What’s been happening:

Twenty-one years have passed since my graduation from Penn State. I moved to South Dakota and worked for the Indian Health Service on the Pine Ridge Reservation. I then went to work for the Veterans Administration at the VA Black Hills Health Care System in South Dakota and obtained my MSN. I currently work in Chronic Disease Case Management using care coordination home telehealth. When I started in nursing I could not envision the ways that healthcare delivery would grow and change.