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

Pemi-Baker Receives Grant from Heart & Hands Thrift Shop

Pemi-Baker Community Health recently received a grant from the Heart & Hands Thrift Shop for a new pool exercise platform.  “We’re very excited to have this platform for our therapy pool.  It allows children to stand in deeper water while doing their aqua therapy and is also used by our taller aqua aerobics participants in the deep end,” said Kathryn Schwartzer, PT, DPT.

The Heart & Hands Thrift Shop, located at 8 Maple Street in Meredith, is a collaboration of three Meredith Churches: Trinity Episcopal Church, St. Charles Borromeo Catholic Church and the First Congregational Church.  The thrift shop is run by volunteers and one paid employee, with all the money raised coming from donated items.  “We have given over $220,000 in grants and scholarships since opening our doors in August of 2017,”said Lisa Clark, Heart & Hands volunteer.  Scholarships and grants have been given to many non-profits in the Lakes Region including local students and student programs, summer camp participants, the Meredith Food Pantry and now Pemi-Baker Community Health is a lucky recipient.

Pemi-Baker Community Health would like to thank those involved with the Heart & Hands Thrift Shop as well as those who have donated to the shop over the years.  Community generosity is not just about giving, it’s about making a difference.  Thanks to you, Pemi-Baker Community Health and many other non-profits in the area can continue to make a difference touching the hearts of your families and neighbors.

Pemi-Baker Community Health is a non-profit visiting nurse association servicing 18 towns in central and northern New Hampshire.  For over 52 years it has been the home care provider of choice for Grafton County.  In addition to at-home healthcare (VNA) services, they also provide hospice and palliative care, on site physical and occupational therapy, fitness memberships, Bereavement and Caregiver Support groups and other community outreach programs.

~by Anna Swanson

The Full Impact of Grief

The word “bereavement” is something that we normally associate with our experience of the death of someone we have known, loved, and cared for.  The word, however, is actually connected with the adjective “bereft” which means “deprived of” or “left without”, so it can actually refer to any experience of loss, whether small or great, temporary or permanent.  The great pioneer in the field of death and dying, Elizabeth Kubler-Ross, frequently said, “All of life is loss”.  Our experience of life is filled with change and change moves us from various sets of experiences to others. 

When I found it needful and helpful for myself to attend a Bereavement Group following the deaths of my father (2011) and my brother (2013), the grief counselor who facilitated the group said, “A loss is any experience of the absence of someone or something that has been a part of your world.  That absence has changed your vision and perception of your world as you had known it and your experience of it.”

If you think about that for a bit, we are experiencing loss frequently in our lives on all sorts of levels.  These can be seemingly small and temporary.  There is a commercial currently running on television of a thirty- or forty-something year old white collar worker (wearing a necktie) probably just ready to leave for work.  He is peering at the faucet in his kitchen sink which is NOT running.  His exasperated remark is, “THIS isn’t on the schedule!”  Maybe to make this more personal, consider your own reaction and behavior when you cannot find your car keys!  Relatively small, insignificant, and temporary losses, perhaps- but they alter the individual’s perception of an efficient and smoothly-running world.

When we do endure the death of someone we have loved, or if we are the victim of a crime or a natural disaster, or if we have lost our job, or if we are coming to terms with the loss of our personal powers through illness or aging, we are in a state of bereavement whether we are conscious of it or accepting of it or not.  Kubler-Ross also used the word “denial” to describe an experience where we avoid recognizing the loss.  It is a way of defending ourselves against our own feelings of powerlessness in not knowing how to handle the change of our world-view.  Sadly, many persons decide simply to “Soldier on” or “Return to business as usual”.

After a death, a very common reaction is “It’s all over now.  I don’t need to bother with anything more.”   But loss has far-reaching effects on our lives, touching on our emotions, our physical health, our material and financial security, our social interactions and relationships with others, our occupational and recreational involvements, and our spirituality or life-direction.  These effects can be uncomfortable, stressful, and even debilitating.

Beginning on Monday, February 3, 2020, Pemi-Baker Community Health will be offering a new Bereavement Group series entitled “THE FULL IMPACT OF GRIEF”.  Each session will look at a particular aspect of our lives to gain a greater understanding of how our loss has affected that area of our existence.  We will explore ways we can process our responses and reactions.  The group will meet in the Grady Conference Room at Speare Memorial Hospital, beginning promptly at 12:30pm and concluding by 2:00pm.  The group will meet weekly through Monday, March 16, 2020.  There is no fee for attendance.

