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

Celebrating the Caregivers in Our Lives

Pemi-Baker Hospice & Home Health offers monthly support groups!

Though National Caregiver Day is February 17th this year, we think every day is a good day to celebrate caregivers around the globe. We have a few ideas to inspire you as you take time to give back to the people who care for others all year long. We also want to invite any caregiver to our free Caregiver Support groups the first Wednesday of every month.

Who Are Family Caregivers?

Nearly 53 million people in the United States are providing some type of unpaid care for a family member or child. This means you probably have at least one person in your life who is an informal or family caregiver.

Challenges for Caregivers

All caregivers, whether informal or professional, face similar challenges. For example, caregivers are at high risk for caregiver fatigue or burnout. This is a condition that is rooted in stress and can result in serious health consequences ranging from high blood pressure, depression, anxiety, or increased physical illness.

Caregivers typically receive less help than they need to stay as healthy as possible, and they often put the needs of their loved ones ahead of their own. Unfortunately, this means that informal caregivers often skip their own annual doctor appointments or preventative care because they are overwhelmed coordinating care for their loved ones.

Gifts for Caregivers

There are many ways to celebrate a caregiver in your life. Even something small can go a long way and encourage them for days or months to come. For example:

  • An encouraging note or card telling them that you notice the hard work they do for others
  • A gift card to a local coffee shop so they can pick up their favorite treat
  • A subscription to a meal delivery service like Blue Apron or HelloFresh
  • A gift card to a local spa for a haircut, massage, or facial
  • A subscription to their favorite magazine so they can have one ready for when they have a quiet moment

Beyond traditional gifts, perhaps the most meaningful thing you can give a caregiver is the gift of time to themselves. You can offer to make life a bit easier and relieve some of their daily burdens by:

  • Making homemade meals they can freeze and then defrost when they are too exhausted to cook
  • Driving their loved one to a medical appointment
  • Grocery shopping for the week and dropping off the items at their home or at the home of their loved one
  • Taking their children to/from sporting or school events
  • Visiting with their loved one for a few hours so the caregiver can get out of the home and run errands, grab a coffee, or take a nap

Most caregivers feel quite alone, and your acknowledgment of their work, along with tangible help, can make them feel supported.

Here at Pemi-Baker Hospice & Home Health, we honor every caregiver we have the chance to work with daily. From the professional and well-trained caregivers, to the family members and friends who tirelessly advocate for their loved ones, we celebrate you.

If you’re looking for support, we offer caregiver conversation, education and support at our free meetings the first Wednesday of every month. You will be able to connect with others, learn more about the ups and downs of at home caregiving, and discuss any issues related to the monthly topic. For more information about our meetings please email Guy Tillson: gtillson@pbhha.org or call 603-536-2232Caregiver Support Groups at Pemi-Baker Hospice & Home Health, Plymouth, NH

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

Getting Physical, Occupational or Speech Therapy in Your Home

Therapeutic Services Provided by Pemi-Baker Hospice & Home Health

Pemi-Baker Hospice & Home Health (PBH&HH) is well known for its Home Health nursing services but did you realize you can get home health therapy as well? Physical Therapy, Occupational Therapy and Speech Therapy all help individuals regain their confidence and independence with daily activities as well as help you learn to cope with any new disabilities or challenges. While in the home, they also assist clients with outfitting their homes to create safer, more manageable environments that enhance the quality of life and support aging in place.

We can meet your needs in the comfort of home and eliminate burdensome traveling and scheduling. Our therapists also gain access to important information about your home setting and any challenges that you might face. By receiving care in your home, your family has the opportunity to participate, increasing the benefits to you as well.

  • I had a stroke and can speak fine, but my ability to swallow was impacted. Can therapy help me? Yes! Pemi-Baker’s licensed Speech Therapists work with patients every day helping them to cope with swallowing concerns and improve functioning. This allows many to regain their independence when it comes to eating and drinking.Knee physical therapy Pemi-Baker Hospice & Home Health Plymouth NH
  • After returning home from my knee replacement, I can no longer bend to tie my shoelaces or pick up objects. Can you help me to cope? Our Occupational Therapists can help you by improving the skills that you currently use to complete these tasks as well as teach you new methods for completing them. This would require a physician’s referral and is beneficial for improving your ability to complete many activities of daily living.
  • Will my Physical Therapist teach me activities that I can do on my own? Fitness and wellness are important parts of home health Physical Therapy. Your therapist will teach you many appropriate exercises that you can complete on your own or with assistance from your caregiver or a family member. These exercises often enhance your recovery and help to speed healing.

How Do You Get Home Health Therapy?Physical Therapy Pemi-Baker Hospice & Home Health, Plymouth NH

Most patients who receive home health therapy are referred to the service by their physician. Your doctor can make the referral to any local visiting nurse service that offers therapy, and he or she can attest that home services are medically necessary. This medical necessity report will likely also state that home health therapy is needed because you are unable to leave the house due to your condition or circumstances. Patients can choose who they go to for services, they just need to mention the organization to their physician. (Keep in mind if you have insurance you should always check to confirm what providers are included).

