Monday, June 18, 2018
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"...getting to know them
and genuinely caring
about them..."

I was introduced to Madelyn Ashley, RN, MSN during the summer of 2009.  I have been a nurse for over 30 years and my sister, the CEO of a retirement community, were becoming alarmed by the worsening health and mental status of our aging parents.  My  parents resided in Chapel Hill, NC, my sister in Christiansburg, Va, and I live in SF, CA.  My dad a newly diagnosed Alzheimer’s  patient and my mom a lifelong smoker with COPD were facing challenges that were new to them as well as to us, their children. 

My sister did some research and Madelyn and Senior Transitions were recommended.  Madelyn was able to come into their home (they did not welcome her with open arms) while mom was hospitalized and assess what they would need to live successfully in their own home.  Madelyn offered us great advice, support, frequent updates and managed all their care from prescriptions and doctor’s visits to just spending time in their home talking with them, getting to know them and genuinely caring about them.  Her focus was to help all of us as a family unit cope with changes and be proactive in planning for the future. 

She arranged 24hr care when it became needed.  Madelyn’s assessment skills and communication were fantastic.  She became the person my dad learned to call in an emergency and made it possible for mom to die at home without any heroic measures as she wanted.  Madelyn supported us through the funeral and still keeps in contact to make sure we are ok. 

Madelyn is extremely knowledgeable about care and services for seniors.  She was easily able to access services that would have taken us weeks to figure out.  I can’t imagine how it would have been to have gone through all these transitions without her.  Today my dad is living in an assisted living facility in Va.  He is as happy as I’ve seen him for a while and personally I attribute much of his success to Madelyn’s caring and wisdom.

Jill Backer RN MS
Director of Nursing
Edgewood Center for Children and Families

"Madelyn has
been a godsend"

My family has been working with Madelyn Ashley for more than two years.  In that time, our parents were moved to a home, our paralyzed and aphasiac father passed away, and our mother's dementia has increased substantially.  During this very difficulty time, Madelyn has been a godsend.   Her affection for our beloved parents, her vast medical knowledge, and understanding of medical protocols, has given us all a sense of security about their care.

Most important, though, is the respect that she brings into the process, most especially for our parents.   She treats them with the kind of respect and affection that one hopes will be the measure of one's parents' last days.

Jay A.

 "As a physician, it was
reassuring to know that
Madelyn was involved
in the care of my patients..."

This letter is to serve as a testimonial to the excellent care provided by Madelyn Ashley RN, MSN of Senior Transitions. I am a Geriatric Medicine physician and have worked with Madelyn for approximately 5 years in caring for elderly patients.

She has excellent knowledge of geriatric patient care and medications which is essential when caring for such fragile patients with multiple medical problems and complicated drug regimens. She knew my patients so well that she frequently was the first to note early changes that led to early and effective diagnosis and treatment.

With so many families living out of town, she was able to give the emotional and day- to-day support to make the lives of elderly loved ones better. If patients need additional support, Madelyn has reliable companions and caregivers that can do anything from taking patients to the mall or grocery store to giving round-the-clock personal care.

Madelyn does her own nursing assessments and medication management. She also transports patients to doctor visits and provides valuable input during visits. More importantly, she communicates with families and other caregivers any essential information attained at doctors visits so that everyone involved is aware of any changes. In cases where patients became emergently ill, she accompanied patients to the emergency room, again to provide information to those caring for the patient in the ER, and also give immediate feedback to concerned family members. Once patients were ready come back home, she eases the transition by assuring medication changes are in place, and follow-up appointments are made.

As a physician, it was reassuring to know that Madelyn was involved in the care of my patients because I knew each patient would make their appointment, and any changes or recommendations would be followed. I could count on an e-mail before the patient’s appointment to let me know how my patient was doing, and also an attached up-to-date medication list.

For those who need extra help in their advanced years, Madelyn provides an invaluable service with personalized care that cannot be matched by other care managers.

N.E., MD

"Madelyn, in fact, has
become part of the family."

For years I cared for my parents but when it became necessary for them to move to NC our family needed someone to take over the coordination of all their care. How fortunate we were to find Madelyn Ashley. My brother, sister, and I never have a concern over whether our parents are receiving all the proper care they deserve as quickly as any one of us would do for them if we were in their area. Madelyn has, in fact, become one of the family. Since Mom's dementia has accelerated it is increasingly difficult to reach her by phone, she seems to have forgotten how to pick up the receiver. Madelyn has resolved that problem by calling each of the children each time she is with Mom. The difficulty of understanding the words of a dementia patient is aided by Madelyn's translations while we speak to Mom. Anyone with a family member suffering from dementia will appreciate the importance of a familiar face always available to watch over the care of your loved one. Madelyn's expertise in geriatrics makes her the easy go-to source for information from the physicians, hospital, and DuBose Center. Honestly, we could not manage without Madelyn "in the family."

Nancy Anania

A Caregivers Bill of Rights

I have the right:

1. To take care of myself.  This is not an act of selfishness.  It will give me the capability of taking better care of my relative.

2. To seek help from others even though my relative may object.  I recognize the limits of my own endurance and strength.

Read Full Bill of Rights