Concierge Nursing in Scottsdale
End of Life Care at Home, With a Nurse Beside Your Family
End of life care at home is the work of keeping someone comfortable, safe, and surrounded by the people they love through their final months, weeks, and days. A registered nurse from Prata Health is present for that. She manages symptoms, anticipates what is coming, and gives the family room to simply be family again instead of being the night nurse, the pharmacist, and the on-call worrier all at once.

For families
This is not a replacement for hospice. It is the steady, hands-on presence that fills the hours between hospice visits. We work alongside your hospice team as a private hospice nurse at home, layering experienced palliative care at home onto the plan they set, so comfort never has a gap and no one in the house feels alone with it.
RN-led care
A registered nurse leads every client
Multi-credential team
RN, RDN, PharmD, and Nurse Educator
Ten communities
Scottsdale, Phoenix, and the East Valley
Founder-led
Bianca Fabbo, MSN-ed, RN, AMB-BC
What end of life care at home means with Prata Health
Hospice provides the medical framework: the plan of care, the medications, the periodic nurse and aide visits, the equipment. What hospice usually does not provide is a clinician in the home for the long stretches in between. That is where families feel most exposed, the 2 a.m. restlessness, the dose they are afraid to give wrong, the breathing that has changed and they do not know if it is normal.
What this means
A Prata Health registered nurse stays present through those hours.
- She follows the hospice plan exactly, manages comfort moment to moment, and knows when something genuinely needs the hospice team and when it is part of the expected path.
- The goal is simple and human: comfort for your loved one, and presence for everyone who loves them.
With Prata Health
- An experienced RN present for the hours hospice visits do not cover
- Symptom and comfort management carried out under the hospice plan of care
- Calm, clear answers in the moments that frighten families most
- A familiar face who already knows your loved one, not a stranger each shift
Who it's for
Who this is for
Most families reach us at the point where love is no longer enough on its own, when caring for someone at the end of life has become more than one household can safely hold. You do not have to be in crisis to call. Many families bring us in early, so the relationship is already there when the hardest days arrive.
Families whose loved one has entered or is approaching hospice and wants to remain at home
Adult children caring for a dying parent who are exhausted, frightened, or far away
Households that need overnight or extended-hours presence between hospice visits
Anyone managing complex comfort medications who wants a nurse, not guesswork
Families who want a spouse or parent to be at home, peacefully, surrounded by their own loved ones
What's included
What is included
Every situation is different, and the care is shaped around your loved one and your family rather than a fixed checklist. The constant is an experienced nurse delivering palliative care at home in concert with hospice, focused entirely on comfort and dignity.
Symptom and comfort management
pain, breathlessness, nausea, restlessness, agitation
Comfort medication administration exactly as ordered, with timing and dosing tracked
Personal care and dignity
gentle positioning, skin and mouth care, hygiene, repositioning to prevent discomfort
Clear explanation of what the body is doing, so changes are understood, not feared
Direct coordination with your hospice nurse, physician, and pharmacy
Education and support for the family, including what to expect in the final days
Overnight and extended-hours presence so the household can rest
Emotional steadiness and a calm presence through vigil and the moment itself
Death doula support to walk the client and family through the emotional and practical journey, when wanted
The process
How it works
We begin with a consultation, gently. We learn who your loved one is, what comfort looks like for them, and what your family needs to feel supported. From there your nurse steps in alongside hospice and stays present as the situation changes, hour by hour if that is what these days ask.
There is no rigid script for this work, because no two families move through it the same way. The plan adjusts to the person and to you.
- 01
Consultation
we listen, learn your loved one's wishes, and understand the hospice plan already in place
- 02
Comfort plan
your nurse aligns with hospice on goals, medications, and the level of presence needed
- 03
Present care
hands-on comfort, symptom management, and family support, in your home
- 04
Through the journey
continuous adjustment, vigil support, and a steady presence for whatever each day brings
Why an RN
Why a registered nurse changes these days
End of life is when clinical judgment and human warmth matter most, and most at-home help offers one without the other. Non-clinical caregivers can sit with someone, but they cannot read a change in breathing, judge whether agitation is pain or part of the process, or safely manage the comfort medications that make the difference between suffering and peace.