Pemi-Baker Community Health will also be resuming its monthly Drop-In Bereavement Group which meets on the LAST WEDNESDAY of each month in the Main Conference Room at Pemi-Baker’s offices at Boulder Point in Plymouth.  This group is less formal with no set curriculum or session topics, though take-home reading materials are made available.  The first session of the Drop-In Bereavement group for this new year is on Wednesday, January 29, 2020, beginning promptly at 5:30pm and wrapping up by 7:00pm.  Again, there is no fee for attendance.

Both Groups are facilitated by Guy Tillson, MDiv, MA, Bereavement Counselor and Hospice Spiritual Counselor for Pemi-Baker Community Health.  He may be contacted at gtillson@pbhha.org or at 603 536-2232, Extension 206, if you have any questions or concerns.

~by Guy Tillson

Pemi-Baker Community Health Recognized as a ‘We Honor Veterans’ Partner

It may surprise many people to learn that 25 percent of those who die every year in the U.S. are Veterans. To help provide care and support that reflect the important contributions made by these men and women, Pemi-Baker Community Health (PBCH) has become a national partner of We Honor Veterans, a pioneering campaign developed by National Hospice and Palliative Care Organization in collaboration with the Department of Veterans Affairs.


As a We Honor Veterans Partner, PBCH will implement ongoing Veteran-centered education for their staff and volunteers to help improve the care they provide to the Veterans they proudly serve. The nation is seeing many of the Veterans who served in World War II and Korean pass away—and the number of deaths of Vietnam Veterans is beginning to rise.

The We Honor Veterans campaign provides tiered recognition to organizations that demonstrate a systematic commitment to improving care for Veterans. “Partners” can assess their ability to serve Veterans and, using resources provided as part of the campaign, integrate best practices for providing end-of-life care to Veterans into their organization. By recognizing the unique needs of our nation’s Veterans who are facing a life-limiting illness, Pemi-Baker Community Health & Hospice is better able to accompany and guide Veterans and their families toward a more peaceful ending. And in cases where there might be some specific needs related to the Veteran’s military service, combat experience or other traumatic events, PBCH will find tools to help support those they are caring for.

“We thank Pemi-Baker Community Health for partnering in the We Honor Veterans program,” says NHPCO President & CEO Ed Banach. “We Honor Veterans partners are committed to providing quality Veteran-centric care to the Veteran patients they serve. They understand how a Veteran’s military service, combat experience or other traumatic events, could impact their end-of-life experience.”

The resources of We Honor Veterans focus on respectful inquiry, compassionate listening, and grateful acknowledgment, coupled with Veteran-centric education of health care staff caring for Veterans. To learn more about We Honor Veterans or to support this important work via a secure, online donation, please visit www.wehonorveterans.org.
“VA shares a common goal with our nation’s hospices, and that is to provide the best possible care specifically tailored for Veterans, meeting their goals of care in their preferred setting. As we focus on working together and unite our services and skills, We Honor Veterans will channel our combined strengths directly to Veterans – wherever they are receiving care,” added Banach.

With 52 years of experience, serving over 900 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

~By Anna Swanson

Grieving In a Season of Celebration

Christmas decorations started being displayed in stores as early as August. It’s now autumn, so the awareness that “the holidays” will soon be upon us is unavoidable. Pumpkins sold in October became Halloween Jack-o-lanterns. Pumpkins sold in November will become the fixings for the pies for our Thanksgiving dinner dessert. Some years ago, a now-deceased friend of mine made the comment that “the holidays” were “The Bermuda Triangle of heightened family dysfunction.” Though we’ve usually thought of the holidays as Thanksgiving, Christmas, and New Year’s; traditions with the winter celebrations of the Solstice, Yule, Hanukkah, and Kwanzaa probably have their own versions of holiday angst.
The Christmas movies that seem to run perpetually on the Hallmark Channel seem to poke at the discomfort of holiday stress with their standard and predictable happy endings. TV series will also portray something of holiday craziness. In 1995, the movie “Home For the Holidays’ unfolded the story of a museum restoration artist flying home for Thanksgiving with her affable parents, an eccentric maiden aunt, a black-sheep-of-the-family gay son, and an embittered sister. The star-studded cast included Holly Hunter, Anne Bancroft, Charles Durning, Geraldine Chaplain, and Robert Downey, Jr. Further back in 1968, there was a cinematic telling of a highly-conflicted medieval Christmas, “The Lion In Winter.” It won Katharine Hepburn her third Academy Award, and its own star-studded cast also featured Peter O’Toole, Anthony Hopkins, and Timothy Dalton. These powerful characters engage in some very brutal backbiting and hostile verbal exchange that is memorable in its cleverness. As entertaining as these portrayals might be, the element of recognition that strikes us is the familiar experience of holiday-related stress.

