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

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Physical Therapy

May is Arthritis Awareness Month: Pemi-Baker Hospice & Home Health Encourages Exercise for Better Balance and Flexibility

May 17, 2023

May is Arthritis Awareness Month, and Pemi-Baker Hospice & Home Health is reminding the community that exercise can help those affected by arthritis. Contrary to popular belief, exercise is beneficial for people with arthritis symptoms and can improve their overall health and quality of life.Walking for exercise, Pemi-Baker Hospice & Home Health, Plymouth, NH

Arthritis is a common condition that affects millions of people worldwide. The disease causes joint pain, stiffness, and inflammation, making it difficult for people to move and perform daily activities. While there is no cure for arthritis, proper exercise and physical therapy can help manage symptoms and reduce pain.

Pemi-Baker Hospice & Home Health has a team of experienced physical and occupational therapists who can help patients with arthritis come up with a safe and effective exercise plan. Our therapists work with patients to design individualized exercise programs that can be done at home. Even if you are homebound, our therapists can still help you stay active and healthy.Strength training, Pemi-Baker Hospice & Home Health, Plymouth, NH

Regular exercise has been shown to:

  • Reduce joint pain and stiffness
  • Improve joint flexibility and range of motion
  • Strengthen muscles and bones
  • Improve balance and reduce falls
  • Boost energy and mood

Pemi-Baker Hospice & Home Health encourages all people challenged with arthritis, to talk to their doctor about incorporating exercise into their treatment plan. Our team is here to support you and help you achieve your health and wellness goals.

To learn more about our home health physical and occupational therapy services, please visit our website or call us at 603-536-2232.

Pemi-Baker Hospice & Home Health is a trusted, nonprofit agency proudly serving 29 towns in central and northern NH since 1967. Expert services include at-home healthcare and physical therapies (VNA), hospice and palliative care, and community programs including: American Red Cross CPR/AED/FA, Caregiver and Bereavement Support Groups and Ask A Pemi-Baker Nurse days at your local senior centers. Providing compassionate care with experienced staff who are trained, certified professionals and also your neighbors.  In your time of need, we’re right where you need us.

Pemi-Baker is located at 101 Boulder Point Drive, Suite 3, Plymouth, NH. To contact us please call: 603-536-2232 or email: info@pbhha.org  Like our Facebook Page: @pemibakerhospicehomehealth

Filed Under: Healthy Living, Occupational Therapy, Physical Therapy, Press Release Tagged With: arthritis, Arthritis Awareness Month, exercise, flexibility

Getting Physical, Occupational or Speech Therapy in Your Home

February 13, 2023

Therapeutic Services Provided by Pemi-Baker Hospice & Home Health

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

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

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

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

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

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

Pemi-Baker Hospice & Home Health is a trusted, nonprofit agency proudly serving 29 towns in central and northern NH since 1967. Expert services include at-home healthcare and physical therapies (VNA), hospice and palliative care, and community programs including: American Red Cross CPR/AED/FA, Caregiver and Bereavement Support Groups and Ask A Pemi-Baker Nurse days at your local senior centers. Providing compassionate care with experienced staff who are trained, certified professionals and also your neighbors.  In your time of need, we’re right where you need us.

Pemi-Baker is located at 101 Boulder Point Drive, Suite 3, Plymouth, NH. To contact us please call: 603-536-2232 or email: info@pbhha.org  Like our Facebook Page: @pemibakerhospicehomehealth

~Written by Anna Swanson

Filed Under: Occupational Therapy, Physical Therapy, Press Release, Speech Therapy

How to Plan For Recovery at Home After Surgery

December 8, 2022

In this blog, Pemi-Baker Hospice & Home Health brings to light the services you can receive after surgery and how to be prepared before your surgery. There are a lot of things to think about when preparing for major surgery. What are the risks? Will you be in pain? Have you thought about what help you’ll need to recover? Will you be able to stay at home while you heal? Although every surgical recovery is different, the goals of home-based clinical care after surgery include patient and family involvement, shared decision-making, and flexibility around changes in plans to meet your needs.

