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

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

Winter Safety For Older Adults

When the temperature drops, older adults run a higher risk of health problems and injuries related to the weather, including hypothermia, frostbite, and falls in ice and snow. Like most things in life, it is better to be prepared. Here are a few precautions everyone should take, especially older adults, during the winter.

Hypothermia & Frostbite   Hypothermia occurs when your body temperature drops to a dangerous level. Your body temperature can drop when you are out in the cold for an extended time because it begins to lose heat quickly. Older adults are at an increased risk of hypothermia due to changes that happen to your body with aging.

Hypothermia Warning Signs: cold skin that is pale or ashy; feeling very tired, confused and sleepy; glassy stare; feeling weak; problems walking; slowed breathing or heart rate. Call 911 if you think you or someone else has hypothermia. Shivering is not a reliable warning sign because older people tend to shiver less or not at all when their body temperature drops.

Frostbite occurs when a body part experiences damage to the skin from extreme cold. It is most likely to occur on body parts farthest away from your heart. Common places include your nose, ears, cheeks, chin, fingers, and toes. In severe cases, frostbite can result in loss of limbs. People with heart disease and other circulation problems are at a higher risk.

Frostbite Warning Signs: skin that’s white or ashy or grayish-yellow; skin that feels hard or waxy; numbness. If you think you or someone else has frostbite, call for medical help immediately. If frostbite occurs, run the affected area under warm (not hot) water, or place it against warm skin. Do not rub!

Precautions to take

  • Stay indoors (or don’t stay outside for very long).
  • Keep indoor temperature at 65 degrees or warmer.
  • Stay dry because wet clothing chills your body more quickly.
  • Dress smart- protect your lungs from cold air. Layer up! Wearing 2 or 3 thinner layers of loose-fitting clothing is warmer than a single layer of thick clothing. Think about getting your thermals!
  • Essential winter wear: hats, gloves (or preferably mittens), winter coat, boots, and a scarf to cover your mouth and nose.

Injury While Shoveling Snow  It’s one of the evils of winter—snow shoveling. If you choose to shovel, take some precautions. Remember, when it’s cold outside, your heart works double time to keep you warm. Strenuous activities like shoveling snow may put too much strain on your heart, especially if you have heart disease. Shoveling can also be dangerous if you have problems with balance or have “thin bones” (osteoporosis).

  • Ask your healthcare providerwhether shoveling or other work in the snow is safe for you. Some healthcare providers suggest not shoveling over age 45.
  • Pace yourself. If you start to tire or become short of breath, take a rest break.
  • Push snow rather than throw or lift whenever possible. Take smaller shovelfuls and avoid using large shovels. Bend your knees and lift with your legs.
  • If you smoke, please do not smoke while shoveling, it will deprive your muscles of needed oxygen.

Falls  It is easy to slip and fall in the winter, especially in icy and snowy conditions.

  • Make sure steps and walkways are clear before you walk.
  • Wear boots with non-skid soles or use traction cleats such as Yaktrax.
  • If you use a cane, replace the rubber tip often and consider an ice pick-like attachment.

Accidents While Driving  Adults 65 and older are involved in more car crashes per mile driven than those in nearly all other age groups. Winter is an especially important time to be vigilant when driving because road conditions and weather may not be optimal.

  • “Winterize” your car before the bad weather hits! This means having the antifreeze, tires, and windshield wipers checked and changed if necessary.
  • Remember your cell phone when you drive in bad weather, and always let someone know where you are going and when you should be expected back.
  • Stock your car with basic emergency supplies such as: first aid kit, blankets, extra warm clothes, booster cables, windshield scraper, shovel, rock salt or a bag of sand or cat litter (in case your wheels get stuck), Water and dried food (nuts, granola bars), flashlight.

With a little preparation, we hope that you and your family stay safe and warm this winter. Happy Holidays from the team at 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.

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

How to Plan For Recovery at Home After Surgery

In this blog, Pemi-Baker Hospice & Home Health brings to light the services you can receive after surgery and how to be prepared before your surgery. There are a lot of things to think about when preparing for major surgery. What are the risks? Will you be in pain? Have you thought about what help you’ll need to recover? Will you be able to stay at home while you heal? Although every surgical recovery is different, the goals of home-based clinical care after surgery include patient and family involvement, shared decision-making, and flexibility around changes in plans to meet your needs.

