Adult day services are growing and offer many different opportunities for nurses in both direct care and management. In a direct care role, you would be creating care plans, doing initial and ongoing assessments, administering medication, attending to medical needs such as dressing changes, checking blood sugars, if appropriate, and so on. You would be communicating with family members/caregivers, completing state required documentation, and generally interacting with clients. Caregivers are responsible helping clients with adl's activities, feeding etc.