As the owner of Decisions 4 Life,

Susan Hammond is an Advanced Professional Member of the Aging Life Care Association (formerly National Association of Professional Geriatric Care Managers). For more information on ALCA, please click on the following link:



Susan Hammond, OTR/L, NHA, CCM

Patrice Sherwin has a Bachelor of Science Degree in Nursing and has been a Registered Nurse for over 28 years, 25 of which have been in the state of Delaware.  She has experience in many areas of nursing including medical/surgical, critical care, and long-term care (working with intellectually disabled adults as well as chronic illnesses).  Most recently she has worked in home care with nearly 10 years experience with a major home care company.  She has been a Medicare Case Manager specializing in Oasis and ICD-9 coding, as well as Care Plan development for home bound clients. 

Ruth Hansen is a Registered Nurse with a Master's of Science degree in Nursing Administration and extensive geriatric and home care experience. She has directed a high quality, hospital-based Home Care Department for 20 years in Wilmington, Delaware. Ruth coordinated discharge planning among the nursing staff of one of the hospitals associated with the Mayo Clinic, she started a home care program in a VA hospital, and worked in various other home care agencies, nursing homes, and hospitals.  Ruth is a nationally certified case manager (CCM).

Decisions 4 Life was started in February of 2006 as a privately owned Geriatric Care Management company.

Decisions 4 Life is managed by experienced health care and rehabilitation professionals with over 75 combined years of management and clinical experience, knowledge of insurance benefits, resources, and care planning.

Please see more information about our team members below.

Patrice Sherwin, RN, BSN

Our Background

Susan Hammond is a licensed Occupational Therapist and Nursing Home Administrator.  She has directed the Rehabilitative Services Department of a Wilmington community hospital for 16 years and she has had experience setting up and managing a hospital-based skilled nursing facility.  She has a Master's of Science degree in Health Administration.  She has worked as an Occupational Therapist in a variety of patient care settings including home care, hospital, rehabilitation unit, outpatient, nursing home, and school settings.  Sue is a nationally certified case manager (CCM).

Membership in ALCA

Ruth Hansen, RN, MSN, CCM