If you feel you may benefit from Physical, Occupational or Speech Therapy at home, you can also call Pemi-Baker Hospice & Home Health. We can help you navigate the pathway to receiving home health therapy.

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

Surviving a Heart Attack: Why Care in the First Hours is Critical

February is National Heart Health Month!

In the United States, about 805,000 people have a heart attack each year. With numbers like that, it’s likely that you, or someone close to you, will have a heart attack during your lifetime. Luckily, many people survive heart attacks and go on to live fulfilling lives. And the odds for this happy outcome are far higher among folks who recognize they’re having a heart attack and get the right care, right away. Protect yourself and your loved ones by understanding what causes this health crisis and how prompt treatment can save a life.

What is a Heart Attack?National Heart Health Month, Pemi-Baker Hospice & Home Health

Your heart has the tough job of pumping blood and oxygen through the coronary arteries all along your body. A heart attack happens when plaque builds up in your arteries over time and blocks the flow of blood. Without blood bringing oxygen to the heart muscle, the area of your heart supplied by that artery begins to die.

This is the moment when quick medical care is critical: A blockage that’s re-opened in two to three hours will cause far less damage than one left untreated for five or six hours.

What to Do If You Suspect a Heart Attack

If you suspect you or a loved one is having a heart attack, call 911, where you’ll be taken to your local Emergency Room to get expert help right away. People who get to the hospital quickly have the best chance for survival. They also have a better recovery, since opening the blocked artery as soon as possible means less heart muscle dies.

The key to getting the help you need, when you need it, is recognizing the signs of a heart attack. While the most classic symptom is sudden severe chest pain, not all heart attacks give such a clear signal. In fact, many heart attacks are silent, causing few or no symptoms at all.

Heart attack symptoms can begin gradually or suddenly, and may be mild or severe. You or your loved one may experience:

Men's Heart Attack symptoms, Pemi-Baker Hospice & Home Health

  • Cold Sweat
  • Lightheadedness or sudden dizziness
  • Heartburn or indigestion, Nausea
  • Chest Pain, Pressure, Squeezing, Tightness or Aching
  • Pain Radiating From the Jaw, Neck Shoulders or Arms
  • Shortness of Breath
  • Unusual Fatigue

It’s especially important to know these symptoms if you or someone you love is at higher than average risk for a heart attack. In addition, women can have more subtle heart attack symptoms that are easily mistaken for other health conditions, such as anxiety. These include:Women's heart attack symptoms, Pemi-Baker Hospice & Home Health

  • Dizziness
  • Heartburn or constant indigestion
  • Nausea
  • Pressure between your shoulder blades
  • Rapid heart beat
  • Trouble sleeping
  • Unexplained extreme fatigue that can last for days

Know Your Risk and Prepare for the Worst

As with most diseases, there are risk factors for heart disease you can influence with treatment or lifestyle change, and others you cannot. Some factors such as your age, gender and family history can’t be changed. However, others can be better managed to help reduce your risk for heart disease and heart attack, including:

  • Alcohol or Tobacco Use
  • Blood Pressure
  • Diabetes
  • LDL (Bad) Cholesterol
  • Physical Inactivity
  • Stress Level
  • Weight

Both your family history and certain lifestyle choices should be reviewed with your doctor at each well visit — especially at your annual physical. These routine checkups are designed to provide an opportunity for you and your doctor to determine your risk for certain diseases and conditions, put a screening plan in place, discuss any health changes and create a plan for any needed lifestyle changes.

Every Moment Counts

It’s smart to work at lowering your heart attack risks, so you can avoid this frightening and dangerous health crisis. In the meantime, remember the symptoms of heart attack and call 911 if you think you or someone nearby is having one — even if you’re not sure. “If someone is unconscious and you think they’re having a heart attack, first call 911 then check if the person is breathing and has a pulse. If the person isn’t breathing or you don’t find a pulse, begin CPR and have someone get an AED (Automated External Defibrillator) if you have access to one,” said Anna Swanson, American Red Cross CPR Instructor.

  • If you’re untrained in CPR, do hands-only CPR. That means push hard and fast on the person’s chest- about 100-120 compressions a minute.
  • If you’re trained in CPR, start with 30 chest compressions before giving two rescue breaths. Start using an AED as soon as it is available.

Pemi-Baker Hospice & Home Health is an Authorized Provider of the American Red Cross and offers CPR/AED and First Aid classes monthly. CPR Instructor, Pemi-Baker Hospice & Home HealthContact Anna Swanson by phone or email today and become better prepared to save a life!

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

Top 5 Misconceptions Regarding Hospice Care

There are many misconceptions around hospice care that often keep patients and caregivers from seeking it out when it could be of benefit and provide much-needed comfort to loved ones in their last days. Here are some of the top misconceptions patients and caregivers have:

Misconception 1: Hospice care is a death sentence.  Because it often comes at the end of life, it is a popular belief that hospice care means death is imminent. This can certainly be the case if hospice care is delayed until the very end, but waiting until the last minute is not an ideal situation for the patient or the hospice provider. The Medicare benefit has structured hospice benefits for the last six months of life. Patients may remain in hospice care longer if their illness continues to run its course and there is no cure.

