Peninsula Home Care Takes Education and Lifestyle Approach to Alzheimer’s Disease

SALISBURY, MD – No two people experience the disease the same way and no single test can diagnose it.  Alzheimer’s Disease – a brain disease that causes a slow decline in memory, thinking and reasoning skills.  Even though it is the most common type of dementia and more than 5 million Americans are living with it, there are many misconceptions and a sense of shame associated with the disease. World Alzheimer’s Month in September was launched to raise awareness about dementia and focus on educating and challenging the stigma associated with the disease. 

“Dementia has a negative stigma because people do not truly understand how to manage or cope with someone with cognitive deficits,” said Karen Musengwa, Peninsula Home Care speech therapist and certified dementia practitioner.  “Often times when someone has dementia the thought is ‘they have dementia and there is nothing that can be done.’ This is due to lack of information, decreased caregiver time, energy and resources as well as decreased patience and creativity. All of these things are important when caring for someone that has dementia.” 

“When we care for a patient with dementia, our team focuses on the individual’s abilities rather than deficits,” said Barbara Murray, Maryland branch director, Peninsula Home Care.  “They will experience many successes and positive outcomes that provide a sense of relief to the individual and their caregiver.” “They still have a sense of self,” added Karen.  “When deficits are the primary focus, it promotes a mentality of failure and hopelessness.”

Many still think dementia is caused by normal ageing. Here’s the difference.  The rate at which brain cells die for individuals with dementia is much more rapid and steady than the normal ageing process. 

Early Signs of Alzheimer’s

  • Memory loss that disrupts daily life
  • Challenges in planning or solving problems
  • Difficulty completing familiar tasks
  • Losing track of the date or the season
  • Trouble understanding visual images and spatial relationships
  • New problems with words in speaking or writing
  • Misplacing things and losing the ability to retrace steps
  • Decreased or poor judgement
  • Withdrawal from work or social activities
  • Changes in mood or personality

Typical Age-Related Change

  • Occasionally needing help recording a TV show
  • Missing a monthly payment
  • Needing a reminder on how to use the microwave
  • Getting confused about the day of the week but figuring it out
  • Vision changes related to cataracts
  • Sometimes having trouble finding the right word
  • Losing things from time to time
  • Making mistakes like forgetting to change the oil in the car
  • Feeling uninterested in family or social obligations every once in awhile
  • Developing specific ways of completing tasks and getting upset when a routine is disrupted

The Good News

Eating a diet rich in whole foods – not processed, exercising regularly, getting adequate sleep, reducing stress, and having a positive social circle can reduce the risk of developing dementia.

“It is important to develop these habits early on in your 30’s and 40’s because the damage in the brain occurs 15 to 20 years before individuals first seek medical attention,” said Karen. 

Peninsula Home Care Pushes Patient Education on Two Senior Flu Vaccines During Influenza Awareness Month

SALISBURY, MD – It doesn’t discriminate. The flu comes on fast and furious and effects everyone from infants to the elderly. The best way to protect against the flu and its potentially serious complications is with a yearly seasonal flu vaccine. The CDC recommends everyone six months of age and older get vaccinated by the end of October but if flu viruses are circulating, vaccination should continue throughout the flu season and even into January.

“Influenza can be quite serious for the people we care for because of their age,” said Barbara Murray, Maryland branch director, Peninsula Home Care. “Our team is working proactively to educate our patients and caregivers about the need to stay informed about changing vaccines that are updated each season to keep up with the changing viruses. We also know immunity wanes over a years time so annual vaccinations are needed to ensure the best possible protection against influenza.”

Flu Facts:

  • Immunity from vaccination sets in after approximately two weeks
  • People 65 years and older should get a flu shot and not a nasal spray vaccine.
  • There are regular flu shots approved for people 65 and older and there are two vaccines designed specifically for people 65 and older

Extra Strength for Seniors

A high-dose vaccine called FLUZONE is recommended for those 65 and older. It has four times as much active ingredient as a regular flu shot which means it can do a better job of getting an older immune system up and running.

FLUAD is a standard-dose, three-component inactivated flu vaccine, that contains an adjuvant. An adjuvant is an ingredient added to a vaccine that helps create a stronger immune response to vaccination.  It is manufactured using an egg-based process – like most flu vaccines.

The high dose and adjuvanted flu vaccines may result in more mild side effects over the standard-dose seasonal shots. Mild side effects can include pain, redness or swelling at the injection site, headache and muscle ache.

