Movement and strength
If someone cannot stand from a chair or feels unsteady walking, independence is already at risk. I use a simple fall-risk review, strength and balance work, and I loop in physical therapy when that is the next step.
Tampa Bay & Remote
Helping seniors stay independent at home.
I'm Josh Dancy. I spent 20+ years on healthcare systems in the Air Force Medical Service and the VA. I now work with seniors and families on the practical work that keeps someone home: strength, food, fall risk, and the care team.
M.S. Geriatric Care Management, UF
Gerontology, USF
20+ years federal healthcare
Based in
Tampa Bay, Florida
+ Remote consultations available
About Josh
Twenty years in federal healthcare. Now I work with one family at a time.
I spent more than 20 years on healthcare systems at the Air Force Medical Service and the VA. Families usually got a real plan only after a crisis. I started Senior Optimization to do the earlier work.
I have an M.S. in Geriatric Care Management from the University of Florida and a gerontology background from USF. What I actually do is sit with a family, look at movement, food, fall risk, and the current medicine list, and write a 30-day plan they can share.
Master of Science - Geriatric Care Management
University of Florida
Gerontology
University of South Florida
20+ Years Federal Healthcare Optimization (Air Force Medical Svc and VA)
Systems-level expertise in care delivery
Prevention-First Philosophy
Movement · Nutrition · Whole-health navigation
My Approach
Three parts of the work
I work three areas at once: movement, food, and navigating the care team. Strength without protein does not hold. A care plan that ignores fall risk does not either.
Food and protein
Protein at meals, fewer packaged snacks, hydration, and food a person will actually eat. I turn the usual nutrition lecture into a week they can keep.
Care navigation
Appointments, medication lists, and three doctors who do not talk to each other. I help the family keep one current picture and a short list of questions for the next visit.
“The point is not a longer decline. It is staying capable at home.”
Josh Dancy · Senior Optimization
Services
A first plan, then reports if you want them
Start with a free FallShield or Scorecard PDF. If you want a guided plan, the Foundation Assessment gives you a written 30-day packet you can share with family, a clinician, or a care team.
Start here
One-time
Foundation Assessment
A written plan for staying at home and staying capable. The first 30 days are spelled out. The next 90 days are one clear aim. You leave with a packet you can share.
- FallShield fall-risk review with you
- Optimization Scorecard for daily habits and strength
- Goals, who is helping, and the current medicine list
- Three actions and a 30-day plan
- Questions for the next clinician visit
- A shareable packet plus one short follow-up
Monthly
Continuity
A monthly FallShield report and a short written update you can forward to family or helpers.
Ask about ContinuityPer session
Navigation Session
Help with one situation or one decision. You leave with a short checklist.
Ask about a sessionPrefer to try a tool first? FallShield and the Scorecard are free.
Organizations: run FallShield under your nameFallShield Continuity
A 12-question fall-risk check. A PDF report you can keep.
I built FallShield for families and for the people who already visit the home. It takes under 5 minutes. You get a score and a branded report. No hardware.
No PHI stored, ever
No hardware or sensors required
Designed for anyone working with Aging Adults
Free to try • No account required for this demo
Free tool
Free Optimization Scorecard
Score three core principles and five pillars in about 5 minutes. See your lowest-leverage area and download a printable plan for your next doctor visit.
Try the Scorecard, freeReady to talk about your family's next step?
No pressure and no pitch. Every conversation starts with listening, and I'll tell you honestly whether I can help.