About Us

What makes PALM Aging Life Management unique is the diversity of training among our staff. You will have one care manager assigned to you for 24/7 support. But we work as a team. Your care manager may be a nurse, but can draw upon the expertise of our social worker, our occupational therapist, our CORE-trained assisted living specialist… You get the idea. This makes our support holistic so you receive a multifaceted approach to care.

In addition, we are truly committed to client-centered care. This means we get to know the client deeply, what’s important to them, what their goals are as they age. All of our recommendations revolve around this understanding.

If you would like to learn more, give us a call at 386-864-2304 or schedule a free initial consultation.

Meet our team:

Contact Us

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Dorene Bissonette, RN, CDP, CMC

Dorene is the owner of PALM Aging Life Management, along with her two daughters: Jennifer Akin, an elder law attorney serving St. Augustine, Jacksonville and Palm Coast and Brittany Cyr, a Medicaid specialist with J.Akin Law.

Dorene graduated from Cazenovia College in New York, then went on to complete her Nursing degree at Crouse Irving Memorial Hospital School of Nursing.  She has worked in the long term care setting for 27 years serving as Director of Nursing, Senior Clinical Risk Manager and as a Regional Nurse.

Dorene is a Certified Care Manager and Certified Dementia Specialist, and has been published in the Florida Health Care Association Pulse. She has also served as a presenter at their annual conference.

Dorene and her husband live in St. Augustine.  She enjoys spending time with her seven grandchildren, her dog Jack Frost, baking, and reading.

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Our Founders, Cindy Flowers, MS, BCPA, CMC and Norma Berger, CMC

Cindy Flowers and Norma Berger, the two founding members of PALM Aging, began their professional relationship in 2004 while working with the aging population. They became close colleagues, and in 2012, finally seized the opportunity to work together. Over the next five years, they developed their careers in Aging Life Care® Management, with Cindy serving as Norma’s mentor. They both share a deep love and respect for older adults, and a mission to honor independence and choices. It’s with this in mind that they opened PALM Aging Life Management in 2017. We have been advocating faithfully for our clients ever since.

Cindy Flowers, MS, BCPA, CMC: Cindy received her Bachelor’s degree from the University of North Carolina, Wilmington, and her Masters in Therapeutic Recreation from the University of North Carolina, Chapel Hill. She has worked for more than 30 years in the healthcare field, serving in leadership roles in skilled nursing and assisted living facilities and in home health care. She is a certified Geriatric Care Manager and certified Therapeutic Recreation Specialist.

Cindy’s vast knowledge and skills working with older adults allows her to professionally and uniquely serve the needs of seniors and their families. Cindy currently serves on the Board of Directors of the Florida Aging Life Care® Association.

In her free time, you can find Cindy on the water: boating, fishing or kayaking. She was a collegiate golfer so you may also find her on the golf course still trying to catch those birdies.

Norma Berger, CMC: Norma received her Bachelor’s degree in Sociology and her Graduate Certificate in Geriatric Care Management from the University of Florida. She has worked with the aging population in Gainesville, Florida for fifteen years. She is a certified Aging Life Care Manager with extensive knowledge of our community and available services, allowing her to professionally coordinate care to meet the needs of seniors and their family members. She is an advanced professional member of the Aging Life Care Association, and also serves as a facilitator for a local support group for caregivers of people with dementia, sponsored by the Alzheimer’s Association.

In her spare time, Norma enjoys performing in local theater productions, singing in Voices Rising Community Chorus, and cooking for friends and family.

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Becky Schubert, RN, CDP

Becky graduated from Kutztown University with a Bachelors of Science in Nursing and earned her Master’s of Science in Nursing from Allentown College.  She has many years of experience as a Registered Nurse.  She has served in a variety of leadership roles in hospitals and skilled nursing facilities, including the Director of Nursing on Medical, Surgical, and Transitional Care Units.  In addition to direct care nursing positions, Becky has served in the role of Educator, Patient Advocate and Nursing Quality Assurance Coordinator.

In her free time, Becky serves as a volunteer at the Flagler County Free Clinic and at a local elementary school.  She also enjoys spending time birding and camping.

