Our quality care covers Berkshire, Hampden & Hampshire Counties

Services & Disease Management Programs

Living with Heart Disease

  • What is heart failure
  • How the heart works
  • Why the heart weakens

Your cardiac rehabilitation

  • Coping strategies for shortness of breath
  • How to control your breathing
  • Using breathing equipment & aides
  • Exercise
  • How to take your pulse
  • Food labels/Salt & sodium


Maintaining your cardiac health:

  • Daily activities
  • Healthy lifestyle tips
  • Emotional health
  • Learning to relax


Telehealth Home Monitoring

  • Daily nursing review and follow-up contact for monitoring of blood pressure, heart rate, pulse oximetry  & weight
  • Individualized teaching plan
  • Health questions answered by RN
  • Emphasis on disease management


Pulmonary Disease

  • COPD/Asthma/Bronchitis assessments
  • Self-care techniques with chronic disease management
  • Understanding early warning signs
  • How to avoid hospitalization



  • What is diabetes?
  • How is it treated?
  • What are the complications of the disease?
  • Types of diabetes
  • Insulin & food interaction, blood glucose testing
  • Nutritionist available for in-home teaching/assessments


Wound Care

  • Basic wound care/Teaching in self-care
  • VAC (Vacuum Assisted Closure)
  • CETN- Nursing Specialist for complicated/difficult to treat wound care
  • Ostomy care


Medication Administration

  • Assess/teach medication effectiveness, potential side effects
  • When to call nurse/doctor
  • Assist doctor/pharmacy to prevent drug Interactions
  • Assist you with managing your daily medications:
    • Flow sheet tracking reminder
    • Pre-filled medication box
    • Locked medication box
    • Assist/teach regular Injections and/or Intravenous (infusion therapy)
    • Chronic pain management
    • Improve ability to cope/quality of life


Joint Replacement

  • Highly qualified rehabilitation team to meet all of your needs
  • Assess/teach incision care
  • Assess/teach joint replacement precautions
  • Assess/teach anticoagulation therapy
  • Assess coumadin level via ProTime machine or venipuncture


Neuromuscular Disease

  • Highly qualified rehabilitation team to meet all of your needs, from acute to chronic disease management

Nutritional Counseling

  • Assess/teach dietary changes related to disease or surgery
  • Council/teach regarding limited diet knowledge
  • Assist with meeting dietary needs due to financial constraints

Maternal & Child Health

  • Prenatal assessments, teaching & monitoring
  • Mother/baby assessments
  • Teaching breastfeeding/support


Home Health Aide

  • Personal care is provided as an extension of nursing or therapy services (when there is also skilled service in the home)


Medical Social Worker

  • Comprehensive assessment of your social and support network
  • Assist with community services & resources


Entitlement Programs

  • Lifeline, Meals-on-Wheels, Elder Service
  • Affiliated agencies
  • Adult protective services
  • Public benefit programs


Home Safety/ Falls Prevention Program

  • “Move in Time: Preventing Falls Among Older Adults”
  • Focus is on many factors – physical and environmental – that contribute to an individual’s increased risk of falls