Expert guidance for families and caregivers navigating aging, dementia, and illness.

Smith Care Consulting can help you…

A woman with long dark hair, wearing a beige blazer and black shirt, sitting on a sofa and smiling.

Owner & Founder

Allison Smith, MHA, LPN

I found my way to this work from the exact place you might be in right now - as a caregiver.

The people I love most found their bodies were aging and they could no longer do it all independently. I was suddenly trying to find answers to a million questions a day. Did you already take the pink pill? Is driving still safe? What is a urologist? Why didn’t you ask that at your appointment? Is the oven still on? Where do we park? Where is your insurance information? Is this blood pressure an emergency? How do I bathe a grown man with dignity, grace, and humor?

The questions were not just medical. They were emotional, logistical, cultural, and ethical. Sometimes I needed help figuring out how to physically get my loved one from the car to the building. Other times I needed help figuring out how to grieve changes I knew were permanent.

That experience led me to nursing school. I was determined to keep caring for others the way I had cared for my own family. I worked across hospital settings and then as a home health nurse, until I kept noticing the same thing everywhere I went: the organizations I worked for were consistently unable to connect patients to the resources they actually needed. I watched patients, families, and clinicians full of determination reach burnout anyway - not from lack of love, but from lack of support.

I wanted to make it better. I earned my Master of Health Administration from Purdue University and went on to manage a palliative and hospice program at a large urban health system.

In every role, I have been confronted by the same gap - the one between what people need and what the system actually provides. Healthcare asks that families figure out how to navigate it, often while also managing their own jobs, children, grief, and lives. It asks a lot of people who are already giving everything they have.

This practice exists to close that gap. I bring over a decade of experience across inpatient care, outpatient care, home health, end-of-life care, personal caregiving, and healthcare administration - so you do not have to figure it out alone, and you do not have to start from scratch. I know this terrain and I can help you navigate it.

When do I step in?

Home care, assisted living, or a nursing home?

Why are there so many different doctors?

How do I find somewhere I trust?

What questions should I be asking?

How do I keep all these medicines straight?

How do I know what they're going to bill me?

What do I do if they don't want help?

When do I step in? Home care, assisted living, or a nursing home? Why are there so many different doctors? How do I find somewhere I trust? What questions should I be asking? How do I keep all these medicines straight? How do I know what they're going to bill me? What do I do if they don't want help?

What legal documents should be in place?

Why is this being denied?

What is palliative care?

Is hospice the best choice?

Is a POA the same as a healthcare proxy?

How do I prevent falls?

What is the difference between PT, OT, and ST?

Why are they angry?

What legal documents should be in place? Why is this being denied? What is palliative care? Is hospice the best choice? Is a POA the same as a healthcare proxy? How do I prevent falls? What is the difference between PT, OT, and ST? Why are they angry?

What if I'm burning out?

Is there anyone around that can help?

What is respite?

How do I balance this with my job?

Why can't they cure this?

How do I evaluate local care facilities?

What do I do in an emergency?

Who should be involved in decisions?

What if I'm burning out? Is there anyone around that can help? What is respite? How do I balance this with my job? Why can't they cure this? How do I evaluate local care facilities? What do I do in an emergency? Who should be involved in decisions?

Who coordinates care across providers?

What if no one in my family agrees?

How do I cope with guilt, stress, or grief?

How can I set boundaries?

How do we plan for the future?

What does insurance actually cover?

Are there tax deductions for caregiving?

Who am I supposed to go to for this?

Who coordinates care across providers? What if no one in my family agrees? How do I cope with guilt, stress, or grief? How can I set boundaries? How do we plan for the future? What does insurance actually cover? Are there tax deductions for caregiving? Who am I supposed to go to for this?