I don't remember the moment when I decided to become a nurse. But, after my high school guidance counselor told me I was good with people, I found myself in nursing school. After five years of experience in a city hospital, working mainly in med/surg. and orthopaedics, I knew I hadn't found my niche. So, when a friend recommended home health care to me, I decided to make a change. At what a change it was - a bit frightening at first! Ever since graduating from college, specialization had been the emphasis. But in home health care, I realized I had to be a generalist, knowing a little about all areas of nursing: wound and ostomy care, IV therapies, cardiac care, neurology, and urology, just to name a few. And I felt alone in the field, relying on my own skills and insights to assess and care for my patients in their homes. For some, autonomy can be a crippling hurdle; but for me, it is energizing, allowing me to apply all of my clinical skills as well as my creativity and compassion to care for patients. Home care experiences have helped me define my own priorities and values. And I can devote my attention to one patient at a time and give the amount of individualized care and education they and their families need. In 1990, I found my niche, a challenging and rewarding place where I can make a difference.