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 avail
able 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









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.
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.




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.
certain activities that once seemed simple can become more difficult to manage.
nal 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.
How does a patient access skilled home health thru Pemi-Baker Community Health?








