Providing compassionate in-home and out-patient care in Plymouth, NH

Winter Grief Support Group Series

Offered by Pemi-Baker Hospice & Home Health and Plymouth Regional Senior Center.

Grief is the complex of feelings one experiences after loss- any kind of loss.  Though we usually associate the idea of grief with the death of someone we have known and loved, grief is also experienced following termination of employment, destruction of one’s home after fire or natural disaster, divorce or the breakup of a relationship, relocation to an unfamiliar place where you know no one, loss of one’s finances through bad investments or crime, or the death of a pet.  Many people choose to brush off grief or ignore it, but it really does not go away on its own.  It can be helpful to be in the company of others who are also coming to terms with their grief.

PEMI-BAKER HOSPICE AND HOME HEALTH offers grief support groups at various times throughout the calendar year to assist persons in our area who would like help and companionship in processing their losses.

GRIEF 101: The Basics

The next group, “GRIEF 101:  The Basics”, will begin on Tuesday, February 14, 2023.  There will be an in-person morning session at 11:00am, held in the Exercise Room at the Plymouth Area Regional Senior Center.  There will be a late afternoon session, accessible virtually only, beginning at 5:30pm.  Virtual participation is also possible for the morning session.  ALL virtual participants will need to download the app for TEAMS (It’s like ZOOM) on their devices.  There is no cost to attend either session.

Each group will go for six weeks, ending on March 21, 2023.  The group meetings will include presentations by the facilitator, worksheets, and sharing and discussion on such topics as:

  • “Types of Grief”
  • “What Is Grief Work?”
  • “Principles of Transformation”
  • “What About Me?”

You must pre-register by Wednesday, February 7, 2023, in order to attend so that we know how many to prepare for.  The groups will be facilitated by Guy Tillson, Pemi-Baker’s Bereavement Coordinator.  You may contact him by email: gtillson@pbhha.org  or by leaving a message by phone at (603) 536-2232.

Pemi-Baker Hospice & Home Health is a trusted, nonprofit agency proudly serving 29 towns in central and northern NH since 1967. Expert services include at-home healthcare and physical therapies (VNA), hospice and palliative care, and community programs including: American Red Cross CPR/AED/FA, Caregiver and Bereavement Support Groups and Ask A Pemi-Baker Nurse days at your local senior centers. Providing compassionate care with experienced staff who are trained, certified professionals and also your neighbors.  In your time of need, we’re right where you need us.

Pemi-Baker is located at 101 Boulder Point Drive, Suite 3, Plymouth, NH. To contact us please call: 603-536-2232 or email: info@pbhha.org  Like our Facebook Page: @pemibakerhospicehomehealth

New Year’s Challenges

A New Year is the perfect time to kick-start a new beginning and finally achieve the things you’ve always wanted to get around to.  Whether you’re yearning to learn a new skill, improve on your existing skills, better yourself as a person, or even overcome some obstacles, what better way to push yourself than with a New Year’s challenge.

Why take a New Year’s Challenge?

New Year’s resolutions are great; they not only encourage us to reflect on the last year and see what progress we have made, they also inspire us to change and make better choices for the year ahead.  But ask yourself this: how often do you achieve your New Year’s resolution?

Resolutions are too easy to break. No one is watching you or cheering you on, and there’s simply nothing on the line that drives you to accomplish them.  If you really want to achieve something real, a New Year’s challenge is the way forward.  A challenge has more urgency than a resolution and if you have a competitive side, challenges push you and make you rise to the occasion.

How to Prepare for a New Year’s Challenge

Preparing for a New Year’s challenge isn’t as simple as saying, “this is what I want to do” and then doing it. These are the things that will help you achieve success:

  • The reason people take a New Year’s challenge is to improve—either you want to save money, adopt a healthier lifestyle, etc. Whatever your reason, you need to remember that you have a reason. Your reason is your motivation. Write your reason down and stick it somewhere where you will see it every day such as the bathroom mirror.
  • You can also get a challenge buddy-If you want to train for a marathon or learn a new language-those are great challenges to do with friends. By working together, you can easily motivate each other.
  • If time is an issue, set an alarm on your phone every day and label it as ‘challenge time’, that way you will never forget to do what you set out to do.
  • Break your goal into smaller chunks (aka mini-goals). If your goal is a big task, such as writing a book, you should set daily limits (like how many words you will write each day) that eventually add up to achieve your overall goal.
  • Research says it take on average 66 days to change a habit, but there are some who manage to kick bad habits in as little as 18 days. So if you want to make a change, we recommend choosing a challenge that lasts between 30 and 100 days.

Now that you are mentally in the zone, let’s look at some popular challenge ideas for you to choose from!

