“The best way to find yourself is to lose yourself in the service of others.” – Mahatma Gandhi

-Mindways Solutions LLC. | Tacoma, Washington


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A Nurse Advocate

to support your care...

Hi I'm Dave Greene, a registered nurse and the founder of Mindways Solutions. A locally owned and operated patient advocacy company that is driven by a passion to serve people who are experiencing health care challenges.  My passion to start Mindways Solutions originated from my own experience supporting my wife's chronic illness.  For the past decade we've had to navigate the maze we often call health care.  Over the years we've interacted with various specialty providers, had to undergo a multitude of different diagnostic testing, had multiple stays in hospitals, and tried to deal with ensuring that everything was covered by insurance.

As a husband and family member I found it often difficult to know what to do in the midst of our challenges, how to access the community resources that were available to my wife, and wondered if we were making the right decisions about her care.  Thankfully I had the knowledge and experience as a clinician to help us advocate for her needs, but that is sadly not the experience for the majority of people thrown into a crisis or dealing with the challenge of a chronic illness.  Therefore, I decided to use this experience to launch the patient advocacy services offered by Mindways Solutions with the following goal: 

To support patients and their families by providing the information they need, the understanding they deserve, and the guidance they seek to make the challenging health care decisions they face.
Thank you for stopping by, and allowing me to share my story with you.  Please review the services I offer or call me to schedule a free consultation. Please click on the link below to learn more about my professional background.

Best Regards,


David Greene RN, BSHCM

Supporting Your Care Transitions...

Care Management Consulting Coordination Information and Decision Support...It can be challenging when people experience changes in their health. At those times I can provide the help you need by: Providing guidance with your discharge from a hospital to the community.Providing an evaluation of care needs, and delivering information on how to access the resources to support your care in the community. Providing information and developing a plan to better manage a chronic illness in the community.Accompanying you to a medical appointment to support your conversation with the provider caring for your needs. 

Elder Placement ServicesFinding you a home to deliver comfort and safety...As a Registered Nurse I understand which community settings provide the oversight and resources to safely meet the needs of seniors in the community.  I can assist you by:Helping you choose the right setting that will prevent unnecessary ER visits or hospitalizations.Directing you to Adult Family Homes that I personally vetted, and have been deemed by the State of Washington to be a safe housing option.Conducting weekly post placement follow up visits to ensure both the safety and satisfaction of my clients.

Nursing Assessments Clinical assessments required for placements...I have the clinical expertise and experience required by the state to oversee community care transitions for individuals who are entering an Adult Family Home or Assisted Living Facility.I will provide the comprehensive assessment and work to identify potential problems to ensure the safety of your loved one.I can complete the assessment proactively while you're considering placement options by visiting your loved one in their current living setting (Skilled Nursing Facility, Assisted Living Facility, or even the hospital) to facilitate timely transition schedules.

Contact me today for your FREE needs assessment

Terms of service

Surviving the Storm - 5 Keys to living with...

