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

Palliative Care for Heart Failure Patients

Pemi-Baker Hospice & Home Health Supports Heart Health Month with Palliative Care for Heart Failure Patients

As February marks National Heart Health Month, Pemi-Baker Hospice & Home Health is proud to highlight its palliative care services tailored to support individuals living with heart failure. Heart failure is a challenging condition that profoundly affects the quality of life for patients and their families. With our specialized palliative care, individuals can find relief from symptoms and improve their overall well-being. Palliative care consultation in the home with Pemi-Baker Hospice & Home Health, Plymouth, NH
Living with heart failure can be an uphill battle, often characterized by breathlessness, anxiety, fatigue, and discomfort due to swelling in the extremities. These symptoms can significantly limit one’s ability to engage in daily activities and diminish the enjoyment of life’s pleasures. Recognizing these challenges, our palliative care team steps in to provide comprehensive support and alleviate distress.
Palliative care, pronounced “pal-lee-uh-tiv,” is a specialized form of medical care designed to address the symptoms and stresses associated with serious illnesses such as heart failure. Our multidisciplinary team of doctors, nurses, and specialists collaborates closely with patients’ existing healthcare providers to offer an additional layer of support. Regardless of age or stage of illness, palliative care focuses on improving the quality of life for both patients and their families.
Heart failure presents a range of unpredictable symptoms, from fluid retention and breathing difficulties to pain and anxiety. Our expert palliative care team is adept at managing these symptoms and helping patients navigate the challenges they face on a day-to-day basis. Whether it’s providing strategies to improve breathing or offering techniques to reduce anxiety, our team is dedicated to empowering patients with the tools they need to cope effectively.
Beyond symptom management, our palliative care professionals serve as guides, assisting patients and their loved ones in navigating the complexities of the healthcare system. From facilitating discussions about treatment options to ensuring effective communication among healthcare providers, we strive to help patients make informed decisions about their care.
As we observe National Heart Health Month, Pemi-Baker Hospice & Home Health reaffirms its commitment to providing compassionate palliative care for individuals living with heart failure. Through our tailored services, we aim to alleviate suffering, enhance comfort, and promote dignity for patients and their families throughout their journey.
For more information about our palliative care services for heart failure patients, please visit www.pbhha.org or contact 603-536-2232.

Transformative Benefits of Hospice Care for Patients & Families

Pemi-Baker Hospice & Home Health Highlights the Transformative Benefits of Hospice Care for Patients and Families

Facing a terminal diagnosis is undoubtedly a challenging time for both patients and their families. Pemi-Baker Hospice & Home Health, a leading provider of compassionate end-of-life care, emphasizes that hospice services can bring comfort, support, and a renewed focus on quality of life during this difficult journey.Hospice care with Pemi-Baker Hospice & Home Health, Plymouth, NH

Contrary to common misconceptions, being on hospice does not signify an imminent end to life. In fact, it is not uncommon for patients to graduate from hospice care, demonstrating the positive impact these services can have. Pemi-Baker Hospice & Home Health aims to shed light on the numerous benefits of hospice care, not only for the patient but also for their family and caregivers.

To qualify for hospice, patients must have a terminal diagnosis with an expected life expectancy of six months or less. However, this does not mean that the patient will necessarily pass away within that timeframe, but rather that it is the anticipated duration. Hospice services fall under Medicare A benefits, meaning that the hospice provider covers the cost of care related to the terminal diagnosis.

The comprehensive range of services provided under hospice care includes skilled nursing, medical equipment, necessary medical supplies, medications, social worker support, chaplain services for spiritual needs, assistance from home health aides, bereavement support, and respite care. All these services can be administered either in the patient’s home or in a facility.

In cases where a patient is in a facility, hospice services act as an additional layer of support, complementing the existing care provided by the facility. This ensures that patients receive holistic and personalized care that addresses their unique physical, emotional, and spiritual needs. Melissa Smith, RN Pemi-Baker Hospice & Home Health, Plymouth, NH
“Pemi-Baker Hospice & Home Health is dedicated to enhancing the quality of life for individuals facing terminal illnesses and providing invaluable support to their families. Hospice care is not about giving up; it’s about improving the remaining time, offering comfort, and empowering patients to live their final days with dignity,” said Melissa Smith, RN, MSN, Home Health, Palliative Care & Hospice Director at Pemi-Baker Hospice & Home Health.