30-Day Challenge Ideas

A 30-Day challenge is a great idea for those wanting to try something new, different, healthy, or enjoyable, just for the fun of it. Here are some popular ideas:

  1. Give up buying coffee. Or give up coffee completely!
  2. Go 30 days smoke/vape free
  3. Make your own lunches for work
  4. De-clutter your house. (Choose a room a week and throw out all those unused or expired items)
  5. Take a social media detox for 30 days
  6. Give up sugar
  7. Give up meat-or try Veganuary!
  8. Drink 2 liters of water a day
  9. Take a photo a day-photography challenge
  10. Learn a language using Duolingo or Babble
  11. Go 30 days without snacking
  12. Give up a bad habit such as biting your nails
  13. Watch every sunset
  14. Read 30 minutes a day
  15. Try intermittent fasting
  16. Sweat every day: 40-minute walks, 50 squats, 50 situps
  17. Draw a doodle a day
  18. Wake up at 6 am every day
  19. Do 10-15 minutes of yoga or meditation a day
  20. Write down one good thing that made you laugh or smile a day
  21. Start a new craft or hobby
  22. Do one act of kindness a day
  23. Tell someone you love them every day
  24. Sing a song or dance every day
  25. Spend an hour a day in nature

Pemi-Baker Hospice & Home Health is a trusted, nonprofit agency proudly serving 29 towns in central and northern NH since 1967. Expert services include at-home healthcare and physical therapies (VNA), hospice and palliative care, and community programs including: American Red Cross CPR/AED/FA, Caregiver and Bereavement Support Groups and Ask A Pemi-Baker Nurse days at your local senior centers. Providing compassionate care with experienced staff who are trained, certified professionals and also your neighbors.  In your time of need, we’re right where you need us.

Pemi-Baker is located at 101 Boulder Point Drive, Suite 3, Plymouth, NH. To contact us please call: 603-536-2232 or email: info@pbhha.org  Like our Facebook Page: @pemibakerhospicehomehealth

Celebrating the Holidays While on Palliative or Hospice Care

Pemi-Baker Hospice & Home Health teams help the Caregiver too!

The holiday season can be a difficult season for family caregivers. When your loved one is living with a serious illness, you want to carry on traditions with friends and family but the grief and responsibility of caring for them can greatly diminish the usual holiday cheer. Spending the holidays with a loved one receiving palliative or hospice care is a balancing act between maintaining traditions and not overstimulating.

Caregiving may include lifting, bathing, delivering meals, taking loved ones to doctor visits, handling difficult behaviors, and managing medications and family conflicts. This level of care can result in lost work hours, high stress, and serious declines in physical and mental health. If you are caring for someone receiving palliative or hospice care, however, it is important to know that the Pemi-Baker team will help you in this challenging role.

Palliative care (pronounced pal-lee-uh-tiv) is specialized medical care for people living with a serious illness. This type of care is focused on providing relief from the symptoms and stress of an illness. As your loved one’s illness advances, they transition into hospice care near the end of life. Pemi-Baker’s goal is to improve quality of life for both the patient and the family during both stages.

Pemi-Baker Hospice & Home Health Caregiver Support

  • They will keep you informed. Knowing what to expect can help a caregiver prepare appropriately for the ups and downs of an illness. Families are invited to every meeting so that everyone is on the same page exploring goals, treatment options and pain management.
  • They will equip you with practical tools and resources. The Pemi-Baker team will give you tips for taking care of your loved one, connect you with community resources, and make sure that you are able to take care of your own physical and emotional health. Attending Pemi-Baker’s free caregiver support group on the first Wednesday every month will provide you with conversation, education and support.
  • They will help you deal with stress too. Your loved one may be feeling frustrated and stressed. You may be feeling the same way. Our specialists take the time to listen to patients and caregivers, to answer their questions, hear their frustrations and help them take the necessary steps to feeling healthier and more focused in their roles.

During the holidays it’s important to continue traditions that are important to your family, however, overstimulating patients with lots of people, sounds and activity can cause your loved one to tire quickly and feel uncomfortable.

Don’t forget to decorate-There’s nothing like favorite lights, cookies baking and ugly sweaters to make someone’s personal space feel more festive.

Celebrate the service– If a religious service is an important part of a patient’s normal celebrations, perhaps the family could celebrate with them by performing a worship at home. As always, you can reach out for spiritual support from our Chaplain, Guy Tillson, MDiv, MA.

Avoid Over-stimulation– Remember that the patient might not be able to keep up with the pace of a regular celebration. The family should make sure that they are not overwhelmed by people who would like to see them, especially since a break in routine can be upsetting for dementia patients.

Prepare for guests-If you are having lots of visitors over to open presents or share memories, you should take steps to ensure that decorations, accommodations and activities don’t interfere with the space, equipment or care that are necessary for patient care.

