends depending on the schedule of service.

Attention to detail. Working in theaters and ward calls for maximum attention and care. The nurse will constantly be required to take samples and conduct tests as well as keep records in the most precise and accurate way. This is only possible if the professionals are keen to note all details necessary and to keep them safe for easy retrieval.

Strong stamina. Nurses are bound to remain standing for long hours serving casualties and assisting doctors in theaters to perform a delicate surgical procedure. These activities require not only strong physical stamina but also a mind that can concentrate for long for efficient results. The situations may dictate how long they stand given the number of incoming casualties.

Professionalism. This relates to the skills and expertise put into use to offer service to prospected customers in any file. Nurses are known to be specialists and knowledgeable at their work given the amount of time they spend in training institutions and the wide content involve. They are aware of many approaches and techniques to use in work. They also seek further knowledge by attending more training and researching to be up to date with new information.

About the Author:

READ MORE - Features Of Great Nursing Services Brooklyn

The Importance Of Using Nursing Services Queens

| Wednesday, August 2, 2017
By Amy Thompson

Many elderly people who are disabled, frail or infirmed prefer staying in their homes instead of a nursing home or hospital. These seniors can benefit from in home nursing care, which offers many kinds of healthcare solutions. If you have an elderly relative, you can hire highly trained caregivers to offer in home healthcare that lasts a few hours up to 24 hours a day.

The professionals who provide home healthcare can either be registered nurses or nurse aides. Registered nurses can observe and check the progress of disease management programs and administer medications. They can also check vital signs and catheters, administer oxygen and fill insulin syringes. Nurse aides can help seniors to carry out activities of daily living, including bathing, walking and feeding. If they use in home nursing services Queens residents will receive good quality medical care.

Home healthcare is also beneficial for patients who are recuperating from injuries, illnesses or surgery. Private duty nurses provide their patients with various services based on their needs. They offer a higher level of care than conventional home health caregivers while making sure that the patients get the necessary attention.

Seniors can reap many benefits from using in house healthcare services. To begin with, they can get high quality medical care at a more cost effective price compared to staying in a hospital or nursing home. The quality of life of the seniors will also be good because they will be able to continue communicating and interacting with their relatives. This has the potential to enhance their social skills and prevent loneliness.

With medical care being present at home, the family members of a senior will not miss school or work in order to provide the care their loved one needs. People who are tasked with the responsibility of caring for an elderly relative can have a well deserved break when they hire a private duty nurse. Queens dwellers can choose to use the services of private duty nurses if they are finding it challenging to provide the care a senior needs.

You can also hire a private duty nurse if your senior loved one has suffered a fall. When seniors suffer falls, they can sustain injuries that require surgery. In such a case, the nurse will provide the patient will important care as he or she recovers.

Hiring a private duty nurse is also advisable if your loved one needs regular medical attention. Elderly people who are sick often need the daily monitoring of medical professionals. By hiring a nurse, your loved one will continue to receive the right kind of medical attention in a familiar environment.

At times, it becomes emotionally draining to care of an elderly loved one. Many people find it devastating to watch the gradual decline of the mental and health status of a relative. People who are in this situation can opt to use in home nursing services. Due to their training, nurses can deal with difficult situations like patients who are suffering from dementia. People who hire an in home healthcare service provider will have more quality time to spend with their elderly relative.

About the Author:

READ MORE - The Importance Of Using Nursing Services Queens

Get To Know More About Nursing Services Nassau County

| Tuesday, August 1, 2017
By Arthur Campbell

Ideally, getting a compassionate and dependable nurse care may be challenging. This owes to the fact that getting a trust worthy individuals or firm that do offer such care can be hectic. However, nursing services nassau county firms offer reputable and dependable services aimed at meeting their client needs. They are committed to offering high standards and excellence when providing nursing care both for the medical and non-medical care to a patient from any place they are.

Clients are normally accorded the care that they would equally receive from home under the care of their loved ones. In addition, the primary focus is usually geared towards ongoing assistance when living at home encompassing personal hygiene, extensive medical attention and so on. This is also customized to meeting the needs of every client.

A number of key concern areas in treatment is accessible in Nassau County. Care in such instances starts from focus given to assisting patients in health care from home. Under home health care assistance, patients can have assistance for their daily activities. The aid essentially helps the patients to handle particular needs including toileting, preparation of meals, dressing as well as bathing. Others services are such as the provision of medical reminders and various house related tasks.

These kinds of care never require the assistance of licensed nurses. However, the training, as well as certification requirements for such will be variant from one state to another. The other service is the private duty nursing. This is where registered nurses who are normally licensed have a personalized independent coverage of practice. The registered nurses may be able to assess and diagnose a number of health concerns for and provide remedy from home.

Nonetheless, registered nurses have to work closely with physicians so that quality care is accorded to patients particularly under acute conditions. Additionally, registered nurses do have an ability to dress wounds, monitor vital signs and even administer medications to patients.

Companionship is another form of care given. Home companions offer care that remains non-medical so that the elderly who may be living by themselves and are generally at the risk of experiencing mental trauma and even accidents when back at home. Consequently, companions give various services ranging from social companionship, stimulation to assisting patients to honor the appointments with physician.

One other service is geriatric care management. Geriatric care management generally entails the coordination and planning of care to the disabled and the elderly with an aim of keeping up their independence as much as possible. This eventually enhances the quality the life they live. Usually, Geriatric care management is offered by licensed social workers or registered nurses.

There are various groups of persons who will stand to benefit from the care under this service. These include the persons seeking home based healthcare including patients who may be recovering from a surgical operation, an elderly patient and even a person who cannot independently care for himself or herself. Such care also will allow a client to be at home ad be cared for when faced with complication that call for personalized medical attention. The nursing care as well will covers insulin management, assistive living care and rehabilitative care, respite care and so on.

About the Author:

READ MORE - Get To Know More About Nursing Services Nassau County