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

How Home-Based Palliative Care Can Help You or a Loved One

If you or a loved one are living with cancer, heart or lung disease, Alzheimer’s disease, kidney or liver diseases or another serious illness, you may need help managing symptoms, improving your quality of life, or reducing stress. Palliative care through Pemi-Baker Community Health can help.

Whether receiving palliative care at a hospital, outpatient clinic, or at home (home-based palliative care), there are options for getting the care that you or your loved one needs. In this article, we explore one of the options – home-based palliative care – with answers to some commonly asked questions.

What is Palliative Care? Is Home-Based Palliative Care Different?
Palliative care (pronounced pal-lee-uh-tiv) is specialized medical care for people living with serious illnesses. This type of care is focused on relief from the symptoms and stress of a serious illness. The goal is to improve quality of life for both the patient and the family. Palliative care is provided by a specially trained team of doctors, nurses and other specialists, who work together with a patient’s other doctors to provide an extra layer of support. It is appropriate at any age and at any stage in a serious illness, and it can be provided along with curative treatment.

Palliative care is available in various settings, so that the person living with a serious illness can receive it where they need it. Whether that’s at home or in a hospital, the goals are the same. And home-based palliative care can help you avoid unnecessary hospitalizations by managing complex symptoms before they get worse.

 

What can I expect from home-based palliative care?
You or your loved one would have a specially-trained team — which may include a doctor and a nurse — dedicated to helping improve your quality of life. They would work with you, your family, and other doctors to treat symptoms like pain, shortness of breath, anxiety, and more. The team would get to know you as a person and provide care tailored to your needs and what you would like in addressing your symptoms, emotional stress and spiritual needs. In many cases, they can help arrange for necessary medical tests to be done at your home, such as x-rays or blood work. And the palliative care team also communicates with your other doctors to make sure everyone is aware of your needs and care.

Will the home-based palliative care team listen to me as a patient?                                                           Pemi-Baker’s palliative care team will spend time listening to you, and getting to know you and your family. They want to learn what’s important to you; and based on that, they’ll develop a treatment plan.

How do I know if home-based palliative care is available where I live?
Originally, palliative care was only available to patients and families within the hospital. But now that doctors see the many ways that palliative care can help, and the Affordable Care Act was passed, it is becoming more widely available in other settings.

While availability is growing, it’s not yet an option everywhere. If you or a loved one are having difficulty with a serious illness, it’s important to talk to your doctor about palliative care to learn what services are available where you live. A referral is typically necessary.

How to Get Palliative Care with Pemi-Baker Community Health     Ask your doctor for a palliative care referral with Pemi-Baker Community Health (PBCH). PBCH services the following 22 towns: Alexandria, Bristol, Bridgewater, New Hampton, Meredith, Moultonborough, Sandwich, Center Harbor, Holderness, Ashland, Plymouth, Hebron, Groton, Campton, Rumney, Wentworth, Waterville Valley, Thornton, Ellsworth, Warren, Woodstock, Lincoln and other towns upon request. Once PBCH receives the referral from your doctor they will contact you via phone to answer and ask questions and set up a meeting with you at your home.

Covid-19 Guidelines                                                                                                  As members of your local community, we strive to act in the best interests of patient, employee and community by complying with CDC guidelines and taking precautions as necessary. Appropriate PPE are worn by our visiting nurses, doctors and social workers and our infection control team conducts daily screenings according to the CDC.

To learn more about Palliative Care and how it can help you, please contact Pemi-Baker Community Health.  We are located at 101 Boulder Point Drive, Plymouth, NH. Please call:  603-536-2232 or email: info@pbhha.org

~written by Anna Swanson

Thank You for 12 Amazing Years of Leadership!

We are at once happy and sad to announce the retirement of our CEO, Chandra Engelbert. She has been an outstanding leader for more than 12 years of dedicated service at Pemi-Baker Community Health and a true inspiration for all of us.