We should do our best to honor favorite holiday traditions, but remember to ask the patient how they would like you to incorporate their favorite songs, movies and rituals. The patient may prefer a lower key celebration. Whatever you decide, the staff at Pemi-Baker Hospice & Home Health wish you and your family a Happy and Healthy New Year!

Pemi-Baker Hospice & Home Health is a trusted, nonprofit agency proudly serving 29 towns in central and northern NH since 1967. Expert services include at-home healthcare and physical therapies (VNA), hospice and palliative care, and community programs including: American Red Cross CPR/AED/FA, Caregiver and Bereavement Support Groups and Ask A Pemi-Baker Nurse days at your local senior centers. Providing compassionate care with experienced staff who are trained, certified professionals and also your neighbors.  In your time of need, we’re right where you need us.

Pemi-Baker is located at 101 Boulder Point Drive, Suite 3, Plymouth, NH. To contact us please call: 603-536-2232 or email: info@pbhha.org  Like our Facebook Page: @pemibakerhospicehomehealth

November is Home Care & Hospice Month

More and more, people prefer to be cared for in the comfort and dignity of their own homes. Pemi-Baker Hospice & Home Health provides in-home medical services that are cost-effective and person-centered. November is a chance to recognize the dedication and innovation of providers of health care at home. It is an opportunity to acknowledge recipients of in-home care services, and celebrate that they are able to remain in the safety and comfort of their own homes while receiving quality care.

Home health, hospice & palliative care providers have always been important to vulnerable citizens in our communities. But now that importance is underscored by the risk of exposure to COVID-19 in public/facility settings. When given the option, patients want to receive care in their homes. We believe that desire is stronger today than it has ever been. Pemi-Baker Hospice & Home Health is proud to support 29 communities in central and northern NH.

Home Health

Home Health provides skilled services, including nursing care, physical, occupational and speech therapy. Pemi-Baker will send a licensed professional to assess home health needs and develop a complete care plan. These services are usually short-term, as in the case of a person recovering from surgery or other health issues.

What are the costs and what is covered?
Medicare will cover home health if it is ordered by a physician and the person is homebound and in need of skilled services. Services are usually covered for a 30-day “episode of care.” However, if an individual is enrolled in a Medicare HMO, known as a Medicare Advantage Plan, services are authorized on a per-visit basis. Long-term care insurance and Medigap plans may also cover some costs of a home health aide.

Hospice Care

Hospice care brings together medical care, pain management and emotional and spiritual support for patients at the end of life and their families. The mission of hospice staff and volunteers is to address the symptoms of a terminal illness with the intent of promoting comfort and dignity. They are experts at pain management.

Hospice will manage your loved one’s pain, help you understand what he or she is going through and help you and other family members cope with your emotions. Many of us are at a loss as to what we should do before and at the time of death. Hospice professionals help you get through a very difficult time and are there even after your loved one’s death.

What are the costs and what is covered?

Medicare and Medicaid provide a hospice benefit that covers almost all of the costs of caring for a dying person during his or her last six months of life. To qualify for the Medicare hospice benefit, a person must have:

  • Medicare Part A
  • A life expectancy of less than six months
  • An agreement in writing that he or she will not pursue any treatments to cure his or her illness

The Medicare hospice benefit covers skilled nursing services, physician visits, skilled therapy (i.e. physical, speech or occupational), medical social services, nutrition counseling and bereavement counseling, most of the cost of prescription drugs for symptom control and pain relief. Short-term inpatient respite care to relieve family members from care-giving is also covered.

“I am proud to celebrate our staff who work tirelessly to provide exceptional care to our most vulnerable community members and to provide the opportunity for people to remain in their homes as long as they can,” said Pemi-Baker’s Executive Director, Danielle Paquette-Horne, RN. “I encourage everyone to learn more about their options of care and share their wishes with their family, loved ones, and health care professionals.”

For more information about how you can benefit from home health or hospice care in the home, please contact Pemi-Baker Hospice & Home health at 603-536-2232 or www.pbhha.org.

Pemi-Baker Hospice & Home Health is a trusted, nonprofit agency proudly serving 29 towns in central and northern NH since 1967. Expert services include at-home healthcare and physical therapies (VNA), hospice and palliative care, and community programs including: American Red Cross CPR/AED/FA, Caregiver and Bereavement Support Groups and Ask A Pemi-Baker Nurse days at your local senior centers. Providing compassionate care with experienced staff who are trained, certified professionals and also your neighbors.  In your time of need, we’re right where you need us.

~written by Anna Swanson

Holiday Grief and Loss Support Groups

The merry and festive atmosphere of the upcoming fall and winter holidays can pose a challenge to those who have endured significant losses. The losses do not have to be the deaths of loved ones. They can include such things as a divorce or the breakup of a relationship, being laid off from a job, relocation from a long-familiar setting to a brand-new place where all seems strange, the death of a pet, or the loss of physical health and powers due to a medical condition.  In any case, one may not feel at all like celebrating even though it seems like everyone else does.