By dispelling misconceptions and highlighting the array of services offered, Pemi-Baker Hospice & Home Health aims to encourage individuals and their families to consider hospice care as a positive and transformative option during challenging times. For more information about the benefits of hospice care, please contact us by calling 603-536-2232.

National Home Health and Hospice Month: “Courageous Conversations”

National Home Health, Hospice and Palliative Care Month: “Courageous Conversations” – Pemi-Baker Hospice & Home Health Advocates for Open Dialogue.

November is National Home Health, Hospice and Palliative Care Month, and Pemi-Baker Hospice & Home Health is joining the nationwide effort to raise awareness and promote “Courageous Conversations” about end-of-life care. This year’s theme emphasizes the importance of initiating open dialogues within your inner circle of friends, family, and care providers about your healthcare preferences and choices. These conversations can be a powerful way to ensure that your wishes are respected and honored.

In a world that often shies away from discussing topics related to mortality and end-of-life decisions, “Courageous Conversations” encourage individuals to break the silence and engage in meaningful discussions. Pemi-Baker Hospice & Home Health believes that starting these conversations is an act of love and compassion, benefiting both you and your loved ones in the long run.

Initiating such discussions can be daunting, but it is an essential step toward ensuring that your values and preferences are understood and respected. Here are some suggestions for starting “Courageous Conversations”:

  1. “I know this isn’t a concern for us now, but I was thinking…” – This gentle approach allows you to express your thoughts without making it an immediate issue, giving your loved ones time to process and respond.
  2. “Remember when our (name of friend or family member) was sick/in the hospital? I’m wondering what you would have wanted if it were you.” – Relating your question to a shared experience can help open the conversation and make it feel less intimidating.
  3. Review and Update Advance Directives – Ensure your healthcare directives accurately reflect your current wishes and values. It’s crucial to keep these documents up-to-date, especially if there have been changes in your life circumstances or health status.
  4. The 5 D’s: Recognize that certain life events, such as Divorce, Death, Diagnosis, Decline, or Decade (significant milestone birthdays), can trigger the need to revisit your healthcare decisions. Use these events as reminders to update your preferences and inform your loved ones.
Conversation Starter kit for Advance directives
Click Here To Download Guide

Having clarity about what is important to you in terms of your medical care can significantly ease the burden on those who may need to make decisions on your behalf. It provides them with the reassurance that they are acting in accordance with your wishes.

Pemi-Baker Hospice & Home Health offers support and guidance for those who want to initiate “Courageous Conversations” with their loved ones. Our team of healthcare professionals is available to provide information, resources, and advice on advance care planning and end-of-life decisions.

This National Home Health, Hospice and Palliative Care Month, we encourage everyone to take the first step in having “Courageous Conversations” about their healthcare preferences. By doing so, we can ensure that each individual’s dignity and choices are respected, providing peace of mind for both patients and their families.

Advance Directives, Pemi-Baker Hospice & Home Health, Plymouth, NHFor questions about advance directives or hospice call 603-536-2232 or visit us at one of our Ask A Pemi-Baker Nurse drop in days at your local senior center. For days and times please check our website calendar.

Pemi-Baker Hospice & Home Health is a trusted, nonprofit agency proudly serving 32 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.

Spiritual Care Week-Recognizing Guy Tillson and Paul Bowles

Pemi-Baker Hospice & Home Health Celebrates Spiritual Care Week

Pemi-Baker Hospice & Home Health is proud to acknowledge the outstanding contributions of Chaplain Guy Tillson and Spiritual Care Counselor Paul Bowles during Spiritual Care Week, a time dedicated to honoring the vital role of spiritual caregivers in providing support and comfort to patients and their families.

Chaplain Guy Tillson has been a constant source of strength and compassion within the organization. His steadfast commitment to offering spiritual guidance, a compassionate ear, and a warm heart has touched the lives of countless individuals. Guy Tillson’s presence serves as a beacon of hope for those facing life’s most challenging moments. Guy has played a pivotal role in our FREE Grief Support Series and Caregiver Support meetings, serving as an indispensable pillar of support.

Paul Bowles, has just joined the Pemi-Baker team, serving as the Spiritual Care Counselor. He has already demonstrated his dedication to helping patients and their families navigate the emotional and spiritual aspects of hospice care. His extraordinary ability to provide comfort and support during difficult times will surely leave an indelible mark on all those he will serve.