The entire Central NH/Plymouth community has benefitted from Chandra’s leadership for much longer than that though. Chandra began her career earning a B.S. in Nursing at Northeastern University in Boston, MA and her MBA from UNH’s Whittemore School of Business and Economics. Chandra’s professional expertise included: Nursing in Medical Surgery, Intensive Care Unit, Emergency Department, Recovery Room, Home care and Hospice. Profit and nonprofit administrative background included management of home care and hospice, Vice President of Diagnostic Services at LRGHealthcare and ICU/ED Manager at Weeks Medical Center in Lancaster, NH.

Over the years she served on the Home Care, Palliative Care and Hospice Alliance of NH and the Central New Hampshire Chamber of Commerce Boards, Central NH Health Partnership, Rural Healthcare Association, Plymouth State University Nursing Honor Society and Nursing Advisory Board and the Central Service Health Network; participating in emergency preparedness efforts and public health initiatives in NH.

Creating a collaborative effort between PBCH, Mid-State Health Center and Speare Memorial Hospital is one of her most proud accomplishments and instilling the ‘Ubuntu’ philosophy for the employees of Pemi-Baker Community Health, creating a culture for them filled with respect, honesty and value.

She will be deeply missed but we can only feel happy for her after many years of service to our community and hope that she enjoys her well-deserved retirement.

~written by Anna Swanson

Advance Care Planning-An important home health service you shouldn’t overlook

FREE Zoom Workshops to help you ‘FILL OUT YOUR FORMS’, hosted by Pemi-Baker Community Health, in Plymouth, NH.

Have you wondered how to talk to your loved ones about what medical care you would or wouldn’t want in a medical crisis?  Does your health care provider want you to have these conversations and fill out your end of life wishes?  Would your wishes change if it was COVID-19 related?  Pemi-Baker Community Health can help with all your advance care planning needs.

Advance care planning (ACP) is a process of understanding, reflecting on and discussing your experiences, values and beliefs in an effort to identify how you want to live if faced with a serious or life-limiting illness. It may include identifying the care you would want at the end of your life or the care you would want if you were too injured or ill to speak.

Download a Conversation Starter Guide

It is also important to choose someone to speak on your behalf if you are unable to make your own decisions, and take comfort in knowing that person will convey your wishes. This person is called a Health Care Proxy, in NH it is termed Durable Power of Attorney for Healthcare.  It could be your partner, a sibling or a close friend.

Download a Guide to Choosing a Health Care Proxy/Durable Power of Attorney

Once you decide what care you want and who to help voice your opinions, you will be ready to complete an ACP document, often referred to as an advance directive. This is the legal form from your state that puts your wishes on paper and legalizes them with witness signatures. When this form is complete, you will want to give it to and communicate your wishes to your family, friends, clergy, other advisors, physicians and other health care professionals to help ensure that your wishes are honored.

Download the New Hampshire Advance Directive

Take time to plan ahead now so future healthcare challenges don’t create difficult questions and unnecessary worry for family caregivers and decision makers. Pemi-Baker Community Health offers free monthly Zoom workshops to help you ‘FILL OUT YOUR FORMS’. Download the advance directive form from our website, poor a cup of coffee and join us for a group Zoom meeting to walk you through the form and answer any questions you might have.

Couple attending zoom workshop
Couple filling out advance directive forms with help from zoom workshop

Pemi-Baker’s Social Workers will be neutral guides helping you reflect on and identify the values, beliefs and goals that shape the way you make health care decisions.  As experienced facilitators, they will explain how important sharing this information is to others so that decisions can be made for you if you ever cannot speak for yourself.

 

~written by Anna Swanson

PBCH Receives Generous Donation from Service Credit Union

The holidays came early for Pemi-Baker Community Health(PBCH) thanks to a generous donation from Service Credit Union.  Both non-profit companies have strong missions to support the communities they serve and PBCH plans to use the donation for much needed training supplies for their nurses.

Since 1967, Pemi-Baker Community Health has brought compassionate health care into the homes of Central and Northern New Hampshire, delivering much needed home health, palliative, hospice and therapeutic care to patients in 22 towns.