Having home care services from Pemi-Baker can help you recover more quickly, keep you safe at home, and just as importantly, help you avoid another hospital stay.

Planning ahead for care

Although it’s not always possible to schedule your surgery in advance, you should understand beforehand how long your recovery may take, what you will and will not be able to do, and what help you will need while you are home.

Speaking to your doctor or your hospital discharge planner about home health care services prior to surgery will help you prepare for when you go home again. If your surgery is the result of an emergency situation, a family member or other caregiver could arrange for services on your behalf.

Additionally, since outpatient (day) surgery has become a much more common option, many people find themselves recovering from surgery at home the same day as their procedure. Some are unprepared to effectively manage their pain and discomfort, making it difficult for them to perform even routine tasks or basic personal care. They may be weak and tired. Managing multiple medications can be confusing and properly caring for the incision site can be challenging. The trusted, compassionate staff at Pemi-Baker will help.

How home health care helps your recovery

Home health care is personalized to fit your needs, based on your physician’s instructions and your own personal preferences. Depending on the complexity of the surgery, you may receive a single type of care or a combination of services. Nurses can provide services including wound care and medication management, while home health aides can provide assistance with personal care including bathing, dressing, and light housekeeping. Physical and occupational therapists, speech language pathologists, and social workers also play an important role in the recovery process. With orders from your doctor and input from you about your needs, the Pemi-Baker team will design a plan of care to reach your goals and help you recover.

What you can do ahead of the surgery

You can make your recovery at home go a lot smoother if you take a little time to plan ahead. Ask your doctor what you won’t be able to do at first while you’re healing up, and get help from friends and family to prepare your living space. You need to be careful about falling after an operation. “People get dizzy because they haven’t eaten for a few days and from being in bed,” says Jenn Stewart, RN, Clinical Supervisor. “You may need to get a walker or crutches to cut down your risk of a fall. Other tips to avoid stumbling would be using night lights in hallways, sleeping in a bedroom near a bathroom, wearing flat shoes or slippers and reducing the clutter in your home” said Stewart.

  • Do I need to make changes to my house? This depends on what kind of operation you have. If it’s a complicated one, like a joint replacement or stomach surgery, you may need to tweak a few things in the bathroom or bedroom for easier access.
  • Stairs: If you can’t climb up and down them after your surgery, you might have to make some changes. For instance, if your bedroom is upstairs, you may need to sleep on a lower floor for a while. Ask your friends or family to move your bed before you go into the hospital, or check into renting a hospital bed if you need it.
  • Equipment: After some types of surgery, you’ll need to get special gear at home. Plan ahead if your doctor tells you that you need oxygen tanks, elevated toilets, shower seats, supplies to care for your cut, or other items. Get in touch with your insurance company to see if they’re part of your coverage.
  • Stock your pantry: Ask your doctor if you have to stick to a certain diet. Make sure you’re well supplied with the right food before you get back home. Since you may feel tired during your recovery, prepare some meals before your operation and put them in the freezer.

There are many things you and your family can do to prepare for your surgery and give you the best possible recovery. Make arrangements in advance if your surgeon suggests getting a nurse, physical therapist, or health aide. Make sure you schedule the first visit before you leave the hospital. Pemi-Baker Hospice & Home Health can see you in less than 24 hours of arriving home.

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

Filed Under: Education, Home Care, Occupational Therapy, Physical Therapy Tagged With: Home Care, home care agencies, managing pain, Pemi-Baker Hospice and Home Health, planning for surgery, Recovery after surgery, reducing the risk of falls

In-Home Physical Therapy Helping Breast Cancer Rehabilitation

September 30, 2022

October is National Physical Therapy month as well as Breast Cancer Awareness month and the physical therapists at Pemi-Baker Hospice & Home Health can assist patients with breast cancer to live a more functional life. Often there is a missing link once a person is diagnosed with breast cancer. A patient can go through the whole diagnosis, yet have many questions about how to return to their prior level of function or how to progress themselves into strength training or exercises after treatment. Pemi-Baker therapists will come to your home, answer your questions and help you on that path of recovery.