To address and explore this concern, Pemi-Baker Hospice & Home Health will be offering TWO support groups beginning on Tuesday, November 22, 2022. A morning group will meet in-person at 11:00am at the Plymouth Regional Senior Center. A late afternoon virtual meeting group will begin on the same date at 5:30pm. Those interested in this group will need to download the app for TEAMS on their computer.

The groups meet for SIX sessions (all Tuesdays) on November 22, November, 29, December 6, December 20, and December 27, 2022; and, January 3, 2023. Please note there is NO MEETING on Tuesday, December 13, 2022. The energy generated by the group discussion and sharing determines the length of the group session, though we will definitely conclude by 12:30pm for the morning group and by 7:00pm for the late afternoon group. Group sessions include a combination of educational presentations, shared discussion, and reflective activities.

There is no cost to participate in either group; however, you MUST pre-register to attend by contacting Guy Tillson, Hospice Chaplain and Bereavement Coordinator, by email gtillson@pbhha.org or by phone 603 536-2232.  The groups are a service offered to our larger community by Pemi-Baker Hospice & Home Health.

Pemi-Baker Hospice & Home Health is a trusted, nonprofit agency proudly serving 29 towns in central and northern NH since 1967. Expert services include at-home healthcare and physical therapies (VNA), hospice and palliative care, and community programs including: American Red Cross CPR/AED/FA, Caregiver and Bereavement Support Groups and Ask A Pemi-Baker Nurse days at your local senior centers. Providing compassionate care with experienced staff who are trained, certified professionals and also your neighbors.  In your time of need, we’re right where you need us.

~written by Guy Tillson, Hospice Chaplain & Bereavement Coordinator

In-Home Physical Therapy Helping Breast Cancer Rehabilitation

October is National Physical Therapy month as well as Breast Cancer Awareness month and the physical therapists at Pemi-Baker Hospice & Home Health can assist patients with breast cancer to live a more functional life. Often there is a missing link once a person is diagnosed with breast cancer. A patient can go through the whole diagnosis, yet have many questions about how to return to their prior level of function or how to progress themselves into strength training or exercises after treatment. Pemi-Baker therapists will come to your home, answer your questions and help you on that path of recovery.

While medical treatment for breast cancer is saving more lives, the disease may leave patients with significant side effects from chemotherapy and/or radiation causing treatment induced fatigue.

If a person undergoes surgery, there can be significant scar tissue, which causes limitations of everyday movement.  After having a lumpectomy, mastectomy and/or breast reconstruction people may experience scar tissue restrictions, swelling, shoulder, neck or back pain. If a person is feeling tightness, pain, loss of range of motion or strength, or feels like their posture is being impaired, these can be signs identifying the need for physical therapy.

Together, through physical therapy, we will help you:

  • Restore your mobility and posture
  • Decrease or eliminate your pain
  • Rebuild your strength and endurance
  • Return you to work and play
  • Boost your energy
  • Prevent or combat the effects of lymphedema

“Our team of physical therapy specialists are your partners in this journey back to health and enjoying the activities you love. We will visit you as soon as you return home, answering any questions or concerns you might have as well as help you prepare a plan, for moving and feeling better, while regaining strength and energy,” said Danielle Paquette-Horne, RN, Executive Director.

Research shows that physical exercise and activity are key factors in breast cancer survivors regaining vitality and returning to optimal health. Let us help you with these side effects so you can regain your health in motion! Call today to learn more about our experienced, home care providers: 603-536-2232.

Pemi-Baker Hospice & Home Health is a trusted, nonprofit agency proudly serving 29 towns in central and northern NH since 1967. Expert services include at-home healthcare and physical therapies (VNA), hospice and palliative care, and community programs including: American Red Cross CPR/AED/FA, Caregiver and Bereavement Support Groups and Ask A Pemi-Baker Nurse days at your local senior centers. Providing compassionate care with experienced staff who are trained, certified professionals and also your neighbors.  In your time of need, we’re right where you need us.

Pemi-Baker Hospice & Home Health Celebrates Gazebo Dedication

left to right: Danielle Paquette-Horne, ED, Laura Kelly, John Fernandes, Leslie & Dan Keane

The sun shone brightly at Pemi-Baker Hospice & Home Health’s special gazebo dedication to the Pemi-Baker staff in memory of Frances Marie Fernandes, a former hospice patient. John Fernandes and his two daughters have been long supporters of the Pemi-Baker Hospice and Palliative care programs but they wanted to give back specifically to the staff, giving them a place to rest, reflect and rejuvenate. 