Service Credit Union was established in 1957 to support military personnel and their families at what was then Pease Air Force Base in New Hampshire.  Since then, they have grown to serve members all over the world.  Their 800+ employees provide financial services at 50 walk-in locations throughout New Hampshire, North Dakota, Massachusetts and Germany.

“Without the generous support of community partners like Service Credit Union, we would have a difficult time continuing our mission and we wish to extend our thanks to Jenn Duncan, Branch Manager at the Plymouth Service Credit Union” said Danielle Paquette-Horne, Home Health, Palliative Care & Hospice Director, at Pemi-Baker Community Health.

Please consider donating to Pemi-Baker Community Health during the New Year by visiting their website, www.pbhha.org.  If you order online, Amazon will give a percentage of your purchases directly to Pemi-Baker Community health by using Amazon Smile. Visit www.smile.amazon.com and choose Pemi-Baker Community Health.  Or perhaps you would like to donate your time instead. There is room in their Free Hospice Volunteer Training starting January 5th via Zoom. Contact Lauren Bell, SW and Volunteer Coordinator at info@pbhha.org or 603-536-2232.        

PBCH is located at 101 Boulder Point Drive, Plymouth, NH. To contact us please call: 603-536-2232 or email: info@pbhha.org  

Plymouth Service Credit Union branch is conveniently located inside the Plymouth Walmart.  They offer numerous member tailored lending options including mortgages, auto loans, credit cards as well as savings, checking and business banking services.  1-800-936-7730, www.servicecu.org

~written by Anna Swanson

Soothing Seasonal Sadness

In my years working as a clinical mental health counselor, I could always count on having a few clients who suffered with Seasonal Affective Disorder. That’s psychiatric lingo for mood disturbances worsened by seasonal changes. Appropriately, its acronym is SAD. Particularly as we lose daylight hours, especially when we turn the clocks back as the fall moves into becoming winter, some people get in a sad and funky mood. At the mental health center I worked for, we purchased a device called a light box which patients could borrow for short spaces of time. The light box radiates light which helps the patients in elevating their mood so that the sadness would not be so pervasive or overwhelming.

Currently, we are experiencing stretches of time besides this season of fall turning into winter. It is the holiday season. It is a season of caution and care as we try to safeguard ourselves against the coronavirus. It also an ongoing season of grief and mourning for those whose loved ones have died, whether from COVID19 or other causes. So, perhaps, we are enduring multiple seasons of compounded sadness in varying degrees of intensity. Sorry to say, there are no easy remedies to “the blahs” that may befall us at the present time, though there may be some temporary relief to turn our awareness from it all so that we do not become overshadowed by a moody cloud. Here, I will suggest some short, simple practices.

 First of all, fresh air and physical movement are valuable. Naturally, as the weather gets colder, we need to moderate our exposure to the outside air. A brief walk around your yard or on your porch or deck for ten or fifteen minutes, breathing normally, with some movement of your limbs will help to “clear house” and “keep the motor going”.

Secondly, the simple act of washing your face two or three times a day can be very refreshing. You can experiment with what seems to work best for you- water temperature that is hot, lukewarm, or cold and a facecloth that is thin or plush. The temperature of the water and the texture of the fabric revitalizes our pores, wakening up our complexion.

Following on this, there are the practices of hand and head massages. Start by rubbing your hands together as you would if you were washing your hands at your sink. Allow each hand to move over its partner, gently rubbing over the back of the hand, then the palm, and moving through the fingers. Starting at the wrist of one hand, let your thumb and fingers of the other hand softly massage the wrist, and then move across the back of the hand, and continue to gently massage each knuckle and joint of each finger. As you finish, use your fingertips to move in a circle in your palm. Then attend to the other hand. You may also want to lightly rub your palms together or even to softly clap your hands. To massage your head, gently let your fingertips move through your hair (or what you have left of it!). Do this a few times. Then gently tap your fingertips throughout and across your whole scalp, not forgetting the areas around your ears or at the base of your skull down to your neck. This also stimulates the movement of energy in our cranial area.

