Care That Comes To Your Door
In-home healthcare coordination with Brenda Howe, RN
I'm a registered nurse who comes to your home for wellness and safety — on your schedule, in your space.
Brenda Howe, RN
I have been a Registered Nurse for over 30 years. Most recently practicing compassionate, high-quality care to some of the most vulnerable members of our community. Specializing in home healthcare, I have built a reputation for hands-on approach to serving elderly and disabled patients, helping them maintain independence, dignity, and comfort in their home.
Helping elderly clients stay safely in their home is my goal.
Provide in home healthcare visits.
Weekly or bi-weekly 1 hour visits.
Providing Assessment, Observation, Education and Support.
Monitoring the clients health.
Home safety and fall risk management.
Medication reviews and medicine box management including ordering refills.
Communicate directly with the client’s doctors office. Providing consistent reinforcement and support for client and family members.
Providing emotional support to both the client and their families.
Provide Client with routine foot care.
Client Testimonial
Linda W, has been a client for 3 years. Linda lives alone and uses a wheelchair for her mobility. I do weekly vital signs, listen to her lungs, monitor edema, med box prefill and communicate with her caregivers. I’m able to provide education, and support.
Professional Reviews
“I am happy to call Brenda Howe a colleague. Her sensitivity, compassion, and years of nursing experience help to provide the highest quality of care for seniors in their homes. Through mindful assessment of their living environment, appropriate medications, and access to their doctors, she helps seniors live longer and live better in their own spaces. She is what our healthcare system needs more of."
— Becky Longacre, RN
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Head-to-Toe Nursing Assessment
In-home assessments of:
Respiratory status — checking breathing rate, rhythm, and effort; listening to lung sounds for wheezing, crackles, or diminished airflow; monitoring oxygen saturation; watching for signs of shortness of breath, cough, or infection
Circulatory status — checking pulses (rate, rhythm, strength), blood pressure, skin color and temperature, capillary refill, and looking for swelling (edema), varicose veins, or signs of poor circulation like cold extremities
Gastrointestinal status — asking about appetite, bowel habits, nausea, bloating, or pain; listening to bowel sounds; checking for constipation, diarrhea, or signs of dehydration; reviewing diet and hydration
Endocrine status — monitoring blood sugar levels (especially in diabetics), watching for signs of thyroid issues (fatigue, weight changes, temperature intolerance), and tracking hormone-related symptoms
Neurological status — assessing alertness and orientation, memory, speech, balance, coordination, sensation, and reflexes; watching for signs of confusion, dizziness, numbness, or tremors
Foot Care Specialist
Routine nail care — trimming and filing toenails, especially for people who can't safely do it themselves (elderly clients, people with limited mobility or vision)
Managing thickened or fungal nails — filing down and treating nails affected by onychomycosis (fungal infection)
Corn and callus care — safely debriding (removing) built-up hard skin that can cause pain or pressure sores
Diabetic foot checks — inspecting for cuts, sores, changes in skin color, or loss of sensation, since diabetic patients are at high risk for complications that can go unnoticed
Circulation assessment — checking pulses and skin temperature to catch signs of poor blood flow (common in diabetes or peripheral vascular disease)
Musculoskeletal — checking joint range of motion, muscle strength, gait and balance, and looking for pain, stiffness, swelling, or signs of falls risk
Assess skin integrity — inspecting for pressure sores, rashes, bruising, dryness, wounds, or areas of breakdown, especially in bedbound or immobile patients
Pain management — evaluating pain location, intensity, and triggers; reviewing effectiveness of current pain control methods; adjusting care plans as needed
Emotional support — checking in on mood, stress, anxiety, or signs of depression; offering reassurance and a listening ear; connecting patients with additional mental health resources if needed
Medication review — going over current medications for accuracy, checking for interactions or side effects, confirming the patient understands dosing, and flagging any needed adjustments with the prescribing provider
Education and support — teaching the patient (and often family) about their condition, medications, self-care techniques, and warning signs to watch for; making sure they understand and feel confident managing their health
Wound monitoring — keeping an eye on minor skin breakdown, ulcers, or pressure sores and referring out if something looks concerning
Client education — teaching proper foot hygiene, footwear choices, and when to seek further care
Referrals — sending patients to a podiatrist, wound care specialist, or physician when something is beyond the scope of nursing foot care (e.g., ingrown toenail needing a procedure, a suspicious lesion, or signs of infection)