Several months ago, a difficult decision loomed over me, I had a job that I loved with a company that seemed to be failing. Working in home health care as an Occupational Therapy Assistant being paid by the visit, proved to be rewarding and limiting. If the census is high, the paycheck is decent; likewise, if the census is low the paycheck was deficient. To add to the stress, management over staffed the occupational therapy department; therefore, between being over staffed and census being low, I was struggling to provide for my family. This is the norm in the therapy world, companies pay by visit, or on productivity, and income is not guaranteed. I hit a point in which I started to think I needed to make some changes. As I started to