Having home care services from Pemi-Baker can help you recover more quickly, keep you safe at home, and just as importantly, help you avoid another hospital stay.

Planning ahead for care

Although it’s not always possible to schedule your surgery in advance, you should understand beforehand how long your recovery may take, what you will and will not be able to do, and what help you will need while you are home.

Speaking to your doctor or your hospital discharge planner about home health care services prior to surgery will help you prepare for when you go home again. If your surgery is the result of an emergency situation, a family member or other caregiver could arrange for services on your behalf.

Additionally, since outpatient (day) surgery has become a much more common option, many people find themselves recovering from surgery at home the same day as their procedure. Some are unprepared to effectively manage their pain and discomfort, making it difficult for them to perform even routine tasks or basic personal care. They may be weak and tired. Managing multiple medications can be confusing and properly caring for the incision site can be challenging. The trusted, compassionate staff at Pemi-Baker will help.

How home health care helps your recovery

Home health care is personalized to fit your needs, based on your physician’s instructions and your own personal preferences. Depending on the complexity of the surgery, you may receive a single type of care or a combination of services. Nurses can provide services including wound care and medication management, while home health aides can provide assistance with personal care including bathing, dressing, and light housekeeping. Physical and occupational therapists, speech language pathologists, and social workers also play an important role in the recovery process. With orders from your doctor and input from you about your needs, the Pemi-Baker team will design a plan of care to reach your goals and help you recover.

What you can do ahead of the surgery

You can make your recovery at home go a lot smoother if you take a little time to plan ahead. Ask your doctor what you won’t be able to do at first while you’re healing up, and get help from friends and family to prepare your living space. You need to be careful about falling after an operation. “People get dizzy because they haven’t eaten for a few days and from being in bed,” says Jenn Stewart, RN, Clinical Supervisor. “You may need to get a walker or crutches to cut down your risk of a fall. Other tips to avoid stumbling would be using night lights in hallways, sleeping in a bedroom near a bathroom, wearing flat shoes or slippers and reducing the clutter in your home” said Stewart.

  • Do I need to make changes to my house? This depends on what kind of operation you have. If it’s a complicated one, like a joint replacement or stomach surgery, you may need to tweak a few things in the bathroom or bedroom for easier access.
  • Stairs: If you can’t climb up and down them after your surgery, you might have to make some changes. For instance, if your bedroom is upstairs, you may need to sleep on a lower floor for a while. Ask your friends or family to move your bed before you go into the hospital, or check into renting a hospital bed if you need it.
  • Equipment: After some types of surgery, you’ll need to get special gear at home. Plan ahead if your doctor tells you that you need oxygen tanks, elevated toilets, shower seats, supplies to care for your cut, or other items. Get in touch with your insurance company to see if they’re part of your coverage.
  • Stock your pantry: Ask your doctor if you have to stick to a certain diet. Make sure you’re well supplied with the right food before you get back home. Since you may feel tired during your recovery, prepare some meals before your operation and put them in the freezer.

There are many things you and your family can do to prepare for your surgery and give you the best possible recovery. Make arrangements in advance if your surgeon suggests getting a nurse, physical therapist, or health aide. Make sure you schedule the first visit before you leave the hospital. Pemi-Baker Hospice & Home Health can see you in less than 24 hours of arriving home.

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

~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

What You Learn About Hospice May Surprise You

Pemi-Baker Hospice & Home Health has served countless friends and neighbors in the Lakes Region and Northern New Hampshire for over 55 years. We expertly deliver tailored care to patients and families and today we want to explain what Hospice Care is.

The peace of mind and relief you feel when Hospice comes in to help care for your loved one is almost instant. In fact, most people only wish that they had called sooner. Our wish is that more of our friends and neighbors in the community would know to turn to our professional caregivers at Pemi-Baker Hospice and Home Health in their time of need. And, it’s never too soon to call us and just ask questions! We can generally help sooner than you think.

Pemi-Baker Hospice & Home Health provides their care in your home or where you call home. You can’t ask for a better Hospice organization and that is why we are sharing the following information with you in the hopes that you can help your loved ones get the best care when in need.

Did you know?