The ornate, covered gazebo rests on the lawn outside the offices at Boulder Point, overlooking the pond and mountains to the north of Pemi-Baker Valley. “Fran would want you to enjoy this gazebo because it is a link to the beauty of nature. Maybe on a pleasant day, sitting here and contemplating the beautiful scenery, you will feel something of the appreciation our family has for what you do. We hope you will continue to enjoy this place for many years to come,” said John Fernandes.

The staff at Pemi-Baker would like to gratefully thank the whole Fernandes family: John Fernandes, Laura Kelly, Leslie & Dan Keane and Richard Cusolito for this amazing gift and thoughtful tribute. The teak, engraved plaque reads: Presented to Pemi-Baker Hospice and Home Health by the Frances Marie Fernandes Memorial Fund in appreciation of the dedication of the nurses and staff who work tirelessly to bring peace and comfort to so many.

Pemi-Baker Hospice & Home Health is a trusted, nonprofit agency proudly serving 29 towns in central and northern NH since 1967. Expert services include at-home healthcare and physical therapies (VNA), hospice and palliative care, and community programs including: American Red Cross CPR/AED/FA, Caregiver and Bereavement Support Groups and Ask A Pemi-Baker Nurse days at your local senior centers. Providing compassionate care with experienced staff who are trained, certified professionals and also your neighbors.  In your time of need, we’re right where you need us.

Pemi-Baker is located at 101 Boulder Point Drive, Suite 3, Plymouth, NH. To contact us please call: 603-536-2232 or email: info@pbhha.org  Like our Facebook Page: @pemibakerhospicehomehealth

Palliative & Hospice Care Teams Helping Those with Sarcoma Cancer

July is National Sarcoma Cancer Awareness Month

July is National Sarcoma Cancer Awareness month and Pemi-Baker Hospice & Home Health (PBH&HH) would like to shed some light on this cancer and how their Palliative & Hospice team can help those affected. Sarcomas are cancers that arise from the cells that hold the body together. These could be cells related to muscles, nerves, bones, fat, tendons, cartilage, or other forms of ‘connective tissues.’ There are hundreds of different kinds of sarcomas, which come from different kinds of cells.

According to the Sarcoma Foundation of America, sarcoma accounts for 1% of adult cancers diagnosed in the United States and 15%-20% of childhood cancers. Every cancer treatment can cause side effects or changes to your body and how you feel. For many reasons, people do not experience the same side effects even when they are given the same treatment for the same type of cancer. This can make it hard to predict how you will feel during treatment.

As you prepare to start cancer treatment, it is normal to fear treatment-related side effects. It may help to know that your health care team will work to prevent and relieve side effects. Doctors call this part of cancer treatment “palliative care” or “supportive care.” It is an important part of your treatment plan, regardless of your age or the stage of disease. Pemi-Baker Hospice & Home health offers free consultations to explain the benefits of having a Palliative Care team on your side. This can be done over the phone or in person.

Coping with physical side effects

Talk with your Pemi-Baker Palliative health care team regularly about how you are feeling. If they know how you are feeling, they can find ways to relieve or manage your side effects to help you feel more comfortable and potentially keep any side effects from worsening.

Sometimes, physical side effects can last after treatment ends. Doctors call these long-term side effects. They call side effects that occur months or years after treatment, late effects. Treating long-term side effects and late effects is an important part of survivorship care.

Hospice care for cancer patients is a special kind of care that provides comfort, support, and dignity at the end of life, typically when you or your loved one’s life expectancy is six months or less. Hospice cares for the whole person, addressing physical, emotional, social, and spiritual needs.

Coping with emotional and social effects

You can have emotional and social effects after a cancer diagnosis. This may include dealing with difficult emotions, such as sadness, anxiety, or anger, or managing your stress level. Sometimes, people find it difficult to express how they feel to their loved ones. Some have found that talking to PBH&HH’s social workers or chaplain can help them develop more effective ways of coping and talking about cancer.

Caring for a loved one with cancer

Family members and friends often play an important role in taking care of a person with sarcoma. This is called being a caregiver. Caregivers can provide physical, practical, and emotional support to the patient, even if they live far away.

Caregivers may have a range of responsibilities on a daily or as-needed basis, including:

  • Providing support and encouragement
  • Talking with the health care team
  • Giving medications
  • Helping manage symptoms and side effects
  • Coordinating medical appointments
  • Providing a ride to and from appointments
  • Assisting with meals
  • Helping with household chores
  • Handling insurance and billing issues

It is important to care for yourself as well as your loved one with cancer. Caregiver burnout is very common but PBH&HH can help through their free ‘Caregiver conversation, education & support group’ held the first Wednesday of every month from 10am-11:30am. You can join the support group in person at their facility on Boulder Point Drive or by Zoom. Pre-registration is required through Guy Tillson, Chaplain at gtillson@pbhha.org or by calling 603-536-2232. We hope you will join us!

