Mid-State Health and Pemi-Baker Community Health have collaborated to create an innovative joint position to best serve patients in the Plymouth community. “We are excited to welcome back Barbara Greenwell, APRN, ACHPN, to our practice. Barbara was a member of our team back in 2013-2014 when she practiced as an Adult/Geriatric Nurse Practitioner. She has returned to us with a wealth of knowledge and experience as Palliative Care Nurse Practitioner. Barbara’s primary role will be to work closely with the Pemi-Baker Community Health team to build their Palliative Care Program,” reports Bob MacLeod, the CEO of Mid-State Health.
Palliative care is a medical specialty designed to improve the health and quality of life for people with progressive illnesses. As an Advanced Certified Hospice and Palliative Nurse, Barbara will be working with the PBCH team to prevent and treat patient’s symptoms and side effects, as early as possible. Her twenty years of nursing experience in acute care and psychiatric nursing will benefit the patient’s psychological, social, and spiritual concerns as well. By offering face to face patient assessments in the office and in their homes, the hope is to prevent suffering and crisis that often result in hospitalizations. 
“Palliative care is about improving the quality of someone’s life even when the disease cannot be cured. We may not be able to cure the disease but we can improve the journey by improving the symptoms so people can truly live,” said Barbara Greenwell.
Pemi-Baker Community Health has seen the need for a larger palliative care program in Grafton County for some time. Barbara Greenwell will be joining Dr. Diane Arsenault, MD, Board-certified Palliative Care Physician along with the nurses and social workers on their team. “As we work collaboratively with Mid-State Health Center, Speare Memorial Hospital, and Newfound Area Nursing Association; having an APRN who is passionate and who is certified in both Palliative Care and Hospice, will greatly benefit our communities,” said Chandra Engelbert, CEO of Pemi-Baker Community Health.
With 52 years of experience, serving over 1000 clients from 18 towns in central and northern New Hampshire, Pemi-Baker community Health is the home care provider of choice for Grafton County. Services include at-home healthcare (VNA), hospice and palliative care, on-site physical and occupational therapy and fitness memberships including a fitness gym and fitness classes in our 90-degree therapy pool. PBCH is located at 101 Boulder Point Drive, Suite 3, Plymouth, NH. To contact us please call: 603-536-2232 or email: info@pbhha.org Visit our website: www.pbhha.org and like our Facebook Page: @PBCH4
Mid-State Health, ‘Where your care comes together.’ A health center on the leading edge of innovative, high-quality, patient-centered primary care. Two convenient locations: Plymouth Office 101 Boulder Point Drive, Suite 1, Plymouth, NH 03264 (603-536-4000) and Bristol Office 100 Robie Road, Bristol, NH 03222 (603-744-6200), Visit our website: www.midstatehealth.org.
~Anna Swanson





Home health care is becoming a new front in the national fight against COVID-19 as hospitals discharge patients home and others strive to stay out of them. The 


It was first published in 1935, so it was probably already thought of as “an old title” by 1964. It was written intelligently and with scientific detail, but its author purposely wrote in a style that could easily be understood by the general public. The book was the eighth best-selling title in non-fiction noted by THE NEW YORK TIMES for 1935. A Wikipedia search will also inform you that several medical professionals credited the work to inspiring them to enter upon their chosen profession. The book focuses on the history of the disease of typhus and its deadly effects. It has been regarded as a biography of an illness. Besides Dr. Zinsser’s work, I was also reminded on Edgar Allen Poe’s THE MASQUE OF THE RED DEATH and Thomas Mann’s DEATH IN VENICE, fictional works that deal with similar phenomena.
If it helps to place a photo of your loved one there, do that. If there are other mementos, use those as well. Use candles safely. Hannaford is still selling flowers- and we can still access food markets. If you have a spiritual practice or a religious tradition, make use of its words and rituals. If your loved one enjoyed music, listen to it. If they delighted in favorite foods, cook a meal to honor their memory. See if you can stream a movie they enjoyed. 
The Cincinnati Zoo is offering daily Facebook Live video streams of 



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