Skilled Nursing San Diego, CA ☎ 619-220-7600 In-Home Care

Firstat Nursing Services, a Rancho Bernardo Caregivers and Homecare Agency shares “3 Ways Home Health Care Services Protects Seniors.”

“When a loved one faces a health or age-related fight, families just want to protect them from harm. But sometimes they don’t have the skills or resources to offer 24/7 support,” says Linnea Goodrich, president of Firstat Nursing Services.

A home health care service provider bridges the gap, ensuring loved ones are protected from harms like avoidable illnesses, falls, and poor nutrition. Here are 3 ways home health care services protect your loved one.

Home Health Care Services Protect People from Avoidable Illnesses
Hospital stays and long-term institutional care facilities can sometime expose seniors to pneumonia, flu, and staph infections. Keeping loved ones in their own home often separates them from these harms. Home health care professionals come to patients’ homes and provide the sanitary nutritional, physical, mental, and social support to keep them comfortable and protected, both when patients are at home and when they must attend community appointments.

Home Health Care Services Protect People from Falls
Many patients needing age-related, chronic, or terminal care spend much of their time in bed. Time in bed often causes growing weakness, breathing difficulty, and dizziness when standing or walking. These symptoms lead to higher risk of falls. Treatments and medicines can add to this risk. Home health care service providers protect patients against falls by supporting them as they stand, walk, and shower.

Home Health Care Services Protect People from Poor Nutrition
People who suffer from age-related, chronic, or terminal illnesses are more at risk for dangerous complications when nutrition isn’t properly managed. Poor nutrition causes growing weakness, a poor immune system, and can even affect diseases like organ failure, dementia, cancer, and more. Home health care service providers help patients adhere to and eat a healthy diet on a daily basis. They offer grocery shopping, food preparation, and monitoring services for consistent and safe consumption.

About Firstat Nursing Services
Linnea Goodrich is the owner of Firstat Nursing Services, which is the only Home Care Agency in San Diego that is both State licensed and certified by the Alzheimer’s Association. Firstat Nursing Services has been providing a higher standard of home nursing, home health and home care services for elderly, disabled and injured people in the greater San Diego area since 1997.

To give families and seniors a better understanding of how in-home care can help their daily lives, Firstat has developed a free online assessment tool. To see how it can help, go to: https://firstatofsandiego.com/free-needs-assessment/ or call 619-220-7600 to learn more.

Firstat Nursing Services
411 Camino Del Rio South
Suite 100
San Diego, CA 92108
https://firstatofsandiego.com
https://maps.google.com/?cid=5806675770523173072

https://www.facebook.com/pages/Firstat-Nursing-Services/147702750869
https://twitter.com/FirstatNursing
https://www.youtube.com/user/HomeNursingSanDiego

The post Senior Caregivers Rancho Bernardo, Homecare Agency Shares Ways Home Health Care Protects Seniors appeared first on Homecare, Home Health Caregivers, Skilled Nursing San Diego.

Firstat Nursing Services, a Rancho Bernardo Caregivers and Homecare Agency shares “3 Ways Home Health Care Services Protects Seniors.”

“When a loved one faces a health or age-related fight, families just want to protect them from harm. But sometimes they don’t have the skills or resources to offer 24/7 support,” says Linnea Goodrich, president of Firstat Nursing Services.

A home health care service provider bridges the gap, ensuring loved ones are protected from harms like avoidable illnesses, falls, and poor nutrition. Here are 3 ways home health care services protect your loved one.

Home Health Care Services Protect People from Avoidable Illnesses
Hospital stays and long-term institutional care facilities can sometime expose seniors to pneumonia, flu, and staph infections. Keeping loved ones in their own home often separates them from these harms. Home health care professionals come to patients’ homes and provide the sanitary nutritional, physical, mental, and social support to keep them comfortable and protected, both when patients are at home and when they must attend community appointments.

Home Health Care Services Protect People from Falls
Many patients needing age-related, chronic, or terminal care spend much of their time in bed. Time in bed often causes growing weakness, breathing difficulty, and dizziness when standing or walking. These symptoms lead to higher risk of falls. Treatments and medicines can add to this risk. Home health care service providers protect patients against falls by supporting them as they stand, walk, and shower.