While medical treatment for breast cancer is saving more lives, the disease may leave patients with significant side effects from chemotherapy and/or radiation causing treatment induced fatigue.

If a person undergoes surgery, there can be significant scar tissue, which causes limitations of everyday movement.  After having a lumpectomy, mastectomy and/or breast reconstruction people may experience scar tissue restrictions, swelling, shoulder, neck or back pain. If a person is feeling tightness, pain, loss of range of motion or strength, or feels like their posture is being impaired, these can be signs identifying the need for physical therapy.

Together, through physical therapy, we will help you:

  • Restore your mobility and posture
  • Decrease or eliminate your pain
  • Rebuild your strength and endurance
  • Return you to work and play
  • Boost your energy
  • Prevent or combat the effects of lymphedema

“Our team of physical therapy specialists are your partners in this journey back to health and enjoying the activities you love. We will visit you as soon as you return home, answering any questions or concerns you might have as well as help you prepare a plan, for moving and feeling better, while regaining strength and energy,” said Danielle Paquette-Horne, RN, Executive Director.

Research shows that physical exercise and activity are key factors in breast cancer survivors regaining vitality and returning to optimal health. Let us help you with these side effects so you can regain your health in motion! Call today to learn more about our experienced, home care providers: 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.

Filed Under: Home Care, Physical Therapy, Press Release Tagged With: National Breast Cancer Awareness Month, Physical Therapy Month

Preventing Falls in the Home

February 8, 2022

Falls have been a leading cause of injury for older Americans for decades, and the data on this problem is startling. As a Physical Therapist with Pemi-Baker Hospice & Home Health for nearly 12 years now, I can attest to the number of home health patients we treat annually due to a fall.  Research compiled by the CDC finds:

  • In 2018, approximately 36 million falls occurred among people aged 65 and over in the US, and of that number, there were roughly 8 million injuries.(1)
  • One out of every 5 falls among older adults causes a serious injury, such as a broken bone or a head injury.
  • In fact, falls are the most common cause for traumatic brain injuries (TBI).
  • If you are curious about the cost of all this falling to the healthcare system, annually it totals close to 50 billion dollars for non-fatal falls, and another 750 million dollars for fatal falls.
  • NH actually has a higher than average rate of deaths due to falling, with a rate of 109 deaths per 100,000 falls annually. The national average is 66-68 deaths per 100,000 falls.

The WHO has reported that people over the age of 75 tend to fall more frequently in their homes, while those younger than age 75 seem to fall outside more often.  Prior surveys found that around 30% of falls in the home happened in the living room, while another 30% were occurring in the bedroom. 19% of falls from this data set took place in the bathroom.

As for the reasons why people fall, there are numerous contributing causes.  Many times, a person who falls will have several issues that weigh in against them. The evidence shows the likelihood of falls can be influenced by many factors including:

  • A prior fall. This is often the single strongest predictor of further falls.
  • Weakness of the leg or hip muscles. This can contribute to poor balance and slower reaction times, making it harder to stop a fall if a person stumbles or bumps into something
  • Poor vision, which also influences balance
  • Use of medications such as sedatives, some pain killers, or anti- depressants. Some of these may cause drowsiness or slower reactions.
  • Joint pain, especially in the feet, ankles, knees or hips.
  • Trip/slip hazards in the home such as clutter, objects lying in hallways, poor lighting, high thresholds, liquid spilled onto floors.

Fortunately, there are some effective options available to help reduce the chances of falling. The CDC has published a manual titled “A CDC Compendium of Effective Fall Interventions”.  The first item they go over is exercise. Studies have repeatedly shown that specially designed exercises aimed at weak muscles and poor balance can be effective for many people in reducing falls.

The second item in the CDC Compendium effective for reducing falls was modification to the living environment. This might consist of things like making sure there is adequate lighting, getting rid of broken down old footwear, installing color contrasting tape on stairs, or getting a shower chair and hand-held shower attachment in place.