(01/21/2017) This morning I'm sitting here looking at the storm that is blowing through on the Washington coast.  As I watch the waves crash against the shore I began to think about how a chronic illness presents the same challenges to those facing the storm.  It is a powerful event that has the ability to rapidly change the landscape and lives, it can occur without or warning and can have lasting effects, and often causes people to rebuild following the aftermath.  Everyday I have the chance to help people navigate the challenge of living with a chronic illness, and was thinking about what can help people survive this storm as it enters their lives.  Here are 5 keys that I have found both personally and professionally helpful as I've learned to face the challenges created by living someone faced with a chronic illness.   Set up support - People need to have a source of support.  It seems obvious, but many people I meet have allowed their disease to isolate themselves from others, and then find themselves stuck without help.  It can be humbling to ask for help if you're a person who has prided themselves on being independent and standing on your own two feet, but anyone living with a chronic illness knows what it's like to be knocked down.  If you don't have access to family and friends you can contact a local organizations like the Area Agency on Aging and Disability who provide support to both the person affected by the illness and care givers.  Therefore, reach out and ask for help.Tell your story - Have you ever gone into a store and struggled to find something on your own?  Was it frustrating?  Was the outcome different when you told the staff member what you needed?  Communicating your needs or telling your story is vital to surviving the storm of a chronic illness.  In medical or health care circles we often to refer to this as patient advocacy.  Being an advocate for yourself or another person requires making your needs known, so you can gain access to the care and services for your condition.  One of the best ways to ensure you're successful is to write down your questions or needs prior to any interaction with a health care provider.  It will help keep the conversation focused, and create the opportunity to get your needs met.Obtain objective information - Part of surviving a storm and dealing with a chronic illness is knowing how to prepare.  For a patient and their loved ones this means gaining access to credible information that can provide the guidance needed when facing difficult health care decisions.  By accessing information about your illness you'll be informed about the progression and symptoms, and it will also reduce the anxiety associated with feeling uninformed.  A good step is to start with the primary provider involved in your care, but if you desire a second opinion seek out a professional patient advocate that can assist with coordinating this effort.  Once you've obtained the information you'll be prepared to move forward confidently.React with a Plan - Information without action won't get much accomplished.  That's why it's important as a person living with a chronic illness to have a plan which will guide your actions.  This is often designed by a person who has the credentials and understanding to help you in navigating the continuum of care.  A nurse case manager or patient advocate who is a licensed clinician will have the expertise to build a plan using an evidence based approach that supports your disease management needs.  If this type of service is unavailable through your primary provider's office you can find someone locally by searching out people with these titles.  Ensure that they are credentialed and have the proven experience of successfully helping people who've been in your shoes.Manage your mindset -  How we think can often determine how we react, and ultimately impact the outcome of the challenge we are facing.  How people successfully address this challenge is often the topic of discussion by clinicians supporting people with chronic illnesses.  One area of medicine that has been successful in supporting people with a multidimensional or holistic approach to their care has been end of life organizations.  Practitioners working with this population of patients and families have found that supporting the mind, body, and spirit positively impacts peoples outlook and improves their quality of life.  Therefore, people living with a chronic can benefit from using alternative therapies to relieve their stress while supporting a positive mindset.  Finding these therapies can be done through your own web search or contacting your local hospice and palliative care organization who can provide some guidance.  You can also contact me, and I'll be happy to help.My hope is this information provides some support to those facing the storm, and offers the guidance needed to weather the challenges presented by living with or supporting a chronic illness.  Take care.Dave

I'm away, but not unavailble - soon to...

(10/11/2016) ​Hi Everyone,No, that's not me.  I'm not that cute, but that's my little girl who's sad that Daddy's away.  Yes, I've had to take a hiatus to better meet my families needs with a contract position as a hospital case manager.  Those pesky benefits are expensive, so off I went to far off lands to share my smile while keeping the lights on at home.Being a clinician that has the ability to help people solve their problems is what makes me tick, whether it's in a role of a case manager or leading a group of people.  Being in the trenches everyday with patients and families in crisis provides me with the opportunity to stay informed, and supports my need to make a difference in this world.  It also provide direct access to knowledge that increases my ability in finding new ways to better support people transitioning to the community.  What has been very interesting in my role is to discover that I'm encountering the same issues that occur in my own backyard in this far away land.  This experience has confirmed my decision to follow my gut instinct in developing a new service that will not only support those in my own community, but can meet the needs of people anywhere who may be looking for support in dealing with a current health care that are struggling with a health care challenge or decision.In the hospital I meet people everyday that find it difficult to support their loved one because of limited availability.  I understand that one things we lack most in life is having enough time for what needs to get done.  Our lives our complicated by our work schedules, family responsibilities, and the unexpected events that occur in our lives.  Sadly this doesn't allow most people to drop everything, and support the people they love in the matter they had wished.  Therefore, I'm working on a new offering to meet you virtually at times that support your schedule needs where I can provide insight, answers, and a plan.  My hope is to have this service available within the month.I would like to ask you a hug favor.  Please provide your feedback and share your thoughts if you would personally find this new offering valuable?  I'd to provide services that meet the needs of the people I serve.  Thank you for taking the time to visit.  Take care.Dave 

Anticipatory Grieving - 4 Ways to Prepare...

