Calm, clinical clarity.

Calm, clinical clarity.

Confident Geriatric Care Management—for families, by a nurse.

Confident Geriatric Care Management—for families, by a nurse.

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Jessica Kowal RN, BSN

Consultant

I’m Jessica Kowal, RN. My first job is to actually listen to you.

Most families find me after they’ve already talked to a dozen professionals who each saw one tiny slice of the picture. You’re repeating the same story, getting conflicting advice, and no one seems to be holding the whole situation in their head at once. My work is to sit with you, hear the real story, and then help you build a plan that matches real life—not a fantasy version of your family.

I’ve spent the last decade as a nurse in hospital case management, home health and hospice, skilled nursing, and geriatric care consulting. I’ve sat through the rushed hallway updates and the chaotic discharge days, but I’ve also been at kitchen tables where caregivers finally say what they’re actually afraid of. That’s where I do my best work.

I specialize in supporting the adult and geriatric population managing chronic diseases, as well as spouses and adult children caring for loved ones with dementia and complex medical needs. I listen for the things you’re not sure you’re “allowed” to say, translate the medical piece into plain language, and help you see how each decision will affect safety, finances, and your own capacity over time. I’m direct, but I’m not harsh. You get honesty and a plan, not judgment.

Talk with Jessica

ADN/BSN in Nursing, specializing in case management and geriatrics

Active Registered Nurse (RN) license – Connecticut; ongoing continuing education

Hospital and Home Case management, 10+ years R.N experience

© 2025

All Rights Reserved

What to Expect When We Work Together

When we talk, I’m not watching the clock and rushing you through a checklist. We start with your story.

You can expect:


  • A real conversation, where I listen to what’s been happening, what you’ve already tried, and what you’re scared might happen next.

  • Clear explanations of the medical side and what it means day-to-day in your home—not just in a chart.

  • Straightforward options with pros, cons, and likely consequences, so you’re not stuck in “what if” loops.

  • Concrete next steps after each session—things you can actually do, call, change, or watch for.

  • Attention to both the person with dementia and you as the caregiver, so the plan doesn’t depend on you burning yourself out.



I’m a Registered Nurse in Connecticut with experience across hospital systems, home care, and private geriatric care management. My goal is simple: you walk away feeling heard, understood, and not alone—with a path forward that makes sense.

If you’re used to being treated like “just another case,” working with me should feel very different.


  • A real conversation, where I listen to what’s been happening, what you’ve already tried, and what you’re scared might happen next.

  • Clear explanations of the medical side and what it means day-to-day in your home—not just in a chart.

  • Straightforward options with pros, cons, and likely consequences, so you’re not stuck in “what if” loops.

  • Concrete next steps after each session—things you can actually do, call, change, or watch for.

  • Attention to both the person with dementia and you as the caregiver, so the plan doesn’t depend on you burning yourself out.



I’m a Registered Nurse in Connecticut with experience across hospital systems, home care, and private geriatric care management. My goal is simple: you walk away feeling heard, understood, and not alone—with a path forward that makes sense.

If you’re used to being treated like “just another case,” working with me should feel very different.

Medication sanity check.

I reconcile meds, flag risks, and create a plan that makes sense for each situation.

I reconcile meds, flag risks, and create a plan that makes sense for each situation.

Finally feel heard in the middle of dementia care.

Finally feel heard in the middle of dementia care.

One-on-one RN consulting for spouses and adult children who are overwhelmed, second-guessing decisions, and tired of repeating their story to people who don’t really listen.

One-on-one RN consulting for spouses and adult children who are overwhelmed, second-guessing decisions, and tired of repeating their story to people who don’t really listen.

Hospital-to-home transitions.

Hospital-to-home transitions.

Clear next steps after discharge—who’s doing what, when, and how to prevent the bounce-back to the ER.

Professional Values & Approach

Direct & practical: I communicate in plain language and focus on real solutions—no fluff or jargon. You’ll always know your options and get transparent recommendations.

Ethical boundaries: As your RN consultant, I complement—not replace—home care or VNA services, and do not provide emergency services. Every step is grounded in clear, ethical consulting practice.

Family-centered: Every plan values safety, dignity, and what matters most to you and your family. When I’m not working with families, I’m usually outside with my kids and animals—proof that calm structure can coexist with real life.

Notice

RN consulting and care management services.

Not an emergency service.

If urgent, call 911.