Home Health Care Services Protect People from Poor Nutrition
People who suffer from age-related, chronic, or terminal illnesses are more at risk for dangerous complications when nutrition isn’t properly managed. Poor nutrition causes growing weakness, a poor immune system, and can even affect diseases like organ failure, dementia, cancer, and more. Home health care service providers help patients adhere to and eat a healthy diet on a daily basis. They offer grocery shopping, food preparation, and monitoring services for consistent and safe consumption.

About Firstat Nursing Services
Linnea Goodrich is the owner of Firstat Nursing Services, which is the only Home Care Agency in San Diego that is both State licensed and certified by the Alzheimer’s Association. Firstat Nursing Services has been providing a higher standard of home nursing, home health and home care services for elderly, disabled and injured people in the greater San Diego area since 1997.

To give families and seniors a better understanding of how in-home care can help their daily lives, Firstat has developed a free online assessment tool. To see how it can help, go to: https://firstatofsandiego.com/free-needs-assessment/ or call 619-220-7600 to learn more.

Firstat Nursing Services
411 Camino Del Rio South
Suite 100
San Diego, CA 92108
https://firstatofsandiego.com
https://maps.google.com/?cid=5806675770523173072

https://www.facebook.com/pages/Firstat-Nursing-Services/147702750869
https://twitter.com/FirstatNursing
https://www.youtube.com/user/HomeNursingSanDiego

The post Senior Caregivers Rancho Bernardo, Homecare Agency Shares Ways Home Health Care Protects Seniors appeared first on Homecare, Home Health Caregivers, Skilled Nursing San Diego.

Adult children often faced decisions about who will assume the responsibility of caring for an aging parent. While there are many options, balancing the needs of mom or dad with a full life is a challenge. The good news is, you can play an active role in caring for a parent, with the help of trained professionals.

Here’s how to improve quality of life for an aging loved one with in home skilled nursing.

Expert Medical Care
When mom or dad needs to follow a complicated medical treatment plan or needs regular insulin injections, having a trained professional on hand is a big help. With years of skills developed through years of hands-on training, the right agency can provide Registered Nurses, LVNs and CNAs for a higher level of care. Even for an hour or so here or there, professional help brings experience and formal care when you need it most.

Increased Meaningful Time
With busy work schedules and other demanding responsibilities, caring for an aging loved one at home leaves little time for fun. An at home nurse can take the burden off family caregivers by attending to a parent’s basic needs like dressing, bathing, and eating. With mundane responsibilities attended to, families have more time to spend together that’s meaningful.

Increased Independence
It’s a well-known fact that seniors who age at home lead happier, healthier lives. When mom or dad isn’t fully equipped to handle the housework, grocery shopping and more, an extra hand is always a welcome addition. In home nursing isn’t only for medical needs. In fact, the best agencies provide companionship, transportation and can even help with light housekeeping. With household help, seniors are more confident, improving outlook and mood.

About Firstat Nursing Services
Linnea Goodrich is the owner of Firstat Nursing Services, which is the only Home Care Agency in San Diego that is both State licensed and certified by the Alzheimer’s Association. Firstat Nursing Services has been providing a higher standard of home nursing, home health and home care services for elderly, disabled and injured people in the greater San Diego area since 1997.

To give families and seniors a better understanding of how in-home care can help their daily lives, Firstat has developed a free online assessment tool. To see how it can help, go to: https://firstatofsandiego.com/free-needs-assessment/ or call 619-220-7600 to learn more.

Firstat Nursing Services
411 Camino Del Rio South
Suite 100
San Diego, CA 92108
https://firstatofsandiego.com
https://maps.google.com/?cid=5806675770523173072

https://www.facebook.com/pages/Firstat-Nursing-Services/147702750869
https://twitter.com/FirstatNursing
https://www.youtube.com/user/HomeNursingSanDiego

The post Improve Quality of Life for an Aging Loved One with Senior Caregivers Rancho Bernardo appeared first on Homecare, Home Health Caregivers, Skilled Nursing San Diego.

Adult children often faced decisions about who will assume the responsibility of caring for an aging parent. While there are many options, balancing the needs of mom or dad with a full life is a challenge. The good news is, you can play an active role in caring for a parent, with the help of trained professionals.

Here’s how to improve quality of life for an aging loved one with in home skilled nursing.