 I began this sharing by mentioning the use of a light box, so I will close with a suggestion that is more meditative and reflective. The winter holidays of this time of year (Advent, Christmas, Epiphany, Hanukkah, and the Winter Solstice) all focus on the element of light, hoping for its return and emergence from the darkness. Most craft supply stores and even some pharmacies sell small LED light battery-powered candles of various sizes. Some even have flickering flames. Though there is a lot to be said for actual candles, these are a bit safer to use. For the purpose of focusing and directing your attention, only one is necessary. Use it as the daylight is ending. Simply direct your attention to the light, bringing to mind thoughts of past good times and the joy of affection shared with loved ones. The length of time you do this for does not matter too much, but respect the rhythm of your ability to concentrate easily. This isn’t supposed to be a chore or an assignment! It seems to be more profitable to do this in a quiet time without the distraction of other noise. This can be settling to the soul and bring your day to a peaceful end.

As I indicated earlier, these are not “cures” for seasonal sadness- only suggestions for momentary relief that may help the next stretch be more tolerable and bearable. As always, take care of yourself, respecting both your own strengths and limits.

Regretfully, we are still unable to gather for our Bereavement groups due to COVID19 restrictions but Guy Tillson can meet with you one on one via ZOOM or in person following CDC guidelines for safety. To contact Guy please email him at gtillson@pbhha.org. Please visit our website for other monthly ZOOM meetings: Coffee with Caregivers and Fill Out Your Forms.

 

~Guy Tillson, MDiv, MA, PBCH Hospice Chaplain and Bereavement Counselor

Six Common Myths About Physical Therapy Explained

While physical therapist’s roles are both broad and diverse, several misconceptions still exist about what physical therapy is, what it isn’t, and the various ways it can help people improve the health and lives of people at all stages in life.

Matt Scagliarini uses dry needling to reduce his patient’s pain, release scar tissue adhesions and treat muscle trigger points.

“When a lot of people think about physical therapy, they think rehabilitation from injury or surgery. But that’s just part of what we do,” said Matt Scagliarini, PT, DPT and Director of Outpatient Physical Therapy at Pemi-Baker Community Health. “Physical therapists can improve the lives of people of all ages dealing with biomechanical faults that could lead to injury, sports performance, balance impairments and nervous system conditions to name a few.  We use innovative testing to work with our clients to develop a personalized plan of health for people of all ages and abilities.”

According to the American Physical Therapy Association (APTA), physical therapists (PTs) are highly educated and licensed health care professionals who can help patients reduce pain and improve or restore mobility. Sure, this includes those who’ve suffered musculoskeletal injuries, Scagliarini says, but it’s much more than that.

Here are six common misconceptions about physical therapy:

  1. I need to be injured to see a physical therapist. Rehabilitation following an injury or surgery is just a portion of what physical therapists may provide. It’s common for a PT to treat other common ailments like balance and vestibular issues, headaches, pelvic pain, chronic pain, incontinence, and basic joint and muscle discomfort. They also work with clients to prevent injuries and improve athletic performance.
  2. It’s going to hurt. The “no pain, no gain” philosophy has no place in physical therapy. In fact, PTs are trained to work within one’s pain threshold to ensure her or his musculoskeletal gains are safe and incremental. PT’s at Pemi-Baker are trained to analyze the biomechanics of movement. Therefore, they are able to replace painful movement patterns with less painful and more efficient alternatives that improve performance.
  3. Surgery/medication are better options. Both have a place as medical treatments, but multiple studies have shown that physical therapy is more effective and safer than options like subscription painkillers, as well as common surgeries for lumbar spinal stenosis, degenerative disk disease, and even meniscus tears.
  4. Physical therapy is expensive. Physical therapy is a bargain when compared with surgery and the cost of medical imaging. But more than that, studies have shown that for the treatment of one of the most common ailments, non-specific back pain, patients can save up to 60 percent on their medical bills if they first visit a physical therapist.
  5. Any health care provider can offer physical therapy. This is simply not true, though the APTA estimates 37 percent of all consumers believe it to be the case. The fact is only licensed physical therapists have received the post-graduate education and training necessary to provide physical therapy services.
  6. I can’t see a PT without a prescription or referral. According to the APTA, this myth is shared by 70 percent of all health care consumers. In most states, patients are allowed to be evaluated by a PT and receive visits prior to needing a physician referral. Every private health insurance is different. Contact Pemi-Baker Community Health or your insurance company directly for more details.