Every Prata Health client is led by a registered nurse, and our team carries added clinical depth, including a registered dietitian, a pharmacist, and a nurse educator. That depth means the family is never the most qualified person in the room during a frightening moment. Palliative care focuses on comfort and quality of life rather than cure, and good symptom management at the end of life is associated with better quality of life for the dying and less distress for those who love them. Having a nurse present is how that comfort is actually delivered, in the home, around the clock if needed.
See it for your family
Ready to talk it through?
A consultation is a conversation, no obligation. We listen first.

Your nurse
One clinician on your side of the table
Bianca Fabbo, RN, MSN-ed, AMB-BC, is the President and Founder of Prata Health and the registered nurse who personally leads each client's care. She is the concierge nurse founder Scottsdale families turn to when the healthcare system has become too much to manage alone: a clinician who learns the whole picture, sits in on the appointments, coordinates the specialists, and stays.
- MSN-ed: a master's-level education in nursing.
- RN: licensed Registered Nurse, qualified to deliver skilled clinical care in the home.
- AMB-BC: board certification in ambulatory care nursing through the American Nurses Credentialing Center.
Questions, answered
Frequently asked
Not listed here? Call 480-404-4737 and ask.
Does this replace hospice, or work with it?
It works with hospice, it never replaces it. Hospice sets the plan of care, provides the medications and equipment, and visits on a schedule. Prata Health provides the experienced registered nurse who is present in the home between those visits, carrying out the hospice plan, managing comfort moment to moment, and knowing when to call the hospice team. Think of us as private, continuous presence layered onto the hospice framework, not a separate or competing service.
What is the difference between palliative care and hospice?
Palliative care is comfort-focused care that relieves pain and symptoms and improves quality of life. It can be provided at any stage of a serious illness, alongside other treatment. Hospice is palliative care specifically for the final phase of life, once curative treatment has stopped. Our end of life care at home delivers hands-on palliative comfort in support of your hospice team, so your loved one stays comfortable and at home.
Can a nurse stay overnight or around the clock?
Yes. One of the main reasons families call us is that hospice visits, by design, leave long stretches uncovered, and the nights are often the hardest. We provide overnight and extended-hours presence so a comfort medication is never late, a frightening change is never faced alone, and the rest of the household can sleep. The level of presence is built around what your family needs and can scale up as the situation changes.
How is Prata Health different from a standard caregiver or sitter at the end of life?
Every Prata Health client is led by a registered nurse, not a non-clinical sitter. That means the person at the bedside can assess symptoms, safely manage comfort medications under the hospice plan, recognize the changes of the final days, and explain them to you calmly. Our team also carries added credentials including a registered dietitian, a pharmacist, and a nurse educator. A caregiver can keep someone company. A nurse keeps them comfortable.
How much does end of life care at home cost?
Cost depends on the level of presence your family needs, which can range from a few extended-hours shifts a week to continuous around-the-clock nursing. We do not publish a single rate because no two families need the same scope, especially as the situation changes. After a gentle consultation we give you a clear, honest picture of what the care would involve and what it would cost, with no surprises at a time you do not need any.
Is there a minimum commitment for end of life care?
No. We shape the engagement around what these days actually ask, not a fixed contract. Some families need a nurse for a single intensive stretch; others want presence over weeks or months. We can scale the hours up as needs change and stay with you through the journey. We will talk through the right structure during your consultation and adjust as often as your family needs.
Still deciding
Ready to talk it through?
A consultation is a conversation, no obligation. We listen first.
Sources
- National Institute on Aging (NIH), What Are Palliative Care and Hospice Care? link
- National Institute on Aging (NIH), What Are Palliative Care and Hospice Care? link
- National Cancer Institute (NIH), End-of-Life Care for People Who Have Cancer link
- American Nurses Association (ANA), Scope and Standards of Practice link
Explore more
Begin with a conversation
Let's talk about the care your family needs.
A consultation is a conversation, no obligation. We listen first, then build the plan around you.