Expert Medical Care
When mom or dad needs to follow a complicated medical treatment plan or needs regular insulin injections, having a trained professional on hand is a big help. With years of skills developed through years of hands-on training, the right agency can provide Registered Nurses, LVNs and CNAs for a higher level of care. Even for an hour or so here or there, professional help brings experience and formal care when you need it most.

Increased Meaningful Time
With busy work schedules and other demanding responsibilities, caring for an aging loved one at home leaves little time for fun. An at home nurse can take the burden off family caregivers by attending to a parent’s basic needs like dressing, bathing, and eating. With mundane responsibilities attended to, families have more time to spend together that’s meaningful.

Increased Independence
It’s a well-known fact that seniors who age at home lead happier, healthier lives. When mom or dad isn’t fully equipped to handle the housework, grocery shopping and more, an extra hand is always a welcome addition. In home nursing isn’t only for medical needs. In fact, the best agencies provide companionship, transportation and can even help with light housekeeping. With household help, seniors are more confident, improving outlook and mood.

About Firstat Nursing Services
Linnea Goodrich is the owner of Firstat Nursing Services, which is the only Home Care Agency in San Diego that is both State licensed and certified by the Alzheimer’s Association. Firstat Nursing Services has been providing a higher standard of home nursing, home health and home care services for elderly, disabled and injured people in the greater San Diego area since 1997.

To give families and seniors a better understanding of how in-home care can help their daily lives, Firstat has developed a free online assessment tool. To see how it can help, go to: https://firstatofsandiego.com/free-needs-assessment/ or call 619-220-7600 to learn more.

Firstat Nursing Services
411 Camino Del Rio South
Suite 100
San Diego, CA 92108
https://firstatofsandiego.com
https://maps.google.com/?cid=5806675770523173072

https://www.facebook.com/pages/Firstat-Nursing-Services/147702750869
https://twitter.com/FirstatNursing
https://www.youtube.com/user/HomeNursingSanDiego

The post Improve Quality of Life for an Aging Loved One with Senior Caregivers Rancho Bernardo appeared first on Homecare, Home Health Caregivers, Skilled Nursing San Diego.

“Like so many adult children, searching for the perfect in-home nursing service for an aging parent can be complicated,” says Linnea Goodrich, president of Firstat Nursing Services. With so many choices, how do families know which agency to choose? Luckily, the best in-home providers share some of the same traits.

Here are three qualities families should look for as they seek out a reputable, professional skilled nursing service for a loved one.

Expertly Trained Nurses
One area where there should never be any compromise when choosing an in-home caregiver is medical expertise. Entrusting a stranger to make critical medical decisions in your absence is a serious thing, and expertise is absolutely necessary.

Look for accreditations and certificates that provide detailed evidence of highly trained professionals. Be sure to review the agency website of any service being considered.

Patience and Dedication
While certificates and accredited medical care is vital, caregivers who are kind and patient are important too. Reputable agencies screen their providers for soft skills, or those character traits that make in-home care successful. The nurses and caregivers you meet will likely be spending a tremendous amount of time with a loved one. Kindness, respect and patience are non-negotiable.

A Passion for Care
Professional in-home nurses who truly love what they do are always in high demand. When speaking with a prospective agency, talk to the caregivers about themselves, learn why they chose in-home care as a profession. An exceptional skilled nurse has a calling for care, and it shows.

About Firstat Nursing Services
Linnea Goodrich is the owner of Firstat Nursing Services, which is the only Home Care Agency in San Diego that is both State licensed and certified by the Alzheimer’s Association. Firstat Nursing Services has been providing a higher standard of home nursing, home health and home care services for elderly, disabled and injured people in the greater San Diego area since 1997.

To give families and seniors a better understanding of how in-home care can help their daily lives, Firstat has developed a free online assessment tool. To see how it can help, go to: https://firstatofsandiego.com/free-needs-assessment/ or call 619-220-7600 to learn more.

Firstat Nursing Services
411 Camino Del Rio South
Suite 100
San Diego, CA 92108
https://firstatofsandiego.com
https://maps.google.com/?cid=5806675770523173072

https://www.facebook.com/pages/Firstat-Nursing-Services/147702750869
https://twitter.com/FirstatNursing
https://www.youtube.com/user/HomeNursingSanDiego

The post Poway Caregiver Agency Shares What to Look for in Quality In-Home Health Care appeared first on Homecare, Home Health Caregivers, Skilled Nursing San Diego.