To learn more about how physical therapy can benefit a particular ailment, condition or wellness goal – or for an injury, pain or movement evaluation – contact the physical therapy team at Pemi-Baker Community Health.

With over 50 years of experience, serving clients from 22 towns in central and northern New Hampshire, Pemi-Baker Community Health is committed to creating healthier communities. Services include at-home healthcare (VNA), hospice and palliative care, on-site physical and occupational therapy and aquatic therapy in their 90-degree therapy pool.            

 

~written by Anna Swanson

Pemi-Baker Community Health Welcomes our Newest Community Partner-Enlighten Nutrition and Wellness

Personal Protective Nutrition(PPN)-Create Meals to Boost Immunity

Experience and education are key when searching for nutrition advice… look no further. 

Pemi-Baker Community Health welcomes our newest Community Partner, Denise Poudrier Normandin, Registered Dietitian, founder, and CEO of Enlighten Nutrition & Wellness. Denise is a passionate advocate, leader and motivator of healthy eating, physical movement, and lifestyle medicine practices. She has over two decades of experience as a Registered/Licensed Dietitian, Nutrition & Health Educator, Consultant and Coach. With Covid-19 cases on the rise, maximizing the health of our immune system by eating well and exercising is more important than ever!

Focusing on food sources that support a healthy immune system is essential to maintaining and/or improving health. Think of food as nature’s medicine! Food can heal or harm our bodies. It is important to consume whole foods. A whole food has been processed or refined as little as possible and is free from additives or other artificial substances, therefore more nutrient-dense. Meanwhile one should limit, highly processed foods, saturated fats, refined grains and added sugars. Evidence suggests a healthy eating pattern is linked to lower risk of chronic diseases, like heart disease, cancer, diabetes, and obesity. These largely preventable chronic diseases put people at a greater risk for illness, including COVID-19.

 

NATURAL IMMUNITY BOOSTERS

  • All bright-colored fruits and vegetables. They offer extensive antioxidant protection and bolster the body’s infection-fighting mechanisms. Think of red-orange vegetables, carrots, sweet potatoes, and winter squashes all are rich in beta-carotene. Beta carotene is converted into vitamin A. Beta-carotene comes from plant sources and has been shown to protect lung strength as we age. The American Heart Association recommends obtaining antioxidants, including beta-carotene, by eating a well-balanced diet high in fruits, vegetables, and whole grains.
  • Vitamin C-rich foodslike citrus, broccoli, sweet bell peppers, kale, and kiwi.
    Click Here for Mediterranean Village Salad Bites Recipe
  • Vitamin D found in salmon, mushrooms (exposed to sunlight), eggs, and fortified foods like milk.Also known as “the sunshine vitamin” is produced when skin is exposed briefly to natural sunlight.
  • Zinc is an essential mineral for immune function. Found in high amounts in meat and seafood and in moderate amounts in chickpeas, sunflowers, and pumpkin seeds.
  • Natural herbs and spices: ginger, garlic, onions, oregano, rosemary, and thyme all have properties that help fight off viruses and harmful bacteria.
  • Eat a variety of plant-based foods: nuts, seeds, beans (all kinds).

