Hands-On Caregiving Support

At Crossing the Sacred Bridge with Penny, hands-on caregiving support is offered as a separate service from death doula and end-of-life care. This support is practical, non-medical, and grounded in respect, safety, and compassionate presence. This support is designed to help individuals remain supported in their own homes while easing the strain on family caregivers.

What Is Hands-On Caregiving?

Hands-on caregiving provides day-to-day physical and practical assistance for individuals who need help due to aging, illness, injury, or cognitive change. This care focuses on comfort, dignity, and safety while supporting as much independence as possible.

All caregiving services are non-medical and do not replace skilled nursing care.

Caregiving Services Offered

Hands-on caregiving support may include assistance with:

  • Personal care (toileting, incontinence care, hygiene support)

  • Bathing assistance (bed baths or shower support, as appropriate)

  • Dressing and grooming

  • Mobility assistance and transfers

  • Repositioning for comfort and skin integrity

  • Meal preparation and feeding support

  • Medication reminders (non-administration)

  • Light housekeeping related to care needs

  • Companionship and safety monitoring

  • Support with daily routines and structure

Experience With

Care is informed by experience supporting individuals living with:

  • Chronic illness

  • Terminal illness (non-medical support)

  • Dementia and Alzheimer’s disease

  • Parkinson’s disease and mobility disorders

  • Post-surgical recovery

  • Advanced age and functional decline

How This Differs From Death Doula Support

Hands-on caregiving focuses on physical and practical care needs.

Death doula services focus on emotional, spiritual, and end-of-life support, including vigil presence, legacy work, and guidance through the dying process.

Some families utilize both services at different times; others need only one. We will always discuss what level of support feels most appropriate.

Next Steps

A complimentary consultation allows space to talk through your caregiving needs, scheduling, and whether this service is the right fit.

📞 434.987.9702
🌐 Crossingthesacredbridgellc@gmail.com

Hands-on caregiving services are non-medical and provided with dignity, respect, and compassion.

Dementia Care Considerations

Dementia and memory-related conditions can affect each person differently and may change over time. Hands-on caregiving support is offered with patience, respect, and attention to safety; however, this care is non-medical and does not replace skilled nursing, medical supervision, or memory care facilities when higher levels of support are required.

Services are best suited for individuals who can be supported safely in a home setting. If care needs increase beyond what can be provided safely, this will be discussed openly and compassionately with family members so additional support or referrals can be explored. For safety and well-being, caregiving support may be paused or adjusted if a client exhibits behaviors that place themselves or others at risk, or if medical intervention becomes necessary.

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Rates & Scheduling

Hands-On Caregiving Support
$25 per hour
Three-hour minimum per visit

Care may be scheduled for daytime, evening, or overnight support depending on availability.

Overnight Care

Awake Overnight Care
$35 per hour

Overnight caregiving provides safety monitoring, assistance with toileting or repositioning, and responsive support throughout the night.

Specific hours and expectations are discussed in advance to ensure the right fit for both the client and caregiver.

Frequently Asked Questions

  • No. Hands-on caregiving support is non-medical and does not include skilled nursing care, medical assessments, or medication administration. Care focuses on comfort, safety, and daily living support.

  • Dementia care can look very different from person to person. This service is best suited for individuals who can be supported safely in a home setting with non-medical care. If needs change or increase, this will be discussed openly and compassionately so additional support or referrals can be explored.

  • Support may include assistance with personal care, daily routines, safety monitoring, gentle redirection, companionship, and caregiver respite. Care is provided with patience, dignity, and respect for each person’s lived experience.

  • Yes. Hands-on caregiving support includes assistance with toileting, incontinence care, repositioning, transfers, and mobility support, always with attention to comfort and safety.

  • Yes. Awake overnight caregiving support is available at an hourly rate. Overnight care may include safety monitoring, assistance with toileting or repositioning, and responsive support throughout the night. Specific expectations and hours are discussed in advance.

  • Absolutely. Care needs often shift. Support is flexible and can be adjusted as needs evolve, with ongoing communication and mutual understanding.

  • That’s an important question. I am an independent, non-medical caregiver and end-of-life doula, not a licensed medical provider or a home care agency.

    What makes this support different is the relationship-based, consistent care I provide. Families work directly with me—not a rotating team—allowing for familiarity, trust, and continuity. Care is slower, more attentive, and shaped around the person rather than a task list or agency schedule.

    Unlike home care companies, I do not operate under institutional time constraints or shift models. This allows me to offer flexible support, attentive presence, and compassionate care that adapts as needs change, while staying clearly within a non-medical scope of practice.

    For families who need skilled medical care, I am always open to discussing when additional or different support may be appropriate.