“Like so many adult children, searching for the perfect in-home nursing service for an aging parent can be complicated,” says Linnea Goodrich, president of Firstat Nursing Services. With so many choices, how do families know which agency to choose? Luckily, the best in-home providers share some of the same traits.

Here are three qualities families should look for as they seek out a reputable, professional skilled nursing service for a loved one.

Expertly Trained Nurses
One area where there should never be any compromise when choosing an in-home caregiver is medical expertise. Entrusting a stranger to make critical medical decisions in your absence is a serious thing, and expertise is absolutely necessary.

Look for accreditations and certificates that provide detailed evidence of highly trained professionals. Be sure to review the agency website of any service being considered.

Patience and Dedication
While certificates and accredited medical care is vital, caregivers who are kind and patient are important too. Reputable agencies screen their providers for soft skills, or those character traits that make in-home care successful. The nurses and caregivers you meet will likely be spending a tremendous amount of time with a loved one. Kindness, respect and patience are non-negotiable.

A Passion for Care
Professional in-home nurses who truly love what they do are always in high demand. When speaking with a prospective agency, talk to the caregivers about themselves, learn why they chose in-home care as a profession. An exceptional skilled nurse has a calling for care, and it shows.

About Firstat Nursing Services
Linnea Goodrich is the owner of Firstat Nursing Services, which is the only Home Care Agency in San Diego that is both State licensed and certified by the Alzheimer’s Association. Firstat Nursing Services has been providing a higher standard of home nursing, home health and home care services for elderly, disabled and injured people in the greater San Diego area since 1997.

To give families and seniors a better understanding of how in-home care can help their daily lives, Firstat has developed a free online assessment tool. To see how it can help, go to: https://firstatofsandiego.com/free-needs-assessment/ or call 619-220-7600 to learn more.

Firstat Nursing Services
411 Camino Del Rio South
Suite 100
San Diego, CA 92108
https://firstatofsandiego.com
https://maps.google.com/?cid=5806675770523173072

https://www.facebook.com/pages/Firstat-Nursing-Services/147702750869
https://twitter.com/FirstatNursing
https://www.youtube.com/user/HomeNursingSanDiego

The post Poway Caregiver Agency Shares What to Look for in Quality In-Home Health Care appeared first on Homecare, Home Health Caregivers, Skilled Nursing San Diego.

Family members often take great strides to ensure aging loved ones live healthy, happy lives. But with limited physical abilities, disease and different interests than younger family members, it can be tough to keep a senior loved one happy. Can in-home nursing help? You might be surprised.

Here are three ways bringing a compassionate caregiver into the home can build better communication with a senior loved one.

Regular, Dependable Companionship
Few people realize that at home skilled nursing agencies offer more than medical expertise. While a trained, competent expert is an invaluable help, many caregivers visit the home with plans to play card games, watch movies and spend time with an aging patient looking for companionship. The right agency can help you choose the perfect companion for your family member, giving you peace of mind and security in knowing they are having fun.

Keep Seniors Mentally and Physically Active
A trained health care provider can help aging seniors pursue an active lifestyle in a safe, controlled way. This could mean taking daily walks in the neighborhood, light shopping or simply moving about the home in a safe, comfortable way. With a caregiver available to provide mental and physical stimulation, seniors and aging loved ones can continue to engage in activities they enjoy.

An in-Home Nurse Decreases Stress, Tension at Home
With a competent nurse at home with an aging senior, other family members are free to pursue their own responsibilities, easing tension and stress. Families appreciate having more time to relax, spend quality time with loved ones and enjoy personal activities on their own without worrying that a senior family member needs attention.

About Firstat Nursing Services
Linnea Goodrich is the owner of Firstat Nursing Services, which is the only Home Care Agency in San Diego that is both State licensed and certified by the Alzheimer’s Association. Firstat Nursing Services has been providing a higher standard of home nursing, home health and home care services for elderly, disabled and injured people in the greater San Diego area since 1997.

To give families and seniors a better understanding of how in-home care can help their daily lives, Firstat has developed a free online assessment tool. To see how it can help, go to: https://firstatofsandiego.com/free-needs-assessment/ or call 619-220-7600 to learn more.

