You feel overwhelmed and unsure
You are trying to understand what comes next and need a calmer way to sort through it.
Private clinical guidance for
Families facing serious illness, hospice decisions, and the final chapter of life.
Expert nursing guidance, calm support, and clear next steps when you need more than the system can provide.
Care
Led by Vinouth Pierre, MSN, RN, CHPN
18+ Years Hospice & Critical Care Expertise
You may be here because...
Symptoms are changing
You need help preparing better questions and understanding what changes may mean.
You need straight answers
You want someone to explain options clearly and advocate for what matters most.
You want comfort protected
You want to be sure your loved one is as comfortable and supported as possible.
You do not want to miss moments
You need guidance that helps you focus on presence, dignity, and peace.
You need someone who understands
You want experienced support from someone familiar with serious illness and hospice care.
You do not have to navigate this chapter alone.
Compassionate guidance. Clinical expertise. Always here.
Pass By Here fills the gaps, bringing private, on-demand clinical guidance, advocacy, and clarity to families when it matters most.
Schedule a Consultation
We are here when you need us.
18+ Years of Experience
Trusted guidance during life's most challenging moments.
Executive hospice leadership
Trusted guidance during life's most challenging moments.
Certified Hospice & Palliative Nurse
Trusted guidance during life's most challenging moments.
Thousands of families served
Trusted guidance during life's most challenging moments.
How I Support Families
Concierge guidance. Clinical expertise. Unwavering support.
Care Decision Guidance
Understand care options, hospice timing, and the tradeoffs families often face during serious illness.
Treatment & Symptom Review
Prepare clearer questions for doctors, nurses, hospice teams, and palliative care providers.
Family Caregiver Support
Receive calm education and practical guidance for caregiving strain, changing needs, and family conversations.
24/7 Guidance When You Need It
Text, call, or video support when symptoms change, questions arise, or fear rises.
Changing Health Navigation
Calm, skilled guidance through transitions, unexpected turns, and complicated decisions.
Advocacy Alongside Your Care Team
Support communication with doctors and care teams so your loved one's needs are heard.
Learn more at your own pace.
Explore the founder story, support areas, resources, and the simple consultation path.
About
Learn the meaning behind Pass By Here and meet Vinouth Julmiste, MSN, RN, CHPN.
Services
Explore the support areas, boundaries, and care-team collaboration model for families.
How It Works
See the simple consultation process from scheduling through ongoing guidance.