Lest you think I’m a “Bah! Humbug!” Scrooge-like person, I want to assure you that I normally enjoy the holidays, despite the pressures of preparation and the cranked-up party-going that is a challenge to my normally introverted personality. In my forty-plus years of work in various helping professions, I have noticed that the holidays are sometimes dreaded rather than welcomed by more people than we might imagine.  In our own lived real experience, the holidays become even more difficult if we have endured a significant loss. These losses can include the death of someone we have loved, the breakup of a relationship, the loss of employment, relocation, witnessing the debilitating disability of someone we are caring for, or financial or material disaster. It’s not for nothing that Elvis sang of a “Blue Christmas” in his throaty and soulful baritone.

Because the holidays can be especially difficult for persons grieving losses such as those noted above, Pemi-Baker Community Health & Hospice will be offering TWO Monday times to meet with those in need of support throughout the holiday season. The groups will start before Thanksgiving and conclude after New Year’s: November 18 and 25; December 2, 9, 16, 23, and 30, 2019; and, January 6, 2020. The daytime afternoon group (12:30-2pm), will meet in the Grady Conference Room at Speare Memorial Hospital, 16 Hospital Road, Plymouth, NH. The early evening group (5:30-7pm), will gather in the Main Conference Room at Pemi-Baker Community Health, 101 Boulder Point Drive, Suite 3, Plymouth, NH. There is no cost for attendance.

Topics at the sessions will include: emotional self-care during the holiday season; choosing (or NOT choosing) to attend gatherings and celebrations; not feeling like “making merry”; recollections and reminiscences of previous holidays; suggestions for home rituals to remember loved ones; and, entering upon a new year without someone who is no longer present.

The groups will be facilitated by Guy Tillson, MDiv, MA, Bereavement Counselor for Pemi-Baker Community Health. If you have questions about the program or are interested in participating in one of the groups, please contact Guy by email at gtillson@pbhha.org or by phone at (603) 536-2232, Extension 206 so that adequate preparations for the groups can be made.

Please consider donating to Pemi-Baker Community Health as the holidays approach. If you order gifts on line, Amazon will give a percentage of your purchases directly to Pemi-Baker Community health by using Amazon Smile. Visit www.smile.amazon.com and choose Pemi-Baker Community Health. Giving Tuesday, December 3rd, is the Tuesday after Thanksgiving and is a movement to create an international day of charitable giving at the beginning of the Christmas and holiday season. Visit our website to give: www.pbhha.org. Thank you from the team at Pemi-Baker!

~By Guy Tillson, MDiv, MA

Pemi-Baker Physical Therapist, Matt Scagliarini Explains Taping

October is National Physical Therapy month and one of the most common questions we here from our patients is ‘what does taping do and can it help my injury?’ There are many kinds of tape used in the world of physical therapy. Some tape is applied to limit motion such as athletic taping but, in physical therapy we use tape to limit motion, increase motion and decrease swelling depending on its application technique. You may have seen tape applied to professional athletes or Olympians over the years and wondered what does that do? How could it possibly work?

Over the course of years as a physical therapist performing both manual therapy and exercise therapy interventions, it has become apparent to me that a great deal of what I do is targeting the nervous system, whether intended or not! I believe tape placed on a patient’s skin is just that, mostly a neurological input.
For years I think healthcare practitioners hoped and believed that taping techniques changed the way muscles move by pulling on them through the skin. If we think about this it really seems unfathomable that tape could create force changes in muscle tissue. So, I often half-jokingly tell my patients that “tape is tape on the brain. It can change your nervous system’s input to the brain about pain, swelling, muscle or joint position and allow it to respond with improved movement in that area.” I stop short of making claims that tape could actually pull hard enough to physically change a muscles ability to contract or markedly change joint position.

One thing I have positively seen with taping (as in the crisscross pattern) is reduction in swelling when applied to the affected area. So much so that visible changes in edema and bruising can be seen easily. In this case, the tape must be lifting the skin enough to allow the lymphatic system to drain more effectively or so it is believed.

The best part about taping is that it can be left on for up to 5 days helping to retain any affect your therapist is trying to achieve, it is inexpensive, it can be applied by the patient at home and very few patients ever report a negative side effect from its application. Ask your therapist if this could be beneficial to your treatment here at Pemi-Baker Community Health!

 

~By Matt Scagliarini, PT, DPT

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.

“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.

“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.

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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