(09/17/2016) “People think it's just forgetting your keys, she says. Or the words for things. But there are the personality changes. The mood swings. The hostility and even violence. Even from the gentlest person in the world. You lose the person you love. And you are left with the shell... And you are expected to go on loving them even when they are no longer there. You are supposed to be loyal. It’s not that other people expect it. It’s that you expect it of yourself. And you long for it to be over soon.”   ― Alice LaPlante, Turn of Mind It was 1987, and I was just beginning to learn about the impact that Alzheimer's has on people and those they love.  In the auditorium that day there was a sense of excitement of dreams and hopes to soon be realized.  I was a joyful teenager, and it was the day I was finally going to graduate from high school.  In the audience I was supported by a hoard of family members, who would have to endure the typical never-ending roll call that occurs with each commencement ceremony.  On that day my parents were particularly nervous about the ability for my Grandma to endure this marathon of names.  Over the past year we had all noticed that she was slipping in remembering known details, and couldn't do the things she once had with the same ease.  We all just chalked it up to old age because what was Alzheimer's?  At that time it seemed like just a strange word that wouldn't impact our world.Soon enough it all began to change as my Grandma looked at my cousin sitting next to my Mom, and proceeded to ask her who it was every two minutes for the duration of the event.  Then it was the trip to McDonald's when my Grandpa thought he could leave her unattended, but quickly realized it was a mistake when he found her eating left over food at another table.  The next months and years would play out much like many others have experienced.  The childish tantrums, the lost jewelry, and the undergarments worn outside her clothes.  It took it's toll on our family, specifically on my Grandpa who was never able to grasp that it was a disease and not a choice that was taking a wife, a mother, and a grandmother.  Then in the early 1990's she went to the hospital following a heart attack, and was released of her suffering into glory with her Savior in a moment of clarity as she sang "How Great Thou Art".  As I'm writing this excerpt the tears are again welling up in my eyes after all the years, but the pain is beginning again.  Over the years I've cared for patients who've had end stage diseases that have robbed their families of that person.  Along with those other tragic terminal illnesses Alzheimer's also has the ability to be particularly cruel because it robs us of the person long before they leave this world. When your loved one has Alzheimer's or a significant memory loss, how do you deal with the anticipatory grief of losing that person?  Through my personal experience as a family member and a health care advocate, I hope to share some insights that will be useful to those facing this agonizing journey.Anticipatory Grieving - 4 Ways to Prepare for the Impact of Alzheimer's                                          Feel the Loss - As a hospice nurse I've seen many people grieve over the years in various ways, and those who've accepted their pain have seemed to survive the storm.  The same should be true of those facing the challenge of losing their loved one to Alzheimer's because it is like the thief that comes in the night, and you wake up with nothing.  In order to get through this tragedy we must feel the loss, so we can focus on enjoying whatever time and quality of interaction we may have left.  This disease primarily has a specific course that it runs, but there may be variations of the disease that progress quicker than others.  Being aware is the first step in dealing with this challenge.Understanding the Journey - Knowledge is power, and I believe that people do better when they understand the challenge they're facing.  When you're informed you can develop strategies on how to overcome this horrible situation, have the ability to choose how you'll react, and reduce your stress by knowing about the changes you'll soon see in your loved one as the disease progresses.  Part of preparing for this journey is to gain knowledge because it will give you power, and help you focus your perspective.  You can tap into agencies like the Alzheimer's Association or the Area Agency on Aging to find resources to support your understanding and needs.Fight with all Your Might - In our lives we all have challenges that occur that require us to persevere and fight to prevent becoming overwhelmed.  Alzheimer's is another challenge that deserves a fight with all your might.  There is a lot of research being done to end this disease, but until it's cured we need to be proactive by advocating for our loved one's needs.  It may be getting to a provider involved in research studies, having your loved one started on medications believed to slow the progression, or by tapping into a resource that can provide practical steps to support you in this journey.  The first step in this fight for everyone is to get your loved one to a geriatric specialist or neurologist, so the diagnosis is defined that will generate the treatment options available for fighting for your loved one with all your might.Take the Time - Life is so busy, and we all have demanding jobs, family demands, and other responsibilities that absorb what little time we have available for ourselves.  It is that time that I believe we need to spend with our loved one to maximize our interactions.  When we take the time, we can create a mental journal that will support us during the journey with images of special visits, phone conversations, and moments in time where we were able to soak up their essence.  Don't let the little time that is available slip away, but rather cherish each moment."As he walked into the kitchen he didn't know where to put his dirty glass in the dishwasher, he also tried to put together a child's dresser and was unable, and finally he got lost going to the store.  All I could think was it was happening again, but now it's my turn.  It was in that moment that I knew I was losing my Dad, as my Mom and I cried about the anticipated loss." Alzheimer's is a devastating disease, but if we attack it proactively, love those with it deeply, and cherish each moment provided then we may just make it through the loss this disease causes.  At least that's what I'm going to believe, and make my prayer for those of us facing the anticipatory grief of losing the one we love."We were promised sufferings.  They were part of the program.  We were even told, 'Blessed are they that mourn', and I accept it.  I've got nothing that I hadn't bargained for.  Of course it is different when the thing happens to oneself, not to others, and in reality, not imagination."C.S. LewisTake care,Dave

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