Susan has provided outstanding care for my mother who is a very difficult person to deal with and whose dementia has made her even more challenging to handle. My mother has always made a point of breaking every rule that applies to her, now that she has dementia this compulsion to break rules places her at great harm. Susan's knowledge of human behavior and ability to quickly assess situations has enabled her to get my mother to cooperate in doing necessary activities and kept her safe. Susan understands how to approach complicated situations and to maintain safety and order. Her experience means that she anticipates problems before they occur and can handle any job with little direction. My family and I are completely comfortable having Susan accompany my mother to sensitive medical appointments knowing she will advocate for my mother, ask the necessary questions and accurately report all results to us. Susan is trustworthy, honest, hard working and dependable. I recommend her highly.