We plan and test changes where people live and move — meeting in Portland or remotely in English so the setting shapes each step. Sessions are practical and paced to what's manageable: we observe routines, try small adjustments or equipment in real time, gather brief cognitive and functional data, then refine recommendations with clear next steps between visits. Care partners are included as active collaborators so strategies fit daily life. This approach often suits older adults and families seeking workable, measured change.

We plan and test changes where people live and move — meeting in Portland or remotely in English so the setting shapes each step. Sessions are practical and paced to what's manageable: we observe routines, try small adjustments or equipment in real time, gather brief cognitive and functional data, then refine recommendations with clear next steps between visits. Care partners are included as active collaborators so strategies fit daily life. This approach often suits older adults and families seeking workable, measured change.