Peninsula Home Care Engaged in Medical Community’s Push on Sepsis Education

SALISBURY, MD – Early identification of Sepsis takes place in the emergency room, and from there – the race is on. Urgent attention and rapid treatment are critical for survival as mortality from sepsis increases by as much as 8% for every hour that treatment is delayed.

“We are very aggressive with our Sepsis protocol,” said Dr. Christopher Snyder, Chief Medical Quality Officer, Peninsula Regional Health System. “Our multi-disciplinary team meets monthly to assess all cases and we can see that our early goal-directed therapy is providing significant benefits with respect to outcome in patients with severe sepsis or septic shock.”

Dr. Snyder added when a “high sepsis score” is identified in a patient they are immediately treated and considered in recovery within as little as six hours. The sooner the individual can receive antibiotics, the more likelihood for survival.

“This isn’t just here at PRMC, it is a nationwide push,” said Snyder.  “Hospitals across the country are being heavily scrutinized for the number of sepsis admissions they report. Medicare examines each diagnosis, looks to see if the patient improved and if there is an overall decrease in sepsis readmissions to each hospital.”

Sepsis is part of Peninsula Home Care’s ECIP (Episode of Care Improvement Program) partnership with PRMC and other healthcare groups in the community. As one of the conditions that sends patients back to the hospital, PHC is following the same disease process teaching as PRMC to track and trend patient results to provide better care, policies and processes in addition to identifying educational opportunities.

“Our goal is to develop educational materials to influence across the continuum of care that will benefit patients, caregivers and physicians,” said Nancy Bagwell, Peninsula Home Care, Vice President of Home Health Operations. “Sepsis is not easy to diagnose and not easy to recognize so we want to arm our patients with as much information as possible.”

Symptoms of Sepsis include:

S – Shivering, fever, or very cold

E – Extreme pain or general discomfort (“worst ever”)

P – Pale or discolored skin

S – Sleepy, difficult to rouse, confused

I – “I feel like I might die”

S – Shortness of breath

“We educate our patients and caregivers about the signs and symptoms of sepsis as it attacks several systems of the body, lungs, blood and kidneys,” said Juanita Davenport, Peninsula Home Care Clinical Manager Care Coordination. “Many of our patients already have weakened immune systems so we want to help them prevent sepsis from returning by staying hydrated, simply washing their hands after using the bathroom and prior to preparing meals and using their arm to cover their mouth when they cough. It’s the little things that make a big difference.”

Peninsula Home Care Linking Dementia with Speech Pathology

SALISBURY, MDImagine suffering a stroke and not being able to express feelings or communicate at a functional level. Think of the challenges that come with being fed through a tube and not being able to eat a full meal.  These are two examples of scenarios where a speech therapist would be ordered by a physician to help a patient with speech, eating, drinking and swallowing.

“Stroke, accidents and major surgeries are closely associated with the types of patients I see but I also have a lot of dementia patients on my case load,” said Karen Musengwa, Peninsula Home Care Speech Language Pathologist and Certified Dementia Practitioner. “Dementia causes communication difficulties and mealtime challenges not only for the patient but the caregiver as well.”

Karen Musengwa with Peninsula Home CareKaren Musengwa has worked for Peninsula Home Care as a speech therapist for a year and a half.  She brings with her 17 years of work experience as a Speech Language Pathologist. She graduated from Ithaca College with a Bachelor of Science in Teacher of the Speech and Hearing Handicapped and Master of Science in Speech-Language Pathology. She is a licensed Maryland State Speech-Language Pathologist and a Certified Dementia Practitioner.

“Just like the patient recovering from a severe car accident, unable to communicate, cognition is a big part of speech therapy,” said Musengwa. “I work with individuals with dementia and their caregivers to understand where they are in the disease process, tap into what they can do and provide support for caregivers to maximize effective communication and quality of life.  We know improved communication has an impact on social skills, peer relationships and behavior and can greatly minimize stress and anxiety for both the patient and caregiver.”

“We value Karen’s ability to empower a patient and their family through education and communication,” said Barbara Murray, Maryland branch director. “Her skills play an important role in assessing a patient’s capacity to consent to treatment or care. Her expertise allows her to advise on effective means of presenting information to a person with dementia in a way that maximizes their freedom of choice.”

In addition to being a Speech Pathologist, Karen also is a Certified Holistic Health Coach. Karen is the owner and founder of Your Beautiful Self Health and Wellness. In her health coaching business Karen’s mission is to help individuals prevent and reverse chronic disease through lifestyle changes.

