

The support to handle more. The heart to do it well.
When care needs become more complex, having support you can trust makes all the difference.
Nurse-directed care from Home Instead provides an added layer of support—pairing the guidance of a registered nurse with the hands-on help of a specially trained Care Pro.
Before care begins, a nurse connects with you to understand your needs, answer questions, and help determine if this level of support is the right fit. From there, we create a personalized care plan to support more complex needs—all in the comfort of home.
A few ways nurse-directed care can help:
- Medication management – organizing medications and supporting more involved routines as directed.
- Vital signs – assisting with taking and recording vitals, and sharing updates.
- Diabetes support – assisting with blood sugar checks and helping track readings.
- Wound care – cleaning and protecting minor wounds to support healing and reduce complications.
- Oxygen therapy – providing oxygen and adjusting flow to the prescribed setting.
- Catheter and incontinence care – managing catheters and providing support with dignity and discretion.
- Mobility support – assisting with movement and exercises to help follow the care plan and support safe mobility.
- Ostomy care – assisting with ostomy routines, including pouch changes and skin care, as directed.
Nurse-directed care, built around the life you want.
Every person’s aging journey is different. That’s why nurse-directed care begins the same way all Home Instead care does—by getting to know you. We take time to understand your routines, concerns, recent changes, and what matters most in your daily life.
A registered nurse connects with you early in the process to assess your needs, answer questions, and help determine if nurse-directed care is the right fit. From there, the Home Instead San Antonio team develops a personalized care plan, and a registered nurse provides guidance to specially trained Care Pros who carry it out with consistency and respect.
It’s care that goes beyond the basics—while staying focused on what matters most: helping you live safely and independently at home.

A care plan built around your health and home.
Nurse-Directed Care services include:
- Activities of Daily Living
- Toileting
- Cognitive Engagement
- Bathing and Grooming
- Meal Preparation
- Transportation
- Light Housekeeping
- Companionship
- Medication Management

Serving San Antonio, TX and the surrounding area.
Since 1997, Home Instead has been part of the community, providing quick access to top-rated home care in San Antonio, TX.
Proudly caring for communities near you:
Bexar County, Greater San Antonio, Alamo Heights, Helotes, Windcrest, Castle Hills, Shavano Park, Leon Valley, Balcones Heights, Converse, Universal City, Kirby, China Grove, Somerset, Elmendorf, Thousand Oaks…
to name a few.
Nurse-directed care resources
Interested in learning more about nurse-directed care? Here are some of our latest resources to read and share with your family.

Nurse-directed Care FAQs
Nurse-directed care provides enhanced support at home, guided by a registered nurse and delivered by specially trained Care Pros. A licensed registered nurse assesses your needs, creates and manages your care plan and trains Care Pros to assist with more involved care routines and medically focused tasks, like medication management, minor wound care, and glucose monitoring.
This is different from skilled nursing or home health care, where a nurse provides all the medical care directly. With nurse-directed care, the registered nurse is the guide—building your care plan based on your physician’s direction—while your Care Pro carries it out with consistency and compassion. Care Pros assist with certain tasks under nurse direction—they do not replace licensed medical providers.
Nurse-directed care may be a good fit if you or your loved one needs more support than traditional home care can provide—especially when care routines become more involved or require added guidance. This can include situations like recovering after a hospital stay, managing ongoing health needs, or needing help with more complex daily routines at home.
A registered nurse will connect with you early on to understand your needs, answer questions, and help determine if this level of support is the right fit.
The registered nurse connects with you to assess your needs and help determine if nurse-directed services are appropriate.
Based on your physician’s direction, they develop a personalized care plan and provide guidance to specially trained Care Pros, who carry it out with consistency and compassion.
Nurse-directed care can support a range of more involved care needs at home, including medication management, minor wound care, mobility support, and other health-related routines.
It can also support individuals living with chronic conditions by helping follow care plans and daily routines more consistently. Services are based on your individual needs and what can be safely supported under nurse direction.
No. Home Instead remains a non-medical home care provider. Nurse-directed care allows certain approved health-related tasks to be supported at home under the direction of a registered nurse, based on your physician’s guidance and within state guidelines.
Home Instead Care Pros are carefully screened, background-checked, and supported with education based on our person-centered care, including support for dementia, mobility, and personal care.
For nurse-directed care, they receive additional training and ongoing guidance based on the care plan developed by a registered nurse—so they’re prepared to support more complex needs at home with confidence and care.
As needs evolve, the care plan can be adjusted to help ensure the right level of support is in place. Our team will work with you to reassess and make updates as needed—so care continues to fit your life.