Howard County, Maryland

Clear Guidance for Families Navigating Aging

Geriatric care management and healthy-aging support in Howard County.

When something is changing with an older adult and the family does not know what to do next, Nurturing Care at Home helps organize the situation, clarify priorities, coordinate care and build a practical path forward.

The 15-minute consultation is an introductory conversation, not a comprehensive clinical assessment.

Older adult and family member together
When families reach out

Does any of this sound familiar?

The website should begin where families actually are: trying to make sense of a change, a risk, a transition or a decision.

“Is Mom still safe living alone?”
“Dad is getting more confused.”
Medication concerns are becoming harder to manage.
A recent hospitalization changed everything quickly.
We are unsure whether home care, assisted living or another level of care fits.
“I live too far away to manage this.”
Siblings disagree about what should happen next.
There are too many providers and no one coordinating the whole picture.
How Nurturing helps

Care management built around real-world aging decisions

Geriatric care management stays at the center. Healthy aging and functional movement strengthen the model without replacing it.

1

Comprehensive Aging Assessment & Care Plan

One integrated service: understand the situation, identify priorities and translate the assessment into an individualized plan with recommendations, resources and next steps.

2

Care Coordination & Health Advocacy

Help families organize providers, appointments, services, questions, communication and follow-through while keeping professional boundaries clear.

3

Aging-in-Place & Home Safety

Support practical planning around independence, safety, resources and the home environment, with specialized clinical needs referred appropriately.

4

Hospital-to-Home & Care Transitions

Organize the moving parts when an older adult returns home from hospital or rehabilitation or needs a different care setting.

5

Family Guidance & Decision Support

Help adult children and families clarify options, responsibilities and next steps—especially when distance, stress or disagreement makes decisions harder.

6

Healthy Aging & Functional Movement

Personalized movement and healthy-aging strategies designed to support mobility, balance, strength, confidence, function and continued independence.

A clear path forward

How the service works

Listen & Understand

Start with what is happening now and what matters to the older adult and family.

Comprehensive Assessment

Review needs, risks, supports and the decisions that require attention.

Personalized Care Plan

Receive priorities, recommendations, resources and practical next steps.

Ongoing Support

Continue with care management, advocacy, appointments, transitions, family communication and healthy-aging support as appropriate.

Healthy aging differentiator

Beyond Managing Care: Helping Older Adults Age Well

Nurturing is intended to do more than respond to crises. The model also looks for realistic opportunities to preserve function, independence, participation and quality of life.

“We don’t just manage care. We help preserve function.”

Functional Movement

Mobility, balance, posture, strength and confidence.

Healthy Aging

Practical, evidence-informed strategies supporting long-term well-being and function.

Purpose & Participation

Meaningful activities, routines, relationships and interests that support continued engagement in life.

Shirley Marc
Shirley Marc
About Shirley

Clinical Expertise. Personal Attention.

Shirley founded Nurturing Care at Home to help older adults and families make thoughtful decisions when aging, care needs and healthcare systems become difficult to navigate.

Shirley brings a professional background in nursing and healthcare quality, along with years of practical experience helping older adults and families navigate services, care decisions, transitions and day-to-day coordination. Her approach emphasizes clear communication, advocacy, practical planning and follow-through.

  • Professional judgment with family-centered communication
  • Care coordination and practical follow-through
  • Howard County-first local focus
  • Independence from hourly aide staffing

Independent care management — not hourly aide staffing

Nurturing Care at Home should be clearly understood as geriatric care management and healthy-aging support. It is not being positioned as a traditional agency that supplies hourly home-care aides.

Next step

Start with a short conversation.

A family can briefly explain what is changing. The purpose is to determine basic fit and identify the appropriate next step.