For over 55 years, Pemi-Baker Hospice & Home Health has been providing services exactly as I have described above, to people in Grafton County, right in their homes.  Our agency has highly trained, caring Occupational and Physical Therapists who can bring their expertise to your home and give you the right guidance on what you should do to reduce your chances of a fall.  We can create custom home exercise programs and recommend practical, effective ways to modify your living environment for better safety.  While our outpatient OT and PT service has now transitioned to operating thru the Mid-State Health Center, Pemi-Baker Hospice & Home Health continues to provide top quality in-home OT, PT, and Nursing care.  For more details, call or check our website www.pbhha.org.

References:

  1. https://www.cdc.gov/falls/index.html

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

~written by Ernest Roy PT DPT, Quality Director PBH&HH

Filed Under: Home Care, Occupational Therapy, Physical Therapy, Press Release Tagged With: Fall Prevention, in-home physical therapy, Occupational Therapy, Preventing falls, Trip hazards

Pemi-Baker Community Health Improving the Lives of Parkinson’s Patients

April 23, 2021

(Plymouth)– Physical therapists at Pemi-Baker Community Health (PBCH) are movement experts who improve quality of life through hands-on care, patient education, and prescribed movement.  For almost a year, PBCH’s LSVT BIG specialist, Kaity Schwartzer, PT, DPT has been helping those experiencing the symptoms of Parkinson’s disease achieve amazing results, giving them renewed hope. For National Parkinson’s Awareness month, Pemi-Baker Community Health hopes to raise awareness of what can be done NOW if you are experiencing symptoms.

While you’ve likely heard of Parkinson’s disease (PD), many people don’t know exactly what the condition is or how it manifests itself. The condition can occur when there is a loss of brain cells that produce a chemical called dopamine. The four common symptoms are: tremors, limb and trunk stiffness, the slowing down of movement and weak balance or coordination.  About 500,000 people in the U.S. have Parkinson’s disease, with about 50,000 people being diagnosed each year, according to the National Institute of Neurological Disorders and Stroke.

Since PD symptoms increase over time, as they become worse, patients can have trouble with simple tasks such as getting in and out of bed or the bathtub— or even walking and talking. People with PD may also experience “freezing,” where they have extreme difficulty starting to walk again after having stopped, or difficulty stopping walking once started. This may lead to falls in the home and when out in the community. Pemi-Baker Community Health can help.

LSVT BIG

LVST BIG therapy was developed specifically for people with Parkinson’s disease and other neurological conditions. Treatments target whole body movements for activities of daily living. LSVT programs are administered by specially-trained therapists, in an intensive manner — four times per week for four weeks — and are tailored to each patient.

Therapists ask patients to move in BIG or amplified ways, whether they’re walking, buttoning shirts and pants, getting keys or change out of pockets, or writing. These lead to smoother, larger, safer movements and improved quality of life.

Today, there are over 16,000+ physical and occupational therapists trained and certified in LSVT BIG in 42 countries around the world. Here at Pemi-Baker Community Health, Kaity Schwartzer, PT, DPT is certified to administer this technique. Treatments delivered by LSVT-certified clinicians consist of the following:

  • Four LSVT-BIG sessions a week, for four consecutive weeks
  • Sessions are individual one-hour treatment sessions
  • Daily homework practice (all 30 days of the month)
  • Daily carryover assignments (all 30 days of the month)

LSVT therapy benefits

Schwartzer says LSVT BIG patients typically notice improvements in walking, getting in and out of chairs, and rolling in bed as well as overall flexibility, balance, strength and endurance. Because the program is specific to individual patients and their needs, results are based on personal goals.

As for whom it can help, Schwartzer says, “the people with Parkinson’s disease who benefit the most from LSVT BIG therapy are those with minimal to moderate symptoms but as the protocol is customizable, anyone with PD at any stage of the disease may benefit.” Schwartzer can see people who have severe PD, even those who cannot walk or stand well, as all exercises can be modified to be laying down in bed if needed. The program requires cognitive effort to change habits and reprogram the brain to make bigger, more efficient movements, so patients who have little to no cognitive problems are the most successful.

