RN with 40 years of experience advocating for those entering the complex maze of our medical system. I assist the elderly and their families navigate the continuum of care at whatever stage they may be in- hospitalization, assistance in the home, or placement outside the home. This includes bringing all of these specialties (hospitalist, specialist, primary care physician) into one conversation about care and goals of care. Seldom is there the opportunity for one to speak with the other about changes in care. My goal is to not only communicate with physicians and therapists, but also to communicate with all members of a family throughout the decision-making process of appropriate health care and also appropriate placement when it is time for change. Physicians now call me when they have concerns about their patients. Hospitalists appreciate a medical professional in the room who has the ability and willingness to interpret what they are saying to the family.