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This May, National Stroke Awareness Month, let’s focus on optimizing patient recovery after a stroke. Home Health Care plays a vital role in supporting patients on their journey back to independence.

Here’s how Home Health care benefits stroke survivors:

Benefits for Medical Professionals:

Partner with us to empower stroke recovery. Contact us today to discuss how Home Health Care can benefit your patients.

Honoring Our Elders: Optimizing End-of-Life Care Through Early Hospice Education

As we approach Older Americans Month in May, it’s crucial to recognize the unique healthcare needs of this growing demographic. With advancements in medicine, life expectancy has risen significantly, yet many older adults face the reality of terminal illness. Here, we explore the importance of hospice care for our seniors and the role physicians play in educating them about this valuable resource.

The End-of-Life Landscape for Older Adults

Older adults are disproportionately affected by chronic and life-limiting illnesses. According to the National Hospice and Palliative Care Organization (NHPCO), nearly 80% of hospice patients are over 65 [1]. Traditional, aggressive medical interventions may not always align with their goals for end-of-life care.

Hospice: A Paradigm Shift

Hospice care offers a patient-centered approach, focusing on comfort, symptom management, and emotional support for both the patient and their loved ones during the final stages of life. It allows patients to remain in their preferred setting, often their home, surrounded by family. Hospice teams comprise physicians, nurses, social workers, chaplains, and volunteers who provide comprehensive care, addressing not just physical needs but also psychosocial and spiritual concerns.

Physician as End-of-Life Care Advocate

Physicians hold a unique position of trust and influence in the lives of their older patients. Early and open discussions about hospice are essential to ensure informed decision-making. Here’s how physicians can champion hospice education:

By integrating hospice education into their practice, physicians empower their older patients to make informed choices about their end-of-Life care. This fosters a dignified and comfortable transition, honoring the legacy of our cherished older Americans.

Our team is dedicated to providing exceptional hospice care to our community. We partner with physicians to ensure patients receive the support they deserve throughout their final journey.


1.            National Hospice and Palliative Care Organization [NHPCO]: https://www.nhpco.org/

Empowering Patients with High Blood Pressure: The Role of Home Health Care

This May, during National High Blood Pressure Education Month, let’s focus on empowering patients to manage their hypertension effectively. Home Health Care can be a powerful tool in your patient’s fight for better cardiovascular health.

Beyond the Doctor’s Office: Education and Support in the Home

Many patients with high blood pressure struggle with lifestyle modifications – a cornerstone of managing the condition. Home Health professionals can bridge the gap between doctor’s visits, providing ongoing education and support. They can:

The Physician’s Eyes and Ears at Home

Home Health professionals act as your eyes and ears in the patient’s home environment. They can:

Living Well with High Blood Pressure

Home Health Care empowers patients to manage their high blood pressure effectively, allowing them to live their best lives at home. Partnering with home health professionals allows you to provide:

This May, let’s work together to empower patients with high blood pressure to thrive at home!

As the demographics of the United States shift towards a growing elderly population, the need for effective senior care solutions becomes increasingly paramount. For many older adults, particularly those with a desire to age in place, home care services offer a vital bridge between maintaining independence and receiving essential support. This article explores the multifaceted benefits of Home Health Care.

Preserving Independence and Autonomy

A defining characteristic of Home Health Care is its ability to empower seniors to remain in their familiar surroundings. This fosters a sense of control and dignity, promoting continued mental and emotional well-being. Studies have shown that social isolation and feelings of helplessness can exacerbate health issues in older adults. Home Health Care provides not only assistance with daily living activities (ADLs) but also provides companionship, reducing loneliness and isolation.

Improved Health Outcomes and Reduced Costs

There is a growing body of evidence demonstrating the positive impact of Home Health Care on health outcomes. Reduced hospital readmission rates and earlier intervention for chronic conditions are just some of the benefits observed. Additionally, Home Health, compared to facility-based care, offers a more cost-effective solution for both families and healthcare systems.