  1. Hospice is not about giving up hope. It’s about embracing hope and living longer with exceptional care. Facing the physical and emotional challenges of a life-limiting illness is overwhelming. You owe it to yourself to seek every option. Calling hospice does not mean giving up hope – it means letting hope in, for help and support, when you need it most. Our care is designed to help patients live more fully and comfortably – with a team of caregivers who work to ease symptoms and enhance quality of life. It is choosing compassionate care and support so that you can be at home – wherever you call home.
  2. Patients and families who choose hospice care live longer and report feeling better, emotionally and physically, almost immediately. With improved quality of life, hospice patients actually live longer! A study published in the Journal of Pain and Symptom Management showed that patients who choose hospice care live an average of 29 days longer than patients who do not have hospice care.
  3. Remarkably, there is rarely any out-of-pocket expense for hospice care. You have already paid for hospice care. It is an entitlement your tax dollars earn you. Hospice care is most often paid for by Medicare, Medicaid, private insurance, or donations. Therefore, in addition to easing physical and emotional burdens, using hospice at end of life can ease financial burdens. The Medicare Hospice Benefit is available to all patients with the Medicare part A benefit.
  4. Hospice care is designed to support people for months. Far too many patients and families say—“We wish we had called sooner.” Hospice care is not simply for patients in the final days or weeks, but rather months. Patients can receive hospice care as soon as a physician predicts that life expectancy is six months or less. Anyone, including yourself, family or friends, can make a referral to hospice. In fact, we provide free in home consults to you and your family about your current or future options.
  5. Hospice care is provided in your home—wherever you call home. Our teams of caregivers come to you, making routine visits so that you can remain comfortable in your home with family, friends and familiar surroundings. This includes private homes, assisted living facilities and/or skilled nursing facilities. “I wish we had called sooner.” That’s what most families say once they have embraced the support of hospice. We understand that until you have had a first-hand experience with hospice care, you might not understand the true essence of hospice. That’s why we’re sharing this information and encouraging you to get to know more about Pemi-Baker Hospice & Home Health before you need them.

With over 55 years serving clients from 29 towns in central and northern New Hampshire, Pemi-Baker Hospice & Home Health is committed to creating healthier communities. Expert services include at-home healthcare (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 in the business because of their hearts. Neighbors serving 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

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

Loss & Grief: Some basics in processing personal grief

Pemi-Baker Hospice & Home Health is offering a FREE grief and loss support series starting Tuesday, February 15th running through March 29th, 2022. Late morning and early evening times will accommodate all schedules and we invite anyone experiencing a personal loss to join us.

Since Elizabeth Kubler-Ross’ pioneering work On Death and Dying in 1969, research and study on the very human experiences of grief and loss have come a very long way. The “five stages of grief” entered quickly into the storehouse of wisdom in the popular culture. Many people can tick off “Denial, anger, bargaining, depression, and acceptance” when asked about the process of grieving. As helpful as these categories can be in opening up discussion, the truth is that “stage theory” has fallen on hard times in psychological studies.

Put simply, life experience is much too dynamic and deeply personal to fall into neat and progressive stages that follow one upon the other in predictable fashion. Kubler-Ross herself did not see her theory as being that way. It took our characteristically American linear way of thinking to do that. Generally speaking, we like things neat, but life is messy. Over the course of almost four decades, other theorists have included additional features in grieving, such as “shock”, “guilt”, “retreating”, “reflection”, “isolation”, and “working through”. There is a lot to consider if we are in the thick of trying to come to terms with a significant loss that has come into our life.

In a practical effort to begin to explore the intricate web of responses and reactions that human beings experience following upon significant life-losses, the Hospice program of Pemi-Baker Hospice & Home Health in Plymouth will be offering a series on “Loss and Grief: Some Basics” as part of its Bereavement services. The series consists of six sessions. Each session will include a brief educational presentation, a reflective exercise to assist participants in focusing on their experience of loss, and a time for sharing, questions, and discussion. Sessions will include such topics as: “My Concept of Loss”, “Evaluating My Loss”, “Coping Skills”, “Manifestations of Grief”, “What Helps and What Hurts?”, “Acceptance”, “My New Reality”, and “Recognizing My Strengths”.