During Spiritual Care Week, Pemi-Baker Hospice & Home Health wishes to express its deep gratitude to both Guy Tillson and Paul Bowles for their unwavering efforts and genuine compassion. These two remarkable individuals have made a profound impact on the lives of our patients and their loved ones.

As the organization and community come together to celebrate Spiritual Care Week, Pemi-Baker Hospice & Home Health invites everyone to join in recognizing the incredible work of these exemplary caregivers. Their dedication is an inspiration to us all.

Pemi-Baker Hospice & Home Health is a trusted, nonprofit agency proudly serving 32 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

Seeking Palliative Care and Hospice Care Early: Pemi-Baker Hospice & Home Health Emphasizes the Importance of Timely Support

Pemi-Baker Hospice & Home Health, a leading provider of compassionate healthcare services, is urging individuals and their families to consider seeking palliative care and hospice care at the earliest stages of a serious illness diagnosis. By doing so, patients can experience improved quality of life, better pain management, and emotional support while relieving the burden on families and caregivers.Pemi-Baker Hospice & Home Health Nurse visiting Hospice patient and family, Plymouth NH

Recognizing the pivotal role of early intervention in enhancing patients’ well-being, Pemi-Baker Hospice & Home Health is committed to raising awareness about the benefits of seeking these services well before the stage when death is imminent. Often, patients and families are under the misconception that hospice care is only meant for end-of-life situations. However, integrating palliative care and hospice care early in the care continuum can lead to holistic care and optimal outcomes.

Palliative care focuses on providing relief from the symptoms, pain, and stress of serious illnesses, with the aim of improving the patient’s overall quality of life. Hospice care, on the other hand, is a specialized form of care provided to individuals with a life-limiting illness when curative treatments are no longer effective. It prioritizes comfort and emotional support, enabling patients to spend their remaining time in a comfortable and dignified manner.

“Timely access to palliative and hospice care can significantly enhance the physical, emotional, and psychological well-being of patients,” stated Dr. Kristi Saunders, Hospice Medical Director at Pemi-Baker Hospice & Home Health. “By initiating these services early, we can create a care plan that addresses not only the medical needs, but just as important if not more, the emotional and spiritual dimensions of the patient’s journey.”

Pemi-Baker Hospice & Home Health’s team of experienced professionals is dedicated to guiding patients and their families through this challenging phase. Through personalized consultations, they assess the patient’s needs and preferences, allowing them to tailor a comprehensive care plan that aligns with the patient’s goals and values.

The benefits of early palliative and hospice care include:

  1. Enhanced Quality of Life: By managing symptoms and providing emotional support, patients can continue to engage in activities that bring them joy, maintaining a sense of purpose.
  2. Reduced Hospitalizations: Early intervention can help prevent crises and hospitalizations, reducing stress on both patients and families.
  3. Effective Symptom Management: Expert pain and symptom management contribute to a more comfortable and dignified experience for the patient.
  4. Emotional Support: Patients and families receive counseling and emotional support to navigate the challenges of a serious illness.
  5. Informed Decision-Making: Early involvement of palliative and hospice care specialists allows for informed decisions about treatments and interventions that align with the patient’s wishes.

Pemi-Baker Hospice & Home Health welcomes individuals and families to learn more about their services through their website, www.pbhha.org, or by calling 603-536-2232 to arrange a free consultation. The organization emphasizes that seeking palliative care and hospice care early is a proactive step towards ensuring the best possible quality of life during a challenging time.

Pemi-Baker Hospice & Home Health is a trusted, nonprofit agency proudly serving 32 towns in Belknap and Grafton counties since 1967. Expert services include at-home healthcare and physical therapies (VNA), hospice and palliative care, and community programs including: American Red Cross CPR/AED/FA, Caregiver and Bereavement Support Groups and Ask A Pemi-Baker Nurse days at your local senior centers. Providing compassionate care with experienced staff who are trained, certified professionals and also your neighbors.  In your time of need, we’re right where you need us.

~Written by Anna Swanson

Pemi-Baker Hospice & Home Health Welcomes Susan Varnum, LICSW, APHSW-C, as Director of Home Care, Palliative Care, and Hospice

Pemi-Baker Hospice & Home Health, a leading provider of compassionate home-based medical care, is pleased to announce the appointment of Susan Varnum, LICSW, APHSW-C as the new Director of Home Care, Palliative Care, and Hospice. With over 20 years of experience as a dedicated social worker, including nine years specializing in hospice care, Susan brings a wealth of expertise and a strong commitment to improving the lives of patients and their caregivers.Susan Varnum, Pemi-Baker Hospice & Home Health, Plymouth, NH

Susan Varnum holds a master’s degree in social work and is a Licensed Independent Clinical Social Worker (LICSW). Her profound understanding of the complex emotional and practical challenges faced by patients and caregivers in the home care setting makes her an invaluable addition to the Pemi-Baker team. Susan’s passion for palliative care and her dedication to improving end-of-life experiences have earned her the Advanced Palliative Hospice Social Work Certification (APHSW-C) and a post-MSW certificate in Palliative and End-of-Life Care.