Misconception 2: Hospice care means giving up.  Hospice care does mean giving up active treatment for your disease. This choice is made because treatments no longer work or the side effects of treatment are worse than the disease itself. However, hospice never gives up hope for the patient; hope just takes a different form. It might not be hope for a long life but hope for another year, or to make it to an event or milestone. End-of-life care focuses on making the remainder of one’s life as fulfilling as possible. Patients can still travel, enjoy family reunions and celebrate life events.

Misconception 3: Hospice care is expensive.  Medicare pays for hospice, and most insurances will have hospice benefits. Hospice covers medications, durable medical equipment and medical supplies related to terminal illnesses. This is a substantial help to families. For more information on what’s covered by Medicare, visit https://www.medicare.gov/coverage/hospice-care

Misconception 4: Hospice care ends with the passing of the patient.  Hospice continues to follow the bereaved family for 13 months beyond the life of the patient, understanding that those “left behind” continue to need support, people to confide in and sometimes just notes to say someone is there for them if they need to talk. Pemi-Baker Hospice & Home Health offers in-person and on line grief support groups and individual support with their chaplains, Guy Tillson and Salvatore Ippolito.

Misconception 5: Hospice care means 24-hour care.  It is important to know that hospice care does not mean somebody is there with your loved one all hours of the day. Our nurse, chaplain or social worker will visit according to your needs and preferences; the visit times and days are flexible. The bulk of hands-on care is provided by family or private caregivers throughout a patient’s time in hospice. Our hospice team will teach caregivers how to give medications, address symptom management and deliver the correct care.

I have questions, when should I reach out to get them answered? 

If you have questions about the stage of your loved one’s illness, Pemi-Baker Hospice & Home Health will meet with you in-person or via a phone call to answer your questions. It’s never too early to start asking. It is best to reach out while your loved one is still undergoing treatment for their serious illness. Our Palliative care team helps those with Cancer, Diabetes, Stroke, COPD, ALS, Emphysema, Parkinson’s, Alzheimer’s, Congestive Heart Failure, Liver or Kidney Disease, Dementia or other serious progressive illness.

“Being involved with the patient soon after prognosis allows our nurses to help manage the symptoms, pain and stress that comes with their illness. We work with their primary care physician and family to make them as comfortable as possible and improve their quality of life,” said Tori Clark, MMHC, Hospice & Palliative Care Supervisor.

If you have questions about Palliative or Hospice care, call today: 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

~written by Anna Swanson

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

Become a Hospice Volunteer!

Reap the rewards of volunteering and join Pemi-Baker Hospice & Home Health’s Team of Hospice Volunteers.

Hospice volunteers know that helping others at the end of their lives is tremendously rewarding. Being part of a hospice team gives you the profound privilege of bringing comfort, peace and care to patients, caregivers, and their families during their transitional journey. Volunteers feel a greater appreciation of life itself, a deeper understanding of what’s truly important, and an authentic sense of fulfillment.

Why volunteer?

As a hospice volunteer, you become part of a person’s life when you are needed most. That sense of fulfillment is priceless. Also, without caring volunteers like you, there would be no Medicare-certified hospice programs. Medicare law requires that 5% of hospice care hours are provided by volunteers.

Who volunteers?

People just like you. Adults, young adults, and in some cases mature teens from all backgrounds, experiences, and cultures. Effective hospice volunteers embrace the fact that their role is one of compassionate service.

What skills do I need?

Most agencies like Pemi-Baker Hospice & Home Health, will provide the training and orientation you need to feel confident and comfortable with whatever level of support you choose to give. Training can include things such as grief counseling, boundaries between the volunteer, the patient and the family, and emergency medical support.

Do you love music? Sharing stories? Playing cards? Whatever passions, talents, or interests you bring can also be valuable assets. The most precious asset, of course, is simply caring.

What does a hospice volunteer do?

Ultimately, hospice care is about providing patients, caregivers, and families with the most comfortable and compassionate end-of-life experience possible. Your responsibilities will vary. In many cases it’s as simple as companionship. Sitting and talking. Or just listening. Or playing a patient’s favorite music.

You may also assist patients with tasks they can no longer perform for themselves. It may include anything from light household chores to lending emotional support to the patient’s family during this difficult time.

If you prefer to work in a different capacity, some hospice providers have opportunities to help with administrative office tasks.

What is the time commitment?

As with most things around hospice volunteering, your commitment can vary. It depends a lot on the time you’re willing to commit and the needs of the patients you are matched with. Some volunteers work an hour a week, some 2 hours each month.

I’m interested; how do I pre-register?

The next FREE VIRTUAL Hospice Volunteer training will start Tuesday, February 7th and run 5 weeks through March 7th, 2023.  Class time is 2pm-4pm. All the training is done via TEAMS meetings (like Zoom) in the comfort of your own home. Contact Karen Bownes, Pemi-Baker Hospice & Home Health’s Hospice Volunteer Coordinator at 603-536-2232 or email her at kbownes@pbhha.org.  For more information visit Pemi-Baker Hospice & Home Health’s website:  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.

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

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

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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