About Michelle Smith, RN
Caring for the elderly has always been part of who I am.
Long before I became a registered nurse, I was a candy striper and CNA—spending time with older adults felt like home to me. I also watched my own grandparents go through difficult, painful deaths, and those experiences left a lasting mark. Both personally and professionally, I’ve seen how overwhelming this season of life can be. That’s why I’m deeply committed to helping families face aging and end-of-life with more clarity, confidence, and peace.
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For most of my career, I’ve helped people make important — often overwhelming — decisions about the care of an aging parent or spouse. Every choice matters. How your loved one experiences the end of their life leaves a lasting impression. Grief is hard enough without regret. And yet, too often, families are left unsure, unsupported, or unaware of what to ask — until it’s too late.
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The truth is, we all lose our parents — and we only get one chance to do it well.
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You can’t control every outcome, but you can have the knowledge, support, and confidence to make the experience better — for them, and for yourself. That’s where I come in.
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Why I do this work
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This work is very personal for me. My mother died before her time as a direct result of bad hospice care. I carried a lot of guilt for many years and have made it my mission to support others so they can avoid many of the situations I would see over and over again while working as a hospice nurse.
I do this now to honor my mom and bring meaning to the way she died.
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What I do
I provide education and support for individuals and families facing end-of-life decisions, hospice care, and elder issues. Together, we can navigate the practical and emotional questions that often feel overwhelming, such as:
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How do I know when it’s time to call hospice?
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How do I choose the right provider?
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What does hospice actually do—and what don’t they do?
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How do I know how much time my loved one has left?
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What can I do if I’m having issues with my hospice team?
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How do I support a loved one in a nursing home, especially if they’re out of state?
Beyond hospice, I offer guidance on common elder care concerns—dementia, skin integrity, falls, safety, communication, and more. Whether you need help understanding what’s happening or just someone to talk to, I can be a trusted source of clarity and compassion in this difficult season.
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Parental Loss Navigation Program
10 weeks
$1800
Includes:
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weekly calls
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messaging access
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assessment of parent
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estimated decline timeline
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hospice guidance
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medication and symptom support
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support for losing a parent out of state
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emotional regulation
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letting go support
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scripts for hard conversations
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final days preparation
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hospice or facility advocacy if needed
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72-hour post-death guidance
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Crisis Response Coaching
7 days
$2500
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​immediate support-within 24 hours of sign up
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all of the above support based on needs
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daily messaging, calls when needed, during business and evening hours (no overnight)
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The Crisis Response Package
For people who find you when the parent is already actively dying.
Rap
The Crisis Response Package
For people who find you when the parent is already actively dying.
Rapid Response (2–3 weeks)
Includes:
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2–3 calls per week
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daily messaging (within set hours)
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preparation for final days
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moment-of-death education
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after-death plan
Price Range:
$600–$1,200
id Response (2–3 weeks)
Includes:
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2–3 calls per week
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daily messaging (within set hours)
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preparation for final days
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moment-of-death education
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after-death plan
Price Range:
$600–$1,200