Firstat Nursing Services
411 Camino Del Rio South
Suite 100
San Diego, CA 92108
https://firstatofsandiego.com
https://maps.google.com/?cid=5806675770523173072

https://www.facebook.com/pages/Firstat-Nursing-Services/147702750869
https://twitter.com/FirstatNursing
https://www.youtube.com/user/HomeNursingSanDiego

The post Promote Better Quality of Life for Seniors – Homecare Agency Poway appeared first on Homecare, Home Health Caregivers, Skilled Nursing San Diego.

Family members often take great strides to ensure aging loved ones live healthy, happy lives. But with limited physical abilities, disease and different interests than younger family members, it can be tough to keep a senior loved one happy. Can in-home nursing help? You might be surprised.

Here are three ways bringing a compassionate caregiver into the home can build better communication with a senior loved one.

Regular, Dependable Companionship
Few people realize that at home skilled nursing agencies offer more than medical expertise. While a trained, competent expert is an invaluable help, many caregivers visit the home with plans to play card games, watch movies and spend time with an aging patient looking for companionship. The right agency can help you choose the perfect companion for your family member, giving you peace of mind and security in knowing they are having fun.

Keep Seniors Mentally and Physically Active
A trained health care provider can help aging seniors pursue an active lifestyle in a safe, controlled way. This could mean taking daily walks in the neighborhood, light shopping or simply moving about the home in a safe, comfortable way. With a caregiver available to provide mental and physical stimulation, seniors and aging loved ones can continue to engage in activities they enjoy.

An in-Home Nurse Decreases Stress, Tension at Home
With a competent nurse at home with an aging senior, other family members are free to pursue their own responsibilities, easing tension and stress. Families appreciate having more time to relax, spend quality time with loved ones and enjoy personal activities on their own without worrying that a senior family member needs attention.

About Firstat Nursing Services
Linnea Goodrich is the owner of Firstat Nursing Services, which is the only Home Care Agency in San Diego that is both State licensed and certified by the Alzheimer’s Association. Firstat Nursing Services has been providing a higher standard of home nursing, home health and home care services for elderly, disabled and injured people in the greater San Diego area since 1997.

To give families and seniors a better understanding of how in-home care can help their daily lives, Firstat has developed a free online assessment tool. To see how it can help, go to: https://firstatofsandiego.com/free-needs-assessment/ or call 619-220-7600 to learn more.

Firstat Nursing Services
411 Camino Del Rio South
Suite 100
San Diego, CA 92108
https://firstatofsandiego.com
https://maps.google.com/?cid=5806675770523173072

https://www.facebook.com/pages/Firstat-Nursing-Services/147702750869
https://twitter.com/FirstatNursing
https://www.youtube.com/user/HomeNursingSanDiego

The post Promote Better Quality of Life for Seniors – Homecare Agency Poway appeared first on Homecare, Home Health Caregivers, Skilled Nursing San Diego.

No one wants to admit that a loved one may need help living independently. But, for many family members, it’s a reality, and the very conversation that adult children have around the kitchen table. Professional homecare is nothing new, but the experience may not be what you think. With compassion, medical expertise and a few extras, an in-home nurse may be the right solution.

Here are three signs to help you decide if an aging loved one could benefit from skilled nursing care a few days a week.

You’re Worried About Safety
Do you find yourself wondering if an aging parent knows enough to lock the front door at night, or shut the stove off after cooking a meal? One of the first signs that a parent or loved one might benefit from an in-home nurse is safety. Even day-to-day activities can be dangerous with memory loss, leaving seniors confused or worse, hurt. A visiting nurse is an invaluable help, providing assistance with bathing, cooking meals and even light housework.

Medical Care is Complicated
If a loved one often forgets their medication, takes the wrong dose or isn’t sure how to administer more complicated treatments, it may be time to pursue professional help. With expertise on hand, complex medical treatment plans are easy to handle. The right caregiver can help your loved one take medications as directed, mindful of building a process that the family can follow easily. With hands-on expertise, a qualified nurse can navigate medicine and treatment plans with ease, giving you peace of mind.

Strange Behavior
As seniors age, many will develop signs that proceed complicated disease such as Alzheimer’s or dementia. When behavior becomes uncharacteristic or inconsistent, families may want to consider bringing in an expert to help relieve stress and navigate uncertainties. Debilitating disease can be complex, and having a trained professional guide the process makes the entire household more confident during a difficult time.