With over 55 years of experience, serving clients from 29 towns in central and northern New Hampshire, Pemi-Baker Hospice & Home Health is committed to creating healthier communities. Services include at-home healthcare (VNA), hospice and palliative care, and Community Programs including: American Red Cross CPR/AED/FA, Caregiver Support Groups, Grief and Bereavement Support Groups and Ask-A-Pemi-Baker Nurse senior center programs. Providing compassionate care with experienced staff who are trained, certified professionals in the business because of their hearts. In your time of need, we’re right where you need us.

Pemi-Baker is located at 101 Boulder Point Drive, Suite 3, Plymouth, NH. To contact us please call: 603-536-2232 or email: info@pbhha.org  Like our Facebook Page: @pemibakerhospicehomehealth

 

Summer Safety Tips For Seniors

According to the Centers for Disease Control and Prevention, seniors are more susceptible to heat-related illnesses and injury. When we age, our bodies become less efficient at regulating temperature because older adults do not sweat as much as younger adults, and sweat is the body’s most important heat-regulating mechanism. Older adults also store fat differently, which can further complicate heat regulation in the body.

This can cause issues in the summer because when the outside temperature rises, so does the body’s internal temperature. Which is why seniors suffer from heat stroke in the summer more often than younger people.

Therefore, seniors have health risks that need to be monitored, especially in the heat of the summer. Below are tips to keep seniors safe and healthy in the rising temperatures of the summer months.

Stay hydrated.

Drink eight or more glasses of water and/or fruit juices every day to stay hydrated. Avoid alcoholic and caffeinated beverages such as soda, coffee and tea as they can leave you dehydrated quickly. Increase your intake if you are doing any physical activity or if the weather is particularly hot.

Stay indoors during extreme heat.

In extreme heat and high humidity, evaporation slows down and the body must work extra hard to maintain a normal temperature. Keep in mind, the sun is the most intense between 10 am and 4 pm. If you can, limit your outdoor activity to the morning and the evening.

Stay in an air-conditioned place.

Air-conditioning is important when it is hot and humid outside. If you do not have air-conditioning in your home, go somewhere that does. A movie theater, the mall, a friend or family member’s home or a community senior center are all good options. You can contact your local Area Agency on Aging for help finding a local cooling center during extended periods of extreme heat.

Know the weather forecast and dress appropriately.

The best clothing to wear in the summertime is loose-fitting and lightweight clothes in natural, breathable fabrics like cotton. Dress in light colors that will reflect the sun and heat instead of darker colors that will attract them.

Protect your skin and eyes.

Wearing sunglasses can block your eyes from harmful UV rays and protect your vision. When outdoors, protect your skin from damage by wearing hats, sunglasses and a sunscreen of SPF 30 or higher and that protects against both UVA and UVB radiation.

Know the side effects of your prescriptions.

Some medications can cause increased sensitivity to the sun. Look over your medications and talk with your doctor about any concerns or questions you have.

Know the early signs of heat-related illnesses such as dehydration, heat stroke, heat exhaustion, hyperthermia, etc.

Signs to look for may include disorientation, dry skin, excessive tiredness, headache, lethargy, nausea, a flushed face, high body temperature, rapid pulse, dizziness and confusion. Take immediate action if you feel any symptoms coming on.

Maintain communication with friends, family, caregivers and emergency contacts.

Prepare a list of emergency phone numbers and place them in an easy-to-access area in case needed.

As a caregiver or loved one, you can help seniors beat the heat by:

  • Visiting at least twice a day.
  • Watching for signs of heat exhaustion or heat stroke.
  • Making sure they have access to air conditioning.
  • Helping them limit their exposure to the sun.
  • Making sure they are getting enough fluids to keep them hydrated and have a normal body temperature.

Pemi-Baker’s Ask-A-Nurse: A collaboration with the Grafton County Senior Citizens Council (GCSCC)

If you have questions or need a place to cool off why not visit your local senior center? In addition to virtual and in-person activities and meals offered by the 8 senior centers of GCSCC, three are hosting Pemi-Baker Hospice and Home Health’s ‘Ask-A-Nurse’ program. This is a free service manned by a Pemi-Baker Registered Nurse and/or Social Worker where you can get your blood pressure checked, ask medical questions, fill our your advance directive forms or just swing by and say hi!

Ask-A-Nurse Days & Times:

Mondays 11:30-1pm @ Plymouth Regional Senior Center-8 Depot Street, Plymouth

Wednesdays 11:30-1pm @ Lin-wood Area Services- 194 Pollard Road, Lincoln

Every Third Thursday 11:30-12:30 @ Littleton Area Senior Center- 77 Riverglen Lane, Littleton

With over 55 years of experience, serving clients from 29 towns in central and northern New Hampshire, Pemi-Baker Hospice & Home Health is committed to creating healthier communities. Services include at-home healthcare (VNA), hospice and palliative care, and Community Programs including: American Red Cross CPR/AED/FA, Caregiver Support Groups and Grief and Bereavement Support Groups. Providing compassionate care with experienced staff who are trained, certified professionals in the business because of their hearts. In your time of need, we’re right where you need us.