“Exercise grows the brain. Stress shrinks it. We know you can impact your brain through diet and other lifestyle changes to heal the body. Simply staying away from processed foods and cutting out sugar and refined carbs are some simple steps to get started.”

For more information about speech therapy and dementia services, call 410-543-7550.

Peninsula Home Care Hosts First Annual OWL (Older & Wiser Living) Summit on June 4, 2019

2019 OWL Summit

Free Health Conference will cover Cutting Edge Technology, Therapies & Care Coordination

SALISBURY, MD – Peninsula Home Care is pleased to announce the First Annual OWL – Older & Wiser Living, Summit on June 4, 2019 at Shorebird Stadium in the Executive Club House.  Registration will kick off at 9:30am with coffee, give-a-ways and opening remarks.

OWL Summit – Older & Wiser Living, sponsored by Peninsula Home Care

  • June 4, 2019
  • 9:30am – 1:30pm
  • Shorebirds Stadium Executive Club
  • OWL Summit attendance and parking is free
  • Boxed lunch and door prizes for all attendees
  • RSVP is required by May 30th as space is limited
  • Visit peninsiulahomecare.com to register or call 410/543-7550.

“This is an opportunity for people to learn about the capabilities and coordination our healthcare partners are engaged in that are making a great impact on patient care in our community,” said Barbara Murray, Peninsula Home Care Maryland branch director.  “Our goal is to empower patients and caregivers; engage with our community and demonstrate how we are laying the foundation for the future of healthcare on the Delmarva Peninsula.”

Peninsula Home Care enlisted highly skilled and talented healthcare professionals from preferred partners, PRMC and Nanticoke Health Services to present at the summit.  Dr. Sophia Shakur, neurosurgeon at PRMC will discuss the latest treatments for strokes and brain aneurysms that are available on the Delmarva Peninsula.  Dr. William Doran, orthopedic surgeon at Nanticoke Health Services will give attendees an inside look at the Stryker’s Mako robotic arm assisted technology that is changing the way joint replacement surgeries are being performed.  Mako technology provides each patient with a personalized surgical experience based on diagnosis and anatomy.  Nanticoke is proud to be the first and only hospital on Delmarva to provide this technology.

Sandwiched between Dr. Shakur and Dr. Doran, Peninsula Home Care will take the floor to focus on the synergy between regional healthcare professionals in providing integrated services to patients throughout the continuum of care.  Keynote speaker, WBOC’s Jimmy Hoppa will round out the afternoon with an inside look from the patient’s perspective.  Hoppa will share his experiences from his 2015 open heart surgery when a piece of his aorta was removed after suffering an aneurysm.

Where did this OWL fly in from?

Peninsula Home Care launched the OWLs Club in 2018 to offer resources to individuals 50 and older to empower them to live active, independent lives.  OWL members receive free access to Peninsula’s telehealth stations (or as we like to call them – OWL Nest) located in the lobby of the Salisbury, Maryland and Seaford, Delaware branch offices.  The stations are equipped to measure weight, blood pressure, oxygen levels and heart rate.  The OWL membership kit includes a medication card, medical history card and important tips and information for managing many chronic diseases.  Peninsula also provides OWL members with exclusive access to a nutrition coach by phone and support from Community Health Workers through home visits and phone calls.

 

Peninsula Home Care Salutes Registered Nurses for Improving Health Care Across the Nation

Push to recruit to replenish nursing field at the forefront of the industry

SALISBURY, MD – According to the American Nurses Association, by 2022, there will be a need for 3.44 million nurses.  That’s more than a 20% increase in demand for registered nurses.  During the month of May we celebrate nurses during National Nurses Week, May 6th to May 12th, the birthday of Florence Nightingale, the founder of modern nursing.  This year the theme for the week is 4 Million Reasons to Celebrate to recognize the vast contributions and positive impact of America’s 4 million registered nurses.

“We have experienced a rising demand for nursing services and therefore jobs, for many years now,” said Barbara Murray, Maryland branch director for Peninsula Home Care. “Nursing roles are rapidly changing as nurses are responsible for a wider range of health care responsibilities. We are always looking for qualified, professional candidates to join the ranks of the PHC nursing team.”

Home Health Care Nurses – Passionate about Putting the Patient First

There is no one for a home health nurse to turn to for a second opinion while treating a patient in the home. Peninsula Home Care nurses’ partner with the patient and caregiver to better understand medications, how to safely navigate in the home and develop an individualized plan of care in coordination with the physician.

