Service area: Greater Columbia metropolitan area

Phone: (803) 422-8901

Fax: (833) 389-1489 


Company Name: Vital Patient Advocacy, LLC

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My name is Lucy Barwick. I am a Registered Nurse, certified as an Independent RN Patient Advocate, and am a Duke trained Integrative Health Coach. I received my Bachelor of Science Degree in Nursing and a Master’s Degree in Public Health Administration from the University of South Carolina, am married, and have three wonderful children ages 25, 21, and 18.

I have 10 years of direct patient care experience:  Labor and Delivery, Out-Patient Surgery, teen pregnancy prevention in a public health setting, and patient advocacy/education with the Epilepsy Association of South Carolina. While my background in the health care arena has afforded me a multitude of experiences, it was during the years of my own personal health care crisis (2006 – 2012) that drew me to look beyond the limitations of Western medicine as I struggled to heal my mind, body and spirit in unison.

My journey to healing has been long and tumultuous. It began with a botched surgery to remove a pelvic mass. This was followed by a misdiagnosis and years of being mismanaged all while struggling to navigate a complex, fragmented health care system. For years, I felt like I was drowning. I became angry, anxious and depressed with overwhelming feelings of helplessness. It is mind boggling to reflect on all I experienced, especially since my husband, a General Surgeon, and I are well educated and well connected in our medical community.  I knew that I did not want anyone to go through what I experienced. I knew that if I could experience such failures of care, others less knowledgeable and connected to medicine were even more at risk than I. I knew I wanted to "pay it forward" with all I had learned. Becoming an Independent RN Patient Advocate become my passion and calling.

I use a two-prong approach, advocacy and education, when I work with clients, their families, and health care providers. While advocating for the absolute best possible care with the goal of getting the best possible outcome, I also educate the client(s) on their medical condition, advise them on various options and how to best manage their condition through either conventional and/or alternative medicine protocols, and we work on the development of their own advocacy skills so that the client(s) masters agency. When someone is sick and overwhelmed, they often cannot adequately frame their questions or concerns; they often do not know or cannot think of the questions to ask; they may not be familiar with the language of medicine. Together or separately, any of these factors can lead to a communication breakdown and a breakdown in the quality of care. Having an independent RN Patient Advocate to assist in navigating the complexities of the medical system and in disseminating critical diagnostic information alleviates undue stress on the patient and family so that their energy and focus can be spent on healing.



I am most interested in being a source of strength while providing sound medical knowledge and guidance to assist anyone that is struggling with a health issue or a health crisis. My goal is to assist clients in making informed decisions regarding any area of their health in order to achieve their best optimal health and well being. 



  • RN led company that will take the burden of health care coordination and advocacy off of patients and families and allow them to heal

  • Liaison between patient, primary care physicians and specialists to ensure best possible care 

  • Particular interest/experience in women’s health, particularly Ovarian Remnant Syndrome, endometriosis, hormone imbalances, thyroid dysfunction, the gut microbiome and gastrointestinal disorders

  • Accompany clients to doctor appointments

  • Comprehensive medication review to assess for polypharmacy and drug interactions 

  • Creation of medical timeline and medical profile document

  • Disease management education to enhance informed decision making

  • Research diagnosis and treatment options

  • Research and assist in setting up second opinions 

  • Review and discuss advanced directives, care coordination and management of skilled services

  • In-patient hospitalization liaison

  • Research and assist clients/families with assisted living options, skilled nursing care placement, home health care, or hospice care 



[My advocate] is both compassionate and detail oriented; the perfect mix for a nurse and an advocate! She quickly absorbed my background and goals for the medical history project and produced a meticulous timeline and other materials that have proved invaluable in establishing a new medical network in my home.

Portland, OR



I really appreciated the support and guidance I received both for myself and my family. It put us all at ease to have an advocate in our corner. This made a huge difference in my ability to advocate for myself and to navigate what I was going through.

Portland, OR



My nurse advocate has been invaluable to my husband and me in finding appropriate care and placement for my sister who is suffering from advanced Parkinson's Disease. She reviewed and commented on every suggested treatment option and referred us to appropriate professionals for further assistance.

Portland, OR