Pemi-Baker is located at 101 Boulder Point Drive, Suite 3, Plymouth, NH. To contact us please call: 603-536-2232 or email: info@pbhha.org  Like our Facebook Page: @pemibakerhospicehomehealth

Free Summer Support Groups Offered by Pemi-Baker Hospice & Home Health

Pemi-Baker Hospice and Home Health will be offering two new Grief and Loss Support Groups, beginning on Tuesday, July 5, 2022.  The groups will deal with issues pertaining to loss and grief as these experiences impact the lives of individuals.  The six sessions will draw on insights from the works of David Kessler, Kenneth Doka, and Alan Wolfelt, three leading voices in the area of grief studies.

There will be TWO groups:

A morning group will meet at the Plymouth Regional Senior Center from 11:00am through 12:30pm.  We can accommodate TEN IN-PERSON participants.  Group members will sit socially-distanced from one another.  Masks are NOT required, but are recommended for those who wish to be cautious.  We can also accommodate persons virtually via ZOOM.

There will also be a late afternoon group from 5:30pm through 7:00pm.  The late afternoon group is ZOOM-accessible ONLY.

There is no cost for participating in these groups, though participants MUST pre-register by contacting Guy Tillson, Bereavement Coordinator, at gtillson@pbhha.org or by calling 603 536-2232.  Each group will go for six sessions.  The size of each group and the energy generated by discussion and sharing determines the length of each session.  Though we allow for an hour and a half, we normally go for about an hour.

Pemi-Baker also offers a monthly support group for at-home caregivers.  This group meets on the FIRST WEDNESDAY of each month at 10:00am.  We can accommodate FIVE IN-PERSON participants in the Conference Room at Pemi-Baker Hospice and Home Health, 101 Boulder Point Drive, Suite 3, in Plymouth.  In-person participants are required to wear masks.  Virtual participation is also available via ZOOM.  As with the grief and loss groups, please contact Guy Tillson at gtillson@pbhha.org or by calling 603 536-2232.

With over 55 years of experience, serving clients from 29 towns in central and northern New Hampshire, Pemi-Baker Hospice & Home Health is committed to creating healthier communities. Services include at-home healthcare (VNA), hospice and palliative care, and Community Programs including: American Red Cross CPR/AED/FA, Caregiver Support Groups and Grief and Bereavement Support Groups. Providing compassionate care with experienced staff who are trained, certified professionals in the business because of their hearts. In your time of need, we’re right where you need us.

Pemi-Baker is located at 101 Boulder Point Drive, Suite 3, Plymouth, NH. To contact us please call: 603-536-2232 or email: info@pbhha.org  Like our Facebook Page: @pemibakerhospicehomehealth

The Rewards of Being a Hospice Volunteer

While I was familiar with Hospice for many years, I only have been a hospice volunteer with Pemi Baker Hospice and Home Health (PBHHH) since October 2021.  When I retired, I began searching for volunteer work that would allow me to give back to my community.  A newsletter from PBHHH arrived in my email announcing training for hospice volunteers.  My family had experienced the need for hospice twice, once in Ohio and again in Florida.  The relief my family and I felt when the hospice volunteers arrived was beyond measure.  I want to bring the same kind of assistance to others.  PBHHH given me that opportunity by providing professional training with knowledgeable nurses, doctors, social workers and other health care professionals.  Their guidance has enabled me to meet the challenges of being s hospice volunteer, and I am very glad that I did it.

Connie C.

Pemi-Baker Hospice & Home Health
2022-06-27T12:20:25-04:00

Connie C.

While I was familiar with Hospice for many years, I only have been a hospice volunteer with Pemi Baker Hospice and Home Health (PBHHH) since October 2021.  When I retired, I began searching for volunteer work that would allow me to give back to my community.  A newsletter from PBHHH arrived in my email announcing training for hospice volunteers.  My family had experienced the need for hospice twice, once in Ohio and again in Florida.  The relief my family and I felt when the hospice volunteers arrived was beyond measure.  I want to bring the same kind of assistance to others.  PBHHH given me that opportunity by providing professional training with knowledgeable nurses, doctors, social workers and other health care professionals.  Their guidance has enabled me to meet the challenges of being s hospice volunteer, and I am very glad that I did it.

You give of yourselves day & night without end!

To the Pemi-Baker Hospice Team--Words really can't express my feelings-

Your help during one of the most difficult times of my life is SO appreciated.  I'm so grateful that because of you, Doug was able to get his wish not to spend the last of his days in a hospital, but at home with those of us who loved him.