The six week series will be offered on Tuesdays at two different times: a late morning group 11am-12:30pm or an evening group 5:30pm -7pm. In-person participation is limited to five people for each group; there will be hand sanitizer, socially-distanced seating and masks are required. Please pre-register with Guy Tillson, Bereavement Coordinator by email (gtillson@pbhha.org) or by phone (603-536-2232). Pre-registration required by Tuesday, February 8th, 2022. Ask about possible accommodations virtually via ZOOM.

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: @PBCH4

Jenn Stewart Selected for Mary Ellen LaRoche Scholarship

“Jennifer Stewart is a go-getter with excellent clinical skills who cares deeply for her patients and has a commitment to community-based nursing,” says Julie Reynolds, Alliance Board President. Stewart was chosen for the annual Mary Ellen LaRoche Nursing Scholarship.

Stewart has been a licensed practical nurse for seven years and is enrolled at NHTI to become an RN. She serves as her agency’s infection control nurse, teaches wound care skills to RNs, and is actively involved in COVID testing and vaccinating homebound patients.

The Mary Ellen LaRoche Nursing Scholarship supports individuals currently employed in home healthcare or hospice working towards an associate, bachelor’s, or advanced nursing degree. The scholarship honors Mary Ellen LaRoche, the executive director of Carroll County Health & Home Care in Chocorua, until her death in 2009. She was a mentor to paraprofessionals and nursing staff throughout her career.

“The need for highly educated nurses is growing. We are delighted to be able to support New Hampshire nursing students who will bring diverse and valuable perspectives to the field,” said Home Care, Hospice & Palliative Care CEO Gina Balkus.

Applicants for the Mary Ellen LaRoche Nursing Scholarship must be employed by a member agency, be enrolled in an educational program for at least a year, have a GPA of at least 3.0 and be recommended by a supervisor.

The Home Care, Hospice & Palliative Care Alliance membership includes not-for-profit and proprietary agencies serving New Hampshire. Member agencies provide services to thousands of New Hampshire residents of all ages recovering from surgery, injury, or illness, chronic or terminal illnesses, or other conditions needing support at home.

~written by Leslie Hammond

Pemi-Baker Community Health to Resume ‘In-Person’ Caregiver Support Groups

Pemi-Baker Community Health is pleased to resume offering its in-person community-based support groups for at-home caregivers.  Meeting will be provided at the Boulder Point Conference room of Speare Memorial Hospital in Plymouth.

Caregivers Support Group:

First Wednesday of every month

Starting: Wednesday, August 4, 2021 (11:00am)

Our monthly Caregivers Support Group will begin its in-person offerings on Wednesday, August 4, 2021, at 11:00am.  This group will meet in the Conference Room at the Boulder Point site of Speare Memorial Hospital.  The challenges of being an at-home caregiver (or even a long-distance one, as in the case of an adult child coordinating the care of a parent from some distance away) can be overwhelming, daunting, and exhausting.  The experience naturally alters one’s freedom for social interaction beyond the home, and this reality was exacerbated as we lived through the height of the current pandemic.  Although caregiving is an expression of love and concern, the constant vigilance required from the caregiver can be emotionally draining and the stress of it can have physical ramifications.  Consequently, self-care is an important quality for caregivers to cultivate.

Connecting with other caregivers can help to lighten the emotional load imposed by this ever-increasing phenomenon that has become a part of contemporary American life as our population ages. We hope this gathering will allow for opportunities of sharing, brainstorming, problem-solving, and supportive listening.

The group will meet on the first Wednesday of each month at 11:00am.  As they become available, relevant handouts and other materials will be offered.  Participants for this group are also asked to check in per Speare’s  current practice and to bring a mask with them for probable use during the group.  The group will end by 12:30pm at the latest, depending on the energy of exchange generated by the participants.

Please pre-register the week prior to the meeting by contacting the facilitator: Guy Tillson, PBCH Hospice Spiritual Counselor and Bereavement Counselor, online via email at gtillson@pbhha.org or by phone at 536-2232, x 318. If you would prefer to participate virtually by ZOOM, please indicate that, and we will attempt to accommodate you.  Group size is limited to TEN persons, so registrations will be accepted on a “first come, first served” basis.

Written by Guy Tillson, PBCH Hospice Spiritual Counselor and Bereavement Counselor

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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