I'd have to say I would be dealing with nursing issues at home. My husband is disabled, on oxygen, and terminal. So my course is plain. Also, I teach CNA's and am employed by a school and not a nursing home or hospital. And having worked for 3 of the four hospitals in this area I can rather selfishly say 'they are on their own' - after working for one for 30 years I was shown the extent of their loyalty, along with a lot of other long term, faithful employees and made redundant - we made too much money! Ageism is alive and well in America!