Cynthia Mathews, a LSVT BIG participant, was hoping to slow the progression of her disease and was surprised how quickly she noticed changes. “Prior to BIG program participation, my neurologist was always encouraging me to, ‘Stand up straight’, and ‘Pick up your feet’ while walking, but I saw no way to do this without thinking about what I was doing with my arms, legs, and spine every single second.  It just sounded impossible.  However, after only two weeks participation in LSVT BIG, I noted that I had regained the ability to walk with good posture and no shuffling of my feet with virtually no conscious effort whatsoever.  My husband has commented on my ‘new’ normal walk.  That has made me feel good, and has helped to maximize my motivation” said Mathews.

Assistance at Pemi-Baker Community Health

Pemi-Baker Community Health currently offers LSVT BIG therapy at their location on Boulder Point Drive in Plymouth, NH.  Prospective patients need to obtain a referral from their physician specifying LSVT BIG and Pemi-Baker Community Health.  The LSVT BIG program falls under the same health insurance coverage as typical physical therapy, check with your insurance provider for your specific policy coverages.

Filed Under: Physical Therapy, Press Release Tagged With: April National Parkinson's Awareness, LSVT BIG, LSVT Global, LSVT LOUD, Parkinson's disease, physical therapy

Benefits and Considerations for In-Home Physical Therapy

February 19, 2021

A physical therapist (PT) is a specialist trained to work with you to restore your activity, strength, and motion following an injury or surgery.  Physical therapists can teach specific exercises, stretches, and techniques and use specialized equipment to address problems you might be experiencing. Pemi-Baker Community Health’s compassionate, experienced PT’s will come to your home for your therapy and once you are able, you can transition to Outpatient Physical Therapy(OPT), where you travel to them at their clinic in Plymouth, NH.

Physical therapy care may be provided in a variety of different settings. Obviously, if you are hospitalized, your therapy may be provided by a physical therapist who works at the hospital. If you require sports therapy, you may go to an OPT clinic. Some patients have difficulty leaving the house to go to physical therapy. In-home physical therapy is the perfect solution.

So what is in-home physical therapy, and how might you benefit from PT in your home?

Physical therapists are trained to identify deficiencies in the bio-mechanics of the body. Working with a physical therapist can target specific areas of weakness in the way our bodies work. They can relieve stress and help the body function without pain.

Physical therapists are knowledgeable about surgical procedures and treatment goals and can tailor their efforts to improve your well-being. After surgical procedures, it is important that therapy is guided by the surgical procedure. Physical therapists are knowledgeable about your body’s limitations after surgery and can help ensure a successful outcome.

Stretching Tight Muscles and Joints: Stretching is vital in maintaining a good range of motion with joints and the flexibility of muscles. If you have stiff joints or tight muscles, normal activities, such as climbing stairs or reaching overhead, can be severely affected. With proper stretching, these functions can be preserved.

After an injury or surgery, scar tissue forms and soft tissue contracts. It is important to regularly stretch in these situations to ensure that scar formation does not get in the way of your rehabilitation.

Exercises to Strengthen Your Body: Strengthening exercises are performed to help you improve the function of your muscles. The goal is to improve strength, increase endurance and maintain or improve range of motion. Post-operative exercises should always be guided by your doctor and physical therapist, as there may be specific restrictions for your injury. One of the most recent developments in physical therapy is the emphasis on core strengthening and stability. The core of your body is like the foundation of your house. If you were to build your house on a weak foundation, you could risk damage and collapse. Similarly, bodies with a weak core are susceptible to acute injury and chronic overuse syndromes.

Who Benefits from In-home PT?

Anyone experiencing:

  • Knee injuries, shoulder injuries, back injuries, and neck injuries
  • Parkinson’s disease
  • Multiple sclerosis
  • Stroke
  • Amyotrophic lateral sclerosis (ALS)
  • Any cardiac event like a heart attack
  • Trauma such as fracture.

Is In-Home PT Effective?

