You've talked to everyone. No one has the full picture.
You've talked to everyone. No one has the full picture.
You've talked to everyone. No one has the full picture.
That's exactly where I come in. I'm Jessica Kowal, RN — a geriatric care manager who sits with your family, holds all the moving pieces, and helps you build a plan that works in real life.
Founder & Owner · Jessica Kowal RN, BSN
Founder & Owner · Jessica Kowal RN, BSN
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.
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.
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
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.
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.
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.
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.
I communicate in plain language and focus on real solutions—no fluff or jargon. You’ll always know your options and get transparent recommendations.
Family-centered
Family-centered
Every plan values safety, dignity, and what matters most to you and your family.
Ethical boundaries
Every step is grounded in clear, ethical consulting practice.
Ready to Talk?
The first call is free. No commitment, no checklist — just a real conversation.
Talk with Jessica
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Notice
RN consulting and care management services.
Not an emergency service.
If urgent, call 911.