In her role as Director of Home Care, Palliative Care, and Hospice, Susan Varnum will be responsible for overseeing the delivery of high-quality, patient-centered care to individuals in their homes. She will work closely with a team of experienced professionals to ensure that patients and their families receive the support they need during their challenging times.

Reflecting on her new position, Susan Varnum stated, “I want to make a difference in people’s lives and provide the best home-based medical care to patients and caregivers to make their challenging time a little easier. It’s important for patients and caregivers to have support from experienced, knowledgeable professionals so they can heal and meet their personal health care goals.”

Pemi-Baker Hospice & Home Health is thrilled to have Susan Varnum join their organization and looks forward to her contributions in enhancing the quality of care provided to their patients. Her vast experience, compassionate approach, and dedication to improving end-of-life experiences align perfectly with Pemi-Baker’s mission to support individuals and their families through their healthcare journey.

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

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

November is Home Care & Hospice Month

More and more, people prefer to be cared for in the comfort and dignity of their own homes. Pemi-Baker Hospice & Home Health provides in-home medical services that are cost-effective and person-centered. November is a chance to recognize the dedication and innovation of providers of health care at home. It is an opportunity to acknowledge recipients of in-home care services, and celebrate that they are able to remain in the safety and comfort of their own homes while receiving quality care.

Home health, hospice & palliative care providers have always been important to vulnerable citizens in our communities. But now that importance is underscored by the risk of exposure to COVID-19 in public/facility settings. When given the option, patients want to receive care in their homes. We believe that desire is stronger today than it has ever been. Pemi-Baker Hospice & Home Health is proud to support 29 communities in central and northern NH.

Home Health

Home Health provides skilled services, including nursing care, physical, occupational and speech therapy. Pemi-Baker will send a licensed professional to assess home health needs and develop a complete care plan. These services are usually short-term, as in the case of a person recovering from surgery or other health issues.

What are the costs and what is covered?
Medicare will cover home health if it is ordered by a physician and the person is homebound and in need of skilled services. Services are usually covered for a 30-day “episode of care.” However, if an individual is enrolled in a Medicare HMO, known as a Medicare Advantage Plan, services are authorized on a per-visit basis. Long-term care insurance and Medigap plans may also cover some costs of a home health aide.

Hospice Care

Hospice care brings together medical care, pain management and emotional and spiritual support for patients at the end of life and their families. The mission of hospice staff and volunteers is to address the symptoms of a terminal illness with the intent of promoting comfort and dignity. They are experts at pain management.

Hospice will manage your loved one’s pain, help you understand what he or she is going through and help you and other family members cope with your emotions. Many of us are at a loss as to what we should do before and at the time of death. Hospice professionals help you get through a very difficult time and are there even after your loved one’s death.

What are the costs and what is covered?

Medicare and Medicaid provide a hospice benefit that covers almost all of the costs of caring for a dying person during his or her last six months of life. To qualify for the Medicare hospice benefit, a person must have:

  • Medicare Part A
  • A life expectancy of less than six months
  • An agreement in writing that he or she will not pursue any treatments to cure his or her illness

The Medicare hospice benefit covers skilled nursing services, physician visits, skilled therapy (i.e. physical, speech or occupational), medical social services, nutrition counseling and bereavement counseling, most of the cost of prescription drugs for symptom control and pain relief. Short-term inpatient respite care to relieve family members from care-giving is also covered.

“I am proud to celebrate our staff who work tirelessly to provide exceptional care to our most vulnerable community members and to provide the opportunity for people to remain in their homes as long as they can,” said Pemi-Baker’s Executive Director, Danielle Paquette-Horne, RN. “I encourage everyone to learn more about their options of care and share their wishes with their family, loved ones, and health care professionals.”

For more information about how you can benefit from home health or hospice care in the home, please contact Pemi-Baker Hospice & Home health at 603-536-2232 or 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.

~written by Anna Swanson

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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