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Samantha Fleming, MS

During a summer stay in Pennsylvania when Samantha was young, she had the opportunity to assist her great-grandfather who had suffered a stroke. She witnessed first hand the challenges and emotional strain placed on her family, igniting her passion to help the older generation. Samantha earned her Bachelor’s and Master’s Degree in Sociology from Valdosta State University. She was born and raised in Georgia, but brought her southern charm to Gainesville, FL in 2008. She has worked in multiple capacities within governmental and home health agencies since 2002.

Samantha loves spending time with her husband and three children and jumps at the opportunity to relax at the beach.

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Prachi Rathi, MHA, OTR/L, CMC, LMT, CAP

Prachi Rathi graduated from Nagpur University in India in 1994 with Bachelors in Occupational Therapy. In 2009, she earned a Masters in Health Administration from the University of North Florida (UNF). She also holds a CAPS credential (Certified Aging-in-Place Specialist).

Prachi has worked in a variety of settings, from hospital ICUs to sub-acute facilities, rehab, skilled nursing facilities, and home health agencies. She has served as adjunct faculty and a clinical instructor of occupational therapy and health administration. In addition, she is on the Advisory Committee of several universities. Prachi started Prism Health Services, LLC., which is a consultative & educational showroom to help patients, families and caregivers find the best possible assistive devices for their loved ones. She has also developed software to assist with documentation of patient progress, tele-wellness, and home safety assessment.

In her spare time, she enjoys cooking and volunteering for numerous organizations including a local homeless shelter, the Alzheimer’s Association, and her temple.

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Angela Simmons, BA


Angela was born, raised and continues to live in Gainesville, FL and has many ties to the community. She received her bachelor’s degree in human services. She has had a career as a case manager since 2012 working with a range of people like  the aging population to  persons with disabilities. With her experience and expertise as a case manager she has   developed a deep understanding of the complexities and challenges that individuals face in their lives. She advocated and empowered her clients to overcome obstacles to achieve their goals. She has served in a leadership role in skilled nursing facilities as Social Service Director.

Angela enjoys spending time with her family traveling, trying different types of cuisines, and shopping.

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Judy Clarke, BS, COTA

Judy Clarke received a Bachelor’s Degree from SUNY Oneonta in Fashion Design.  She continued her studies at the Fashion Institute of New York and then worked in the fashion industry until starting her family and staying at home.  During this time her mother was diagnosed with Alzheimer’s and remained at home with Judy caring for her until she passed.

In 2008, Judy moved from upstate New York to Palm Coast, Florida.  She began working with older adults as a Certified Nurse Assistant.  This inspired her to pursue an Associate Degree from Daytona State to become an Occupational Therapy Assistant.  She worked for 10 years as a board certified Occupational Therapy Assistant in skilled nursing rehabilitation centers.

In 2022, Judy joined PALM Aging Life Management as a care manager, weaving together her personal experience as a family caregiver with her occupational therapy knowledge.

Judy lives in St. Augustine where she enjoys sewing, baking and spending time with her granddaughter, Emily.

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Gyme Guthe, BS, CDP, CORE Certified

Gyme Guthe received her Bachelor’s Degree in Education from St. Cloud State University in St. Cloud, Minnesota.  She then spent 15 years working with individuals with intellectual disabilities.  Gyme went on to work in a nursing home in Minnesota as the Staff Development and Safety Director.  After that she began working in assisted living and memory care for the last 20 years.  She is CORE certified in the state of Florida.  Gyme is also a Certified Dementia Practitioner.

Gyme is new to Florida. She and her husband live in Daytona Beach and enjoy walking on the beach and having family and friends visit.  She looks forward to finding new and fun things to do in Florida.

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Brittny Shay, CDP

Brittny received her Bachelor of Science in Management from California Coast University.  She has worked in the senior care industry for nearly 20 years.  Her career path included management positions in skilled nursing facilities, home health care, assisted living, and home care services.  Brittny has built a solid reputation as a compassionate, dedicated Administrator, as well as a results-driven Marketing & Admissions Director.  Being a true advocate for our vulnerable senior population, Brittny is a Certified Dementia Practitioner, as well as a state trained Professional Guardian.

In addition to working with the elderly, Brittny is a motivational speaker; facilitator for dialogues on race; and, a trained crisis management professional.  Her passion for caring for others extends to animals.  For more than 30 years she has been involved in animal rescue, specializing in Rottweiler rehabilitation.

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