Collaboration and Continuity of Care

Home Health acts as a vital link within the broader healthcare ecosystem. We collaborate effectively with physicians, specialists, and families to ensure a seamless continuum of care. Regular communication allows for prompt identification of health concerns and the implementation of necessary adjustments to the care plan.

Supporting Referral Sources

By understanding the significant advantages of Home Health Care, healthcare professionals can confidently recommend these services to their senior patients. Home Health empowers older adults to live safely and comfortably within their own homes, promoting improved well-being and reducing the strain on healthcare resources. This collaborative approach fosters a positive and dignified living experience for our aging population.

Ready to learn more?  We are here to help, contact us today!

Celebrating Interprofessional Collaboration: Thank you for Partnering in Patient Care

This National Interprofessional Healthcare Month, Grane Home Health & Hospice extends our sincere gratitude to our valued referral partners.

Your dedication to providing exceptional care for your patients inspires us. We recognize the critical role you play in their overall well-being, and we deeply appreciate your trust in partnering with us to extend that care into the home environment.

Together, through effective interprofessional collaboration, we strive to:

We are committed to clear and consistent communication:

As trusted partners, we are always just a phone call or email away. Please don’t hesitate to reach out to us for any patient who might benefit from our comprehensive home health services.

Thank you for choosing Grane Home Health & Hospice as your partner in delivering exceptional patient care.

Pain Medications at the End of Life: Clearing Up Concerns for Hospice Caregivers

Caring for a loved one on hospice care can be a challenging and emotional experience. One of the biggest concerns for families is often pain management. Here’s what you need to know about pain medications at the end of life, dispelling common misconceptions and empowering you to make informed decisions for your loved one.

What is hospice, and what role do pain medications play?

Hospice care focuses on comfort and quality of life for people in the final stages of a serious illness. It’s NOT about hastening death, but about ensuring dignity and alleviating suffering. Pain medications play a crucial role in achieving this goal.

Common questions families have:

Common misconceptions to clear up:


Additional resources:

By understanding the role of pain medications in hospice care and addressing common concerns, you can make informed decisions and ensure your loved one receives the comfort and support they deserve during this sensitive time.

Navigating Stress in Chronic Conditions: A Guide for Patients and Caregivers

Living with a chronic condition, or caring for someone who does, can be a profound and life-changing experience. Both roles come with their unique sets of challenges, stresses, and rewards. It’s vital to find effective ways to manage stress to maintain both physical health and emotional well-being. This guide explores practical strategies for individuals with chronic conditions and their caregivers to manage stress and improve their quality of life.

Mindfulness and Emotional Support

For Individuals with Chronic Conditions

For Caregivers

Physical Wellness and Activities

For Individuals with Chronic Conditions

For Caregivers

Practical Support and Resources


Managing stress is crucial for both individuals with chronic conditions and their caregivers. By embracing mindfulness, focusing on physical wellness, and utilizing available resources, it’s possible to navigate these challenges with grace and resilience. Remember, self-care is not an act of selfishness but a necessity, enabling you to provide the best care for your loved one.

Supporting Your Patients Throughout Their Cancer Journey: Home Health Makes a Difference

This National Cancer Control Month, empower your patients with comprehensive care at home.

As an Oncologist, you understand the unique needs of patients facing a cancer diagnosis. Home Health services can be a valuable extension of your practice, providing a seamless continuum of care during this critical time.

Partnering with Grane Home Health

Here’s how partnering with Grane Home Health benefits your patients:

Close Collaboration

We collaborate closely with you to ensure a coordinated care plan that meets each patient’s specific needs.

Grane Home Health is dedicated to providing exceptional care that complements your expertise.

Partner with us to empower your patients to heal and thrive in the comfort of their own homes.

Contact us today to discuss a referral program tailored to your practice.

Together, let’s ensure the best possible outcomes for your patients during and beyond their cancer treatment.

Grane Hospice was recently featured on abc27 News in Harrisburg for our partnership with the Central Dauphin football team.

Volunteering is a cornerstone of the Central Dauphin football team, and it has been our pleasure to partner with them in their volunteer efforts. For the last 15 years, the team has donated their time to Grane and our hospice patients.

We are truly grateful for the entire football organization for sharing their time, talents, and smiles with our hospice patients.

Read the full article here.

More than 1.7 million patients received hospice care annually in the United States. In the hospice setting, narcotics, often known as opioids, play an essential role in relieving pain and shortness of breath for our loved ones with a terminal illness. The use of narcotics in hospice care is generally safe and effective. However, healthcare providers, patients, and their families must understand the potential risks of using these medications.

Benefits and Risks of Narcotics in Hospice Care

Narcotics offer many benefits, including the management of severe pain and shortness of breath that hospice patients often experience. Decreasing pain and discomfort can significantly improve their quality of life in several ways, allowing them to engage more fully in everyday activities. Available dosage forms include tablets, liquid, patches, and injections, allowing for flexibility based on each patient’s needs.

While opioids can be highly effective in controlling pain, side effects can also negatively impact the patient’s quality of life. Common side effects to consider are sedation, constipation, nausea, and confusion. Constipation caused by opioid medications is extremely common and can sometimes limit the use of higher doses that may be needed to successfully manage pain.

The Importance of a Bowel Regimen

Because all narcotics cause constipation, this is a significant side effect that we must address. Unlike other gastrointestinal side effects from narcotics, which may improve over time, opioid-induced constipation is persistent. Without a proactive bowel regimen, constipation can become chronic, increasing the risk of complications such as bowel obstructions.

A bowel obstruction occurs when a blockage in the intestine prevents the normal movement of food and waste through the digestive system. Narcotics can slow the movement of the intestines, leading to a buildup of food and waste. This may eventually cause a blockage. Fortunately, bowel obstructions in hospice care are relatively uncommon, occurring in about 3% to 5% of patients.

A bowel regimen typically includes the use of stimulant or osmotic laxatives, stool softeners, and dietary changes to help prevent and manage constipation. Stimulant laxatives can help stimulate bowel movements, while stool softeners can help soften the stool, making it easier to pass. Increased fluid intake and dietary fiber can also promote regular bowel movements.

How Serious is a Bowel Obstruction?

A bowel obstruction in a hospice patient can be a serious condition. If left untreated, a bowel obstruction can lead to complications such as bowel perforation, infection, or sepsis, which can be life-threatening.

The common symptoms of a bowel obstruction include:

How Do You Treat a Bowel Obstruction?

Managing bowel obstructions in hospice patients can be challenging. Treatment should include a multidisciplinary approach that focuses on providing comfort and relieving symptoms. In some cases, surgery may be needed to remove the blockage, but this is often not possible in hospice patients due to the risks involved.

Non-surgical treatments are typically used to decrease the degree of blockage, stimulate the bowel, and manage symptoms. These treatments may include the following:

The use of narcotics in hospice care is an essential part of managing pain and improving the quality of life for patients with a terminal illness. While bowel obstruction is a hospice patient is a serious condition, the use of a consistent bowel regimen is an important step in reducing this risk. Clinicians and caregivers alike must be aware of the signs of bowel obstruction in hospice patients and, if they suspect a problem, seek medical attention quickly. By promptly recognizing and treating bowel obstructions, we can alleviate symptoms and improve patients’ comfort in their last days.


  1. https://oig.hhs.gov/reports-and-publications/featured-topics/hospice/
  2. Tradounsky G. Palliation of gastrointestinal obstruction. Can Fam Physician. 2012 Jun.;58(6):648-52. , https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3374686/#:~:text=Functional%20and%20partial%20obstructions%20require,increased%20vomiting%20or%20abdominal%20cramping.
  3. Sizar O, Genova R, Gupta M. Opioid-Induced Constipation. [Updated 2023 Aug 7]. https://www.ncbi.nlm.nih.gov/books/NBK493184/

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