MEAL PLANNING

Good nutrition requires planning ahead, designating time in your schedule to shop, plan, prepare and enjoy healthy meals. Make the most out of every trip to the grocery store or local farmers market by considering:

  • How many meals will you prepare at home from scratch?
  • How many people will you need to serve?
  • Will breakfast be a quick meal like cereal, whole-grain toast with avocado or hard-boiled eggs with fresh berries?
  • What leftovers can you turn into a quick snack or lunch the next day?

FITTING IN FITNESS

Like healthy eating, being physically active is one of the most important actions that people of all ages can take to improve their health. Adults should move more and sit less throughout the day. Unfortunately, only 1 in 5 adults and teens get enough exercise to maintain good health. Lack of physical activity combined with poor dietary choices contributes to excess weight. Find physical activities that you enjoy and will want to do! Recruit a buddy to join you. Make exercise part of your daily routine.

The CDC Physical Activity Guidelines, 2nd Edition recommends that adults get at least 150 minutes per week of moderate-intensity aerobic activity or 75 minutes per week of vigorous aerobic activity, or a combo of both, preferably spread throughout the week.

Get moving today… here are some key benefits of staying active:

  • Fosters normal growth and development.
  • Makes people feel better, function better and sleep better.
  • Greatly reduces the risk of chronic diseases.
  • Boosts the immune system.
  • Builds strength and helps our body manage unhealthy stress.
  • A healthy body builds a healthy mind.

 

The time is now! Make your health and wellness a priority so you can live life to the fullest!  Insurance accepted. Contact Denise to book a virtual telehealth or in-person appointment:  denise@enlightenlivewell.com or on line www.enlightenlivewell.com 

Denise is a registered dietitian through the Commission on Dietetics Registration, a board-certified diplomat in Lifestyle Medicine through the American College of Lifestyle Medicine and a preferred provider of Medical Nutrition Therapy (MNT). She is committed to building stronger, healthier individuals, families and communities through individual and group nutrition consultations, telehealth, corporate training workshops, wellness retreats, health, and lifestyle coaching, and speaking engagements.

With over 50 years of experience, serving clients from 22 towns in central and northern New Hampshire, Pemi-Baker Community Health is committed to creating healthier communities. Services include at-home healthcare (VNA), hospice and palliative care, on-site physical and occupational therapy and aquatic therapy in their 90-degree therapy pool.            

~Written by Denise Poudrier Normandin, MA, RD, LD, DipACLM           

Pemi-Baker Community Health Celebrates Giving Tuesday on December 1, 2020

 

GivingTuesday is a global generosity movement unleashing the power of people and organizations to transform their communities and the world. GivingTuesday was created in 2012 as a simple idea: a day that encourages people to do good. Over the past eight years, it has grown into a global movement that inspires hundreds of millions of people to give, collaborate, and celebrate generosity.

Whether it’s making someone smile, helping a neighbor or stranger out, showing up for an issue or people we care about, or giving some of what we have to those who need our help, every act of generosity counts and everyone has something to give. GivingTuesday strives to build a world in which the catalytic power of generosity is at the heart of the society we build together, unlocking dignity, opportunity and equity around the globe.

Our community is STRONG!  Let’s help it grow even stronger.  Join us in giving back for GivingTuesday on December 1.  Give to your local nonprofit, volunteer, or do an act of kindness.  Every act of generosity counts and each means more when we give together.

With over 50 years of experience, serving clients from 22 towns in central and northern New Hampshire, Pemi-Baker Community Health is committed to creating healthier communities. Services include at-home healthcare (VNA), hospice and palliative care, on-site physical and occupational therapy and aquatic therapy in their 90-degree therapy pool.            

~Written by Anna Swanson               

Skilled Home Health Care: What Pemi-Baker Community Health Can Do For You

November is National Homecare Month. What better way to celebrate it than to provide information about home care services thru Pemi-Baker Community Health, and what it can offer for a loved one? As we age, we still want our independence. Many older Americans are choosing to stay in their homes longer and “age in place.” This trend allows people to remain in their family home surrounded by familiar furnishings that make them feel comfortable and safe. But as we get older, certain activities that once seemed simple can become more difficult to manage.