Many people wonder if home-care physical therapy is effective. Why? Because many believe that you need expensive, heavy equipment and exercise tools to engage in an effective rehab program. This is not necessarily true. Your home-care physical therapist is trained to utilize available resources to maximize your rehab experience. He or she can also bring light equipment to your home to ensure you get the most out of your physical therapy.

How Do You Get Home care PT?

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

If you feel you may benefit from physical therapy at home, you can also call your local physical therapy clinic or visiting nurse association like Pemi-Baker Community Health. Those organizations can help you navigate the pathway to receiving home-care PT.

~written by Anna Swanson

Filed Under: Physical Therapy Tagged With: ALS, Fracture, Heart Attack, home care physical therapy, in-home physical therapy, Multiple sclerosis, Parkinson's disease, physical therapy, Post-surgery PT, stroke

Six Common Myths About Physical Therapy Explained

December 8, 2020

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

Filed Under: Physical Therapy, Press Release Tagged With: improving balance, physical therapy, rehabilitation, sports injury

Pemi-Baker Community Health Helping Breast Cancer Survivors

October 16, 2020

October is National Physical Therapy month as well as Breast Cancer Awareness month and the physical therapists at Pemi-Baker Community Health (PBCH) can assist patients with breast cancer to live a more functional life.  Often there is a missing link once a person is diagnosed with breast cancer. A patient can go through the whole diagnosis, yet have many questions about how to return to their prior level of function or how to progress themselves into strength training or exercises.

After a person undergoes surgery, there can be significant scar tissue, which causes limitations of everyday movement. If a person is feeling tightness, pain, loss of range of motion or strength, or feel like their posture is being impaired, these can be signs identifying the need for physical therapy. Treatment for breast cancer is saving lives. Let us help you with these side effects of breast cancer treatment so you can regain your health in motion!

Together, through physical therapy, we can:

  • Restore your mobility and posture
  • Decrease or eliminate your pain
  • Rebuild your strength and endurance
  • Return you to work and play
  • Boost your energy
  • Prevent or combat the effects of lymphedema

Research shows that physical exercise and activity are key factors in breast cancer survivors regaining vitality and returning to optimal health. While medical treatment for breast cancer is saving more lives, the disease may leave patients with significant limitations.

Breast cancer rehabilitation can help patients with:

  • Post lumpectomy or mastectomy
  • Breast reconstruction
  • Scar tissue restrictions
  • Lymphedema
  • Lymphatic cording or “Axillary Web Syndrome”
  • Shoulder, neck, or back pain
  • Side effects from chemotherapy and radiation
  • Treatment induced fatigue

Our team of physical therapy specialists are your partners in this journey back to health and enjoying the activities you love. At Pemi-Baker Community Health, you will benefit from a combination of advanced exercise prescription and manual therapy intervention to restore your range of motion, decrease swelling, and reduce pain. We are ready to help you move better and feel better, while regaining strength and energy.

Call today to learn more about our home care and outpatient, expert providers.

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.

~Anna Swanson

Filed Under: Education, Physical Therapy, Press Release Tagged With: Breast Cancer, lymphedema, National Breast Cancer Awareness Month, National Physical Therapy Month, physical therapy, restoring function, restoring range of motion & strength, side effects of breast cancer

LVST BIG Program Helping Those With Parkinson’s Disease

October 8, 2020

Every October we celebrate National Physical Therapy Month, an annual opportunity to raise awareness about the benefits of physical therapy. Regular physical activity is one of the most important things that you can do for your health.  Unfortunately, more than 80% of adults and adolescents do not get enough.  Physical therapists at Pemi-Baker Community Health are movement experts who improve quality of life through hands-on care, patient education, and prescribed movement.  It’s never too late to get moving and this article explains how physical therapy can help those experiencing the symptoms of Parkinson’s disease.

While you’ve likely heard of Parkinson’s disease (PD), many people don’t know exactly what the condition is or how it manifests itself. The condition can occur when there is a loss of brain cells that produce a chemical called dopamine. The four common symptoms are: tremors, limb and trunk stiffness, the slowing down of movement and weak balance or coordination.  About 500,000 people in the U.S. have Parkinson’s disease, with about 50,000 people being diagnosed each year, according to the National Institute of Neurological Disorders and Stroke.