“What puts a smile on the faces of our home care nurses? Seeing patients achieve their goals and provide support to the patient and family to help them from beginning to end,” said Murray.  “We are there helping them through difficult times, and they become like family. We share in their success and in their setbacks.  I think Florence Nightingale would be pleased with the quality of care provided by our home care nurses.”

Excellence at work in Salisbury, Seaford and Ocean Pines – “PHC Nurse of the Year”

Each year Peninsula Home Care peers nominate an individual from the nursing staff for “Nurse of the Year.”  This year two RN’s from the Maryland branch and one from the Peninsula Home Care at Nanticoke, Delaware branch are being recognized.


Jamie Hillman – Salisbury BranchJamie Hillman – Salisbury Branch

Jamie Hillman has been a home care nurse with PHC for four years.  She graduated from Wor-Wic Community College in 2015 and has healthcare experience in rehabilitation, wound care and long-term care.  She admits home care nursing is hard work and not everyone is cut out for it but wouldn’t trade it for any other nursing job. 

“I enjoy building relationships with my patients and watching them heal. I see them at a low but also get to see them at their best.  My patients are like family.  I love all of them.”


Lisa Powell – Ocean Pines BranchLisa Powell – Ocean Pines Branch

Lisa Powell has been with PHC for a year and half treating patients out of the Ocean Pines branch office.  She earned her associate degree from Dutchess Community College and nursing degree from Chamberlain College of Nursing.  Lisa has experience in hospital nursing, nursing homes, psychiatric and rehabilitation.

“I enjoy the one on one patient care we can give in home care.  We are not distracted and can focus on the individuals needs of each patient.  Peninsula Home Care is very supportive and offers a much more comfortable work environment compared to working in a large corporation setting.”


Valerie Roth – Seaford Branch

Valerie Roth is a clinical manager of process improvement for Peninsula Home Care and has been with the company for two years.  She received her nursing degree from Delaware Technical Community College and has work experience in skilled nursing, rehab and nursing home acute rehabilitation.  Valerie develops the plan of care for nurses/patients, works closely with clinicians from all disciplines on process implementation and improvements and visits patients to provide care in the home.

“Our team goes above and beyond to provide the best care possible and we care about each other too.  My future is with Peninsula Home Care and growing along with the company no matter what that looks like down the road.”


For more information about nursing services and for more resources about home care decisions, please visit www.peninsulahomecare.com.  

Peninsula Home Care Announces Two “Outstanding Occupational Therapists” of 2019

SALISBURY, MD – Occupational Therapy takes therapists with creative minds who think outside the box when it comes to identifying successful treatments for patients to resume activities that are meaningful to their independence and quality of life.

“Our OT’s help people get beyond problems to the solutions that assure healthy, more independent living,” said Barbara Murray, Maryland branch director, Peninsula Home Care. “These solutions may be adaptations for how to do a task; changes to the surroundings or helping individuals alter their own behaviors.”

OT for Better Living

Occupational therapy practitioners enable people of all ages to live life to its fullest by helping them promote health, and prevent—or live better with—injury, illness, or disability.

It helps individuals tackle all types of daily living challenges from keeping older drivers safe in their vehicles by providing in-car assessments to offering stroke patients ways to resume bathing, dressing and cooking meals.  OT helps people recover from injury to regain skills and return to work and provides support to promote safety and fall prevention through home assessments.

Excellence at work in Maryland and Delaware – “COTA of the Year”

During the month of April – Occupational Therapy Month – Peninsula Home Care is recognizing two certified occupational therapy assistants as “Outstanding COTA of the Year” for their work and dedication to the patients they serve.


Kaitlyn Fitzhugh - Salisbury/Ocean Pines BranchKaitlyn Fitzhugh – Salisbury/Ocean Pines Branch

Kaitlyn joined the Maryland Peninsula Home Care (PHC) team in July 2018. As a certified occupational therapy assistant, she educates patients about techniques to make daily living tasks at home easier. She graduated from Wor-Wic with an associates degree in applied science. She enjoys helping people and making a difference in their lives when it comes to what matters to them most. She values that Peninsula Home Care is patient-centered and enjoys working with the entire team of professionals. Kaitlyn’s goal is to introduce as much diversity to the treatment setting as possible and bring new ideas and modalities to the home to keep patients motivated during the recover