March is National Social Worker month and Pemi-Baker Hospice & Home Health wants to celebrate their social workers- Shannon Cassidy, BSW and Lauren Bell, BSW by explaining the details of Palliative and Hospice social work. The mission of hospice and palliative care social workers is to help clients and their families manage difficult situations and illnesses with dignity and peace of mind.
The Difference between Hospice and Palliative Care
While related, hospice and palliative care are distinct from each other in several key ways. Palliative care can begin at diagnosis and at the same time as treatment. Palliative care is focused on providing patients with relief from the symptoms, pain and stress of a serious illness. Palliative care also applies to patients who require non-curative remedies for painful or debilitating symptoms in their daily lives.
Hospice care begins after treatment of the disease is stopped and when it is clear that the person is not going to survive the illness. Hospice care involves caring for patients who are suffering from terminal illnesses that have progressed to the point that they have fewer than six months to live.
What Does a Hospice or Palliative Care Social Worker Do?
The main responsibilities of Palliative and Hospice care social workers include conducting psychosocial assessments, coordinating care, providing counseling and psychotherapy, intervening in client crisis situations, and educating clients and families about their treatment plan and the resources and support systems available to them. Patients and their families are experiencing a number of hardships, including anger and anxiety; depression; financial strain; intense physical pain or discomfort; social isolation; and family conflict.
- Psychosocial assessments- Hospice and palliative care social workers conduct assessments of clients and their families to determine their psychological, social, emotional and spiritual needs. This information is important for the larger hospice and/or palliative care team to develop an effective and compassionate care plan.
- Care coordination- Hospice social workers coordinate the care of patients with a team of medical and human service professionals. With their knowledge of systems of care and support within medical settings and the larger community, hospice and palliative care social workers are often the point of contact between different care providers, as well as the liaison between clients and their treatment team. Hospice and palliative care social workers also play an important role in patient intakes and discharges. During the intake process, they gather data from patients upon their enrollment in a care program (through the psychosocial assessment), orient patients and their families to the hospice or palliative care environment and communicate with the treatment team regarding patients’ ongoing needs. They advocate on behalf of the patient and the family helping them understand their treatment plan and how to be vocal about their needs.
- Counseling- Hospice and palliative care social workers also provide emotional support, counseling and psychotherapy to clients and their families who are experiencing psychological and emotional difficulties in the face of terminal, debilitating illness or both. Social workers may employ a combination of clinical social work modalities to help their clients evaluate and manage their thoughts and emotions and overcome various behavioral challenges.
- Patient education and resource navigation services- Hospice social workers help clients and their families navigate planning for end-of-life care, educating the patient and family on filling out Advanced Directives and/or obtaining guardianship. They also help clients and their families understand their treatment plan and the processes involved in hospice and palliative care. They help families navigate relevant resources and assistance available to them connecting them with local resources, such as cancer or terminal illness support groups, pro bono counseling services and religious communities.

- Crisis intervention-Social workers help intervene in a crisis and can connect families to other support services and resources near them.
Hospice and palliative care social work is challenging work, as it involves helping people through difficult and stressful times of their lives. However, the rewards include making strong connections with people, learning and celebrating their life stories, and having a positive impact on clients and their families. “As Hospice and Palliative care social workers we strive to provide the best resources, education and assistance to clients and their families. Our primary goal is to ensure you and your loved ones are presented with options and education based on your current and long term needs to create the best possible outcome” said Lauren Bell, BSW, Pemi-Baker Hospice & Home Health’s Hospice & Palliative Care Supervisor.
If you feel you or a loved one might benefit from Pemi-Baker’s Palliative or Hospice team, please call us for more information. You do not need a referral from your doctor and there is no charge for a consultation.
Currently, Pemi-Baker Hospice & Home Health is hiring for a part time home health and hospice social worker position. Call for details or visit our page on Indeed.
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




Caregivers provide help with daily essentials along with the physical and emotional support needed by our loved ones late in life. But do we ever stop to take care of the caregiver? How often do we say “thank you” for being there for our loved ones, our clients, and the most defenseless in society? When do we take the time to ask how the caregiver is doing? Care-giving can be a gratifying experience but can also cause a great deal of stress. While caring for and focusing on another, a caregiver can neglect their own health, causing harm over time. Therefore, it is essential to provide tools and resources to help manage stress. If a caregiver doesn’t care for themselves, they can’t care for someone else.
Make sure you take time on February 18th to honor the people who care for our most vulnerable population. For example, you could give cards with encouraging words of appreciation or a small gift to show gratitude. You can also honor caregivers on social media using the hashtag #nationalcaregiversday and let people know what makes them special. Here are some suggestions for a small gift to the caregivers in your life:
The 
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.
Contact Shannon Cassidy, Pemi-Baker Hospice & Home Health’s Hospice Volunteer Coordinator at 603-536-2232 or email her at 


Another benefit that at-home therapy provides, is the opportunity to assess the safety and accessibility of the home environment. A therapist’s trained eyes can spot fall hazards or bathroom dangers and provide helpful preventive advice.
The existence of hospice makes this level of freedom available to many who otherwise would not have had it. Hospice care offers 24/7 clinical support, medication and pain management, assistance with daily living activities, medical supplies and equipment, volunteer support and companionship, social, spiritual and grief support from social workers and chaplains, for the whole family.
The elderly who wish to retain the freedom of staying in their home and ending their lives on their own terms experience true psychological benefits. Their comfortable surroundings allow them to end their lives with a sense of dignity, which is incredibly valuable. In fact, home care harkens back to older days, when tending to the terminally ill at home was the standard. There’s always the added benefit of being closer to their loved ones in their final days.