And to be constantly reassured that if I needed anything you would be there-oh my gosh-ANYTIME!  Well, you people need to know how much you are appreciated.  You give of yourselves day & night without end!  God Bless you and thank you!

Pam O.

Pemi-Baker Hospice & Home Health
2020-06-11T07:31:14-04:00

Pam O.

To the Pemi-Baker Hospice Team--Words really can't express my feelings- Your help during one of the most difficult times of my life is SO appreciated.  I'm so grateful that because of you, Doug was able to get his wish not to spend the last of his days in a hospital, but at home with those of us who loved him. And to be constantly reassured that if I needed anything you would be there-oh my gosh-ANYTIME!  Well, you people need to know how much you are appreciated.  You give of yourselves day & night without end!  God Bless you and thank you!

“My home physical therapy was fantastic.”

Pemi-Baker provided very good home therapy. All their therapists were pleasant, helpful in offering suggestions for better functioning after surgery, and practiced good health protocols. They were also very prompt in showing up for scheduled appointments.

Elizabeth B.

Pemi-Baker Hospice & Home Health
2019-11-07T12:26:12-05:00

Elizabeth B.

Pemi-Baker provided very good home therapy. All their therapists were pleasant, helpful in offering suggestions for better functioning after surgery, and practiced good health protocols. They were also very prompt in showing up for scheduled appointments.

“Your generosity with your time and your loving care is appreciated more than you know.”

Thank you to everyone who played a role in taking care of my mother and giving her the freedom of remaining home while suffering from dementia. Your generosity with your time and your loving care is appreciated more than you know. A special thanks goes to Macayla and Colleen, who visited her on a regular basis, and to Lauren who was helpful in connecting us with state services.

Terry W.

Pemi-Baker Hospice & Home Health
2020-01-17T12:43:19-05:00

Terry W.

Thank you to everyone who played a role in taking care of my mother and giving her the freedom of remaining home while suffering from dementia. Your generosity with your time and your loving care is appreciated more than you know. A special thanks goes to Macayla and Colleen, who visited her on a regular basis, and to Lauren who was helpful in connecting us with state services.

“Everyone is so understanding supportive and kind.”

From the director to the nurses to the health care workers.  So cheerful, helpful and accommodating.  This is our second time receiving assistance from Pemi-Baker and we are very lucky to have found this amazing group!  Thank you for your excellent care and compassion.

Leila L.

Pemi-Baker Hospice & Home Health
2020-01-17T13:19:24-05:00

Leila L.

From the director to the nurses to the health care workers.  So cheerful, helpful and accommodating.  This is our second time receiving assistance from Pemi-Baker and we are very lucky to have found this amazing group!  Thank you for your excellent care and compassion.

“Pemi-Baker Hospice services provided kind, professional, competent services every step of the way-and even vaccinated us all for Covid/19!””

Our primary nurse, Fred, was outstanding, and others who filled in (Cathy, Penny, Colleen) were wonderful and a credit to your organization. Fred, you were amazing, not only for mom but for my husband and I as well. I will forever be grateful for your support, wisdom, humor and kindness, all along the end of life journey for mom. I am so deeply thankful that circumstances conspired such that mom was able to die at home, and your role made that time as seamless as it could be made.

Paula W.

Pemi-Baker Hospice & Home Health
2020-01-17T12:31:13-05:00

Paula W.

Our primary nurse, Fred, was outstanding, and others who filled in (Cathy, Penny, Colleen) were wonderful and a credit to your organization. Fred, you were amazing, not only for mom but for my husband and I as well. I will forever be grateful for your support, wisdom, humor and kindness, all along the end of life journey for mom. I am so deeply thankful that circumstances conspired such that mom was able to die at home, and your role made that time as seamless as it could be made.

Your courage during Covid-19 does not go unnoticed

Hello. We just wanted to take a moment and let you know how much we truly appreciate all that you do for us in these trying times. You're commitment to the health of our community is a special thing, and we know that you are working under stressful conditions due to the Covid 19 crisis. We realize that in order for you to treat those who may be ill, you are putting you're own lives and even you're own families lives in danger, and that is truly a courageous and honorable thing to do. We want you to know that it does not go unnoticed. Thank you all for all that you do!

Bryan and Renee C., and our mom Joan

Pemi-Baker Hospice & Home Health
2020-06-11T06:27:43-04:00

Bryan and Renee C., and our mom Joan

Hello. We just wanted to take a moment and let you know how much we truly appreciate all that you do for us in these trying times. You're commitment to the health of our community is a special thing, and we know that you are working under stressful conditions due to the Covid 19 crisis. We realize that in order for you to treat those who may be ill, you are putting you're own lives and even you're own families lives in danger, and that is truly a courageous and honorable thing to do. We want you to know that it does not go unnoticed. Thank you all for all that you do!
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