THE PRESENCE APPROACH

Care with a direction. And a person behind it.

Primary care should connect what matters to you today with what needs attention next. The Presence Care Plan is our way of thinking through that ongoing conversation together.

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RELATIONSHIP FIRST

Start with your life, not a checklist.

At Presence, an ongoing primary-care relationship begins by listening: what you want to do, what has changed, and what feels hard to keep track of. Melissa House, APRN-CNP, brings an adult-gerontology primary-care perspective to adults and older adults alike.

A care plan gives conversations and follow-up a shared direction. It can help bring prevention, ongoing conditions and the next practical step into the same picture. The details depend on your individual needs and clinical judgment.

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A LIVING ROADMAP

Three questions to keep returning to.

What matters to you

Your goals, daily routines, and the changes you want care to help you navigate.

What we’re watching

Ongoing conditions, symptoms, medicines and questions worth revisiting together.

What comes next

Individual prevention and screening needs, labs or imaging, specialist input, follow-up, and the next milestone.

A plan is a conversation you can return to: what matters, what needs watching, and the next practical step. Priorities can change as your health and life change.

WHAT YOUR CARE PLAN CAN ORGANIZE

Make the next step easier to see.

For example, after a visit you might agree to discuss a changed medicine, check a result, bring a specialist’s recommendation to the next conversation, and decide when to reconnect. This is an illustration of the approach, not a patient chart or online account.

Only the parts relevant to you belong in your care conversation. The aim is to know what is settled, what remains open, and what to do if something changes.

Medicines & questions

Review what you take, what changed, and which questions need an answer.

Prevention & results

Note screenings to discuss, labs or imaging to review, and who follows up on results.

People & daily life

Bring specialist advice together with mobility, falls, memory, sleep, nutrition or support needs when relevant.

The next milestone

Agree on what to revisit, when to reconnect, and what change should prompt a call.

YOUR FIRST VISIT & BEYOND

What happens when you begin?

First, tell us what matters.

In an ongoing primary-care visit, Melissa can ask about your goals, concerns, health history, current medicines, the clinicians you already see, and what everyday life is like. You can bring your questions, medication list, and relevant records. Together, you can decide which concerns need attention first and what an appropriate follow-up looks like.

Then, keep the thread.

At later visits, revisit what changed: symptoms, medicines, results, specialist advice, preventive needs, and the goals you set. Agree on the next milestone or adjustment rather than starting the story over. Follow-up depends on your needs and clinical judgment; it is not a fixed schedule for everyone.

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CARE ACROSS CHANGING NEEDS

Someone to help connect the details.

If several conditions or specialists are involved, primary care can consider them together instead of treating each one as a separate story. Bring medication lists and specialist recommendations; discuss which labs, preventive needs, and results need attention, and who should follow up.

For older adults, that conversation may include independence, function and mobility, falls, memory concerns, or social support when relevant. With the patient’s permission, a family member or caregiver can participate. The patient’s goals remain central.

AFTER A HOSPITAL OR REHAB STAY

Bring the changes back into one picture.

After a discharge, you can contact Presence to discuss appropriate follow-up. Bring the discharge instructions and current medicine list if available. A primary-care conversation can compare what changed, review medicines and new instructions, identify tests or specialist visits still needed, and ask how you are managing at home.

If walking, daily routines, or support at home have changed, those details matter too. Together, clarify what to watch and the next appropriate milestone. The practice will discuss what follow-up is appropriate for your situation.

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ONE RELATIONSHIP, MORE THAN ONE WAY TO GET CARE

Know which door fits today.

Your ongoing primary care

Melissa and Presence are the local relationship for your goals, prevention, chronic conditions and follow-up. In-person care is in Hurst on Fridays and Saturdays; ask about appropriate virtual visits.

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When the office is closed

Members of the $19.99/month Unlimited Family Telehealth or from $69/adult/month Personal Primary Care Membership can use 24/7/365 virtual access through the membership care network. That network is a separate access layer from Melissa’s continuing local relationship.

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For a one-time concern

Choose the format that fits: a $19 Quick Online Care request, $39 phone visit, $49 video visit, or $69 extended visit. One-time care does not itself establish a primary-care relationship.

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When travel is difficult

A home or senior-community visit may extend local primary care when clinical need, geography and availability align. Discuss the possibility with Presence rather than assuming it is available.

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HELPING SOMEONE YOU LOVE

You don’t have to carry every detail alone.

If you are helping a parent, spouse or loved one, begin with what has changed: medicines, daily routines, mobility, memory, or a recent hospital stay. Ask what is due, what to watch, and who to call next. Presence can help you discuss an appropriate primary-care relationship with the patient at the center.

You can ask about care options as a family member. To take part in private health discussions or receive health information, the patient’s permission and appropriate authorization are needed. Their preferences lead the conversation.

You can also ask whether office, virtual, or clinically appropriate home care might fit. Visit arrangements, home availability, and Medicare plan details can be discussed directly with Presence.

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YOUR NEXT STEP

Begin with a conversation.

Tell Presence what matters most and discuss the right primary-care next step.

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