Since PD symptoms increase over time, as they become worse, patients can have trouble with simple tasks such as getting in and out of bed or the bathtub— or even walking and talking. People with PD may also experience “freezing,” where they have extreme difficulty starting to walk again after having stopped, or difficulty stopping walking once started. This may lead to falls in the home and when out in the community. Pemi-Baker Community Health can help.

LSVT BIG

LVST BIG therapy was developed specifically for people with Parkinson’s disease and other neurological conditions. Treatments target whole body movements for activities of daily living. LSVT programs are administered by specially-trained therapists, in an intensive manner — four times per week for four weeks — and are tailored to each patient. 

Therapists ask patients to move in BIG or amplified ways, whether they’re walking, buttoning shirts and pants, getting keys or change out of pockets, or writing. These lead to smoother, larger, safer movements and improved quality of life.

Today, there are over 16,000+ physical and occupational therapists trained and certified in LSVT BIG in 42 countries around the world. Here at Pemi-Baker Community Health, Kaity Schwartzer, PT, DPT is certified to administer this technique. 

Treatments delivered by LSVT-certified clinicians consist of the following:

  • Four LSVT-BIG sessions a week, for four consecutive weeks
  • Sessions are individual one-hour treatment sessions
  • Daily homework practice (all 30 days of the month)
  • Daily carryover assignments (all 30 days of the month)

LSVT therapy benefits

Schwartzer says LSVT BIG patients typically notice improvements in walking, getting in and out of chairs, and rolling in bed as well as overall flexibility, balance, strength and endurance. Because the program is specific to individual patients and their needs, results are based on personal goals.

As for whom it can help, Schwartzer says, “the people with Parkinson’s disease who benefit the most from LSVT BIG therapy are those with minimal to moderate symptoms but as the protocol is customizable, anyone with PD at any stage of the disease may benefit.” Schwartzer can see people who have severe PD, even those who cannot walk or stand well, as all exercises can be modified to be laying down in bed if needed. The program requires cognitive effort to change habits and reprogram the brain to make bigger, more efficient movements, so patients who have little to no cognitive problems are the most successful.

Assistance at Pemi-Baker Community Health

Pemi-Baker Community Health currently offers LSVT BIG therapy at their location on Boulder Point Drive in Plymouth, NH.  Prospective patients need to obtain a referral from their physician specifying LSVT BIG and Pemi-Baker Community Health.  The LSVT BIG program falls under the same health insurance coverage as typical physical therapy, check with your insurance provider for your specific policy coverages.

With over 50 years of experience, serving clients from 20+ 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

Filed Under: Education, Physical Therapy, Press Release Tagged With: LSVT BIG, National Physical Therapy Month, Parkinson's disease, physical therapy

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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 Community 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.
https://www.pemibakercommunityhealth.org/testimonials/the-rewards-of-being-a-hospice-volunteer/

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 Community 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!
https://www.pemibakercommunityhealth.org/testimonials/you-give-of-yourselves-day-night-without-end/

“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 Community 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.
https://www.pemibakercommunityhealth.org/testimonials/weve-loved-the-swim-lessons-at-pemi-baker/

“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 Community 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.
https://www.pemibakercommunityhealth.org/testimonials/i-was-ready-to-give-up-before-i-met-the-pemi-baker-team/

“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 Community 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.
https://www.pemibakercommunityhealth.org/testimonials/im-so-happy-that-i-found-pbch/

“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 Community 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.
https://www.pemibakercommunityhealth.org/testimonials/everyone-is-so-understanding-supportive-and-kind/

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 Community 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!
https://www.pemibakercommunityhealth.org/testimonials/your-courage-during-covid-19-does-not-go-unnoticed/
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Tel: (603) 536-2232

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Tel: (603) 536-2232

Pemi-Baker Hospice & Home Health
101 Boulder Point Drive, Suite 3
Plymouth, NH 03264

Fax: (877) 201-0469
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