People wanting to learn more about home health, caregivers, in-home care and Firstat Nursing Services are encouraged to call 619-220-7600 or visit https://firstatofsandiego.com/caregivers-del-mar-senior-in-homecare/ to take a free online needs assessment.

About Firstat Nursing Services
Linnea Goodrich is the owner of Firstat Nursing Services, which is the only Home Care Agency in San Diego that is both State licensed and certified by the Alzheimer’s Association. Firstat Nursing Services has been providing a higher standard of home nursing, home health and home care services for elderly, disabled and injured people in the greater San Diego area since 1997.

To give families and seniors a better understanding of how in-home care can help their daily lives, Firstat has developed a free online assessment tool. To see how it can help, go to: https://firstatofsandiego.com/free-needs-assessment/ or call 619-220-7600 to learn more.

Firstat Nursing Services
411 Camino Del Rio South
Suite 100
San Diego, CA 92108
https://firstatofsandiego.com
https://maps.google.com/?cid=5806675770523173072

https://www.facebook.com/pages/Firstat-Nursing-Services/147702750869
https://twitter.com/FirstatNursing
https://www.youtube.com/user/HomeNursingSanDiego

The post When to Consider Nursing Care at Home – Caregivers San Diego, In Home Senior Care San Diego appeared first on Homecare, Home Health Caregivers, Skilled Nursing San Diego.

No one wants to admit that a loved one may need help living independently. But, for many family members, it’s a reality, and the very conversation that adult children have around the kitchen table. Professional homecare is nothing new, but the experience may not be what you think. With compassion, medical expertise and a few extras, an in-home nurse may be the right solution.

Here are three signs to help you decide if an aging loved one could benefit from skilled nursing care a few days a week.

You’re Worried About Safety
Do you find yourself wondering if an aging parent knows enough to lock the front door at night, or shut the stove off after cooking a meal? One of the first signs that a parent or loved one might benefit from an in-home nurse is safety. Even day-to-day activities can be dangerous with memory loss, leaving seniors confused or worse, hurt. A visiting nurse is an invaluable help, providing assistance with bathing, cooking meals and even light housework.

Medical Care is Complicated
If a loved one often forgets their medication, takes the wrong dose or isn’t sure how to administer more complicated treatments, it may be time to pursue professional help. With expertise on hand, complex medical treatment plans are easy to handle. The right caregiver can help your loved one take medications as directed, mindful of building a process that the family can follow easily. With hands-on expertise, a qualified nurse can navigate medicine and treatment plans with ease, giving you peace of mind.

Strange Behavior
As seniors age, many will develop signs that proceed complicated disease such as Alzheimer’s or dementia. When behavior becomes uncharacteristic or inconsistent, families may want to consider bringing in an expert to help relieve stress and navigate uncertainties. Debilitating disease can be complex, and having a trained professional guide the process makes the entire household more confident during a difficult time.

People wanting to learn more about home health, caregivers, in-home care and Firstat Nursing Services are encouraged to call 619-220-7600 or visit https://firstatofsandiego.com/caregivers-del-mar-senior-in-homecare/ to take a free online needs assessment.

About Firstat Nursing Services
Linnea Goodrich is the owner of Firstat Nursing Services, which is the only Home Care Agency in San Diego that is both State licensed and certified by the Alzheimer’s Association. Firstat Nursing Services has been providing a higher standard of home nursing, home health and home care services for elderly, disabled and injured people in the greater San Diego area since 1997.

To give families and seniors a better understanding of how in-home care can help their daily lives, Firstat has developed a free online assessment tool. To see how it can help, go to: https://firstatofsandiego.com/free-needs-assessment/ or call 619-220-7600 to learn more.

Firstat Nursing Services
411 Camino Del Rio South
Suite 100
San Diego, CA 92108
https://firstatofsandiego.com
https://maps.google.com/?cid=5806675770523173072

https://www.facebook.com/pages/Firstat-Nursing-Services/147702750869
https://twitter.com/FirstatNursing
https://www.youtube.com/user/HomeNursingSanDiego

The post When to Consider Nursing Care at Home – Caregivers San Diego, In Home Senior Care San Diego appeared first on Homecare, Home Health Caregivers, Skilled Nursing San Diego.