top of page

Identifying Every Patient’s Healthcare Needs

We will perform a skilled nursing assessment. During the session, the nurse will identify the needs, preferences, and abilities of the patient.

Skilled and Unskilled Care

Nursing Assessment

At A Better Alternative Nursing Agency, Inc. in Cambridge, Maryland, the first thing we will do is to contract with your family and send a nurse to the hospital before discharge or your home if you are already discharged.


We will perform a skilled nursing assessment. During the session, the nurse will identify the needs, preferences, and abilities of the patient. The assessment includes observation and interview with the patient.


The nurse will consider the symptoms and signs of the condition; the patient’s verbal and nonverbal communication; the patient's medical and social history; medication and chart reviews, and any other information available from the family, doctors, lab results, diagnostic test results, social workers, nutritionist, therapist, etc. Next, we will complete a physical assessment.

Among the physical aspects assessed are:

  • Vital Signs
  • Skin Color
  • Condition
  • Motor Nerve Function
  • Sensory Nerve Function
  • Nutrition
  • Rest
  • Sleep
  • Activities
  • Elimination
  • Consciousness

Among the social and emotional factors included in the assessment are:

  • Religion
  • Occupation
  • Attitude Toward the Hospital and Being at Home
  • Health Care Required per the Physician’s Discharge Instructions
  • Mood
  • Emotional Tone
  • Hobbies
  • Recreational Preferences
  • Tolerability
  • Family Ties
  • Responsibilities

The assessment is extremely thorough and important because it provides the scientific basis for a complete nursing care plan to be implemented. This will help us focused on the uniqueness, desires, needs, and strengths of each patient and his/her family. All information disclosed, guided by our nursing expertise, will allow registered nurses to become advocates for our patients as we manage the care they receive.


Our skilled nurses will visit clients receiving unskilled care at home at least every 60 days or as contracted. This will allow us to monitor a change in the patient’s condition and connect with the physician for a comprehensive report and update. We aim to be informed and updated enough after each assessment to advocate for our patients.


We will cut through the healthcare maze, ask the right questions, and get correct answers to make sure that our patients continually receive the best care that the industry has to offer.


We have saved many patients’ lives, and we have improved the quality of life for countless people. We have found that with healthcare changes and shortcuts to health care, including medication monitoring, a skilled nursing advocate can sometimes mean the difference between life and death.


Our team of skilled nurses will strongly advocate for our patients whenever necessary with help from the appropriate medical staff. We realize that most family members are either not knowledgeable enough about the healthcare system, lack confidence, or too uncomfortable with the process to advocate for their loved ones effectively. That’s why we promise to advocate on your behalf when necessary and with your permission.

Patients are encouraged to return home from the hospital as promptly as possible. This is to promote healing and decrease the chances of obtaining nosocomial infections, which are hospital-acquired infections that are leading causes of a patient's death in the hospital.


All healthcare professionals will agree that patients simply do better when they are at home or within familiar environments. This is all while being provided with adequate skilled care.

We offer a range of in-home care services, from companion and senior care to intensive nursing care. What we offer includes but not limited to:

  • Ventilator Care
  • IV Infusion
  • Enteral or Tube Feeding
  • Patient Education
  • Wound Care
  • Ventricular Assist Device (VAD) Patient Care
  • Private Duty Nursing
    • Registered Nurses
    • Licensed Practical Nurses
    • Certified Nursing Assistants
    • Geriatric Nursing Assistants
    • Sitters
    • Medical Technologists

Service You Can Depend On

A Better Alternative Nursing Agency, Inc.


  • Anne Arundel County
  • Baltimore
  • Baltimore County
  • Berlin
  • Bishopville
  • Caroline County
  • Carroll County
  • Dorchester County
  • Frederick
  • Howard County
  • Kent County
  • Montgomery County
  • Ocean City
  • Ocean Pines
  • Prince George's County
  • Queen Anne's County
  • Somerset,
  • Talbot County
  • Wicomico County

*We accept Medicaid, private pay, and most insurance.

bottom of page