So when do we need skilled home health care?

Skilled home health is care given to patients at home by medically trained and licensed professionals. It is an alternative to receiving care in a nursing home or hospital to regain health and independence.

What sort of people are served by home health?

Skilled home health care clients can be recovering patients who are ill with a chronic condition like heart failure or an acute health condition like surgery for a hip replacement, or who have sustained an injury. Home health care permits earlier discharge from a hospital, reduces hospital admissions and assists with rapid recovery. It’s less expensive, more accessible, and as effective as care from a hospital or skilled nursing facility.

Skilled home health care can be for rehabilitation following a stay in the hospital or nursing home.  Patients may also be referred to Pemi-Baker Community Health by their own PCP’s for help managing a health condition. For example, your Mom might need skilled nursing after being hospitalized with a bout of pneumonia or Dad may need occupational and physical therapy when he gets home following knee surgery. The nurse can help your Mom learn to manage her medications safely and help her learn ways to manage her overall health more effectively. Occupational and physical therapy will provide training on the best exercises Dad can do to strengthen his knee so he can get back to doing the things he enjoys.

Long-term home health palliative or hospice services can be provided when your parent or loved one is suffering with a terminal illness. Our nurses and therapists work together with your doctors to provide coordinated, effective care.

How does a patient access skilled home health thru Pemi-Baker Community Health?

A referral from a physician, nurse practitioner, or physician’s assistant is necessary. If your loved one is being sent home from the hospital or nursing home, their staff physicians will typically write the referral. Your own PCP can also provide a referral.  Just let them know you would like to use Pemi-Baker Community Health, we service 22 towns in Central New Hampshire.

Who pays for skilled home health care?

Payment options for home health typically include a wide variety of insurances including Medicare, many Medicare Replacement plans, along with a whole host of private insurances.

Pemi-Baker Community Health has been in the business of ‘skilled’ home health care for over 50 years. We understand how hard it can be to get ready, travel to a certain facility to receive care and then travel back home again every time you have to go to an appointment. Home health care addresses this dilemma and Pemi-Baker Community Health can help you. There are many benefits of getting care at home and one of them is getting competent, one-on-one skilled care right where you live. Apart from this, you also save your time, energy and extra money because home health care is relatively cheaper than being institutionalized in a care facility.

Our team of responsible and reliable professionals will make sure that you or your loved ones receive the appropriate care at home. We offer skilled nursing, home health aides, physical therapy, occupational therapy, medical social services and speech therapy. We are experts in our field and we have the necessary experience to make sure you are cared for correctly. You are in safe and caring hands with Pemi-Baker Community Health.

“The people working at Pemi-Baker are terrific. I would highly recommend them for any home health care needs for yourself, family and friends. They take the time to meet your needs in a kind and sensitive way.” ~Deb

“I have had home-care after a hip replacement as well as physical therapy to recover and PT for other problems. Everyone is friendly, concerned, efficient, professional and cheerful. This organization is superior to others I have had over the years.”  ~Sheila

“Fantastic people!  Real people you can trust and feel comfortable with.  I can’t thank you enough for all the help you have given us while my husband is going thru cancer.  Thank you so much!”  ~Maxy

~Written by Anna Swanson

Thank You Veterans!

Pemi-Baker Community Health would like to thank our employee veterans:  Dori Freer, Rebecca Curran and Sandra Coleman for their service to our country! We also would like to thank the veterans in our community.

On Veteran’s Day, PBCH  delivers appreciation bags to all of our Hospice, Home Care and Physical Therapy patients as well as our neighbors at the Veteran’s Housing on Boulder Point. We were very fortunate to be able to speak with Mr. Paul Ash, a PBCH patient and veteran who served in the Marine Corps before, during and after the Korean War. He shared stories of fellow New Hampshire and Vermont marines he met during his service. 

We are so fortunate to be protected by those who accept the risk, make the sacrifice and dare to serve.  We honor them today, on Veteran’s Day but are grateful to them always! 

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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