Visiting Nurses2021-02-01T19:30:06-05:00

Continuing the Tradition of Your Visiting Nurse

When a VNA nurse, social worker, therapist, or caregiver arrives at your door, you can expect expert compassionate care. We believe everyone, no matter their station, deserves to live their life at their optimal level of health, well-being, and independence, according to their personal beliefs and choices. People turn to the VNA during times of illness or injury so you can remain where you most want to be — at home.

Whether it takes a few days or a number of weeks, your home care team will be there to provide caring support and assistance. Our staff strives to help you recover comfortably and safely at home, as well as help your caregivers manage your care.

Highly Skilled Care from the Comfort of Home

The kind of care you receive at home is crucial to recovery. Through a combination of evidence-based best practices, a patient-centered team approach, and education for your caregivers, our home health staff members are committed to providing highly skilled care right in your home.

The VNA leverages over 100 years of expert care to offer a wide variety of services to meet the needs of our community.

Signs that might indicate a need for home health care:

  • Change in ability to complete daily living activities
  • Change in appetite, weight loss or difficulty in swallowing
  • Recent hospitalization or surgery
  • Dependence on a caregiver
  • Difficulty managing medications
  • New medical diagnosis and a need for teaching

  • Falls or increasing risk of falls

  • Wound care needs

  • Difficulty with pain

  • Difficulty in breath

Specific care offered by our skilled nurses and expert caregivers includes:

Frequently Asked Questions

What is Home Health Care?2021-02-26T14:30:55-05:00

Home Health Care encompasses a wide range of health care services provided in the patient’s home with the purpose of maintaining a patient’s optimal level of health, well-being, and independence, according to their personal beliefs and choices. Home care is a collaborative effort involving caregivers, physicians, and an interdisciplinary home care team. It is a cost-effective alternative to extended hospitalization, rehabilitation, or a nursing home stay. Patients are usually more comfortable in their own home and studies have shown patients recover quicker at home.

What are the Medicare criteria for Home Healthcare?2021-02-26T14:30:55-05:00

In order to receive home health care services under Medicare, the patient must require:

  • Skilled, intermittent nursing care, physical therapy, or speech therapy
  • Have a physician’s order for home health care
  • AND be homebound. Medicare considers a person to be homebound if leaving the home would require a considerable effort and if they have a condition due to an illness or injury which restricts the ability to leave home except with the aid of devices or assistance of another person. Homebound patients may leave their home if absences from the home are infrequent or for periods of relatively short duration.
What can I expect at an admission visit?2021-02-26T14:30:55-05:00

During your first visit, the nurse or therapist will share a lot of information with you. They will also make sure the information we have about you is correct. The first visit may take up to two hours. The nurse or therapist will talk about:

  • Your discharge paperwork and/or doctor’s orders
  • Your role as a patient/caregiver, including payment responsibilities
  • Your “Plan of Care,” including the services you will receive and how often team members will visit
  • Your goals for home care
  • Your medicines, including side effects and how and when to take them
  • Your risk for falling
  • How to contact the office with question or concerns
What is a typical visit like?2021-02-26T14:30:55-05:00

Because everyone’s situation is different, there is no typical visit. We work with you and your doctor to design a treatment plan based on your specific situation. The VNA team members spend as much time as they need with every patient to make sure they are getting the care needed to get healthy again.

How often will a clinician visit me?2021-02-26T14:30:55-05:00

Your specific needs and your insurance coverage will help to determine how often VNA team members visit you. The total number of visits scheduled depends on your specific needs. VNA team members visit patients an average of two to three times a week. Visits will happen less often as you improve.

How are visits scheduled?2021-02-26T14:30:55-05:00

A VNA team member will try to call you on the evening before to schedule a visit for the next day. However, sometimes they may not be able to call until the morning of the visit. We are sorry when we cannot offer more notice. We get new patients added to the schedule every day. Sometimes, they are very sick and require urgent visits. This causes our homecare team members’ schedules to change. They will always try to give you an estimated time when they will arrive. Please answer your phone or return our calls promptly.

Will I have the same nurse and/or therapist all the time?2021-02-26T14:30:55-05:00

We understand the importance of building trust with your caregiving team. That is why we try our best to schedule the same team of clinicians to visit your home every time. Changes in time of day, day of week, and after-hours may impact our ability to schedule the same nurse or therapist, so we cannot guarantee the same provider every time.

What is the HCS Service Area?2021-02-26T14:30:55-05:00

Visit our Service Area page for more information.

How can I pay for this?2021-02-26T14:30:55-05:00

Home Healthcare, Hospice & Community Services accepts Medicare, Medicaid, and many private insurances. Home Healthcare, Hospice & Community Services does not deny anyone the care necessary for their health and safety solely on the basis of ability to pay. If you do not have insurance coverage, you may be eligible for service at a reduced fee or free care.

How do I make a referral?2021-02-26T14:30:55-05:00

If you or someone you know could use the expert skilled care provided by the VNA, please contact us by calling 603-352-2253  or 800-541-4145 or by emailing us at vna@hcsservices.org. Please do not email protected health information.

Who do I contact if I have questions?2021-02-26T14:30:55-05:00

For details about specific programs that HCS can offer, give us a call at 603-352-2253 or join us for Walk-in Wednesdays!

Our VNA Services

ABOUT HCS SERVICES

Home Healthcare, Hospice & Community Services offers comprehensive services to the residents of southwestern New Hampshire. Services include:

  • Visiting Nurses

  • Hospice at HCS

  • Palliative Care Support

  • Rehabilitation Therapies

  • Healthy Starts Program

  • Nutrition for Seniors

  • Transportation

  • Castle Center Life Enrichment Day Program

  • Medical Social Work/Outreach

  • Home Health Aides

  • Homemakers

  • Wellness Programs

Financial Information

Home Healthcare, Hospice & Community Services accepts Medicare, Medicaid and many private insurances. Home Healthcare, Hospice & Community Services does not deny anyone the care necessary for their health and safety solely on the basis of ability to pay. If you do not have insurance coverage, you may be eligible for service at a reduced fee or free care.

For information or to make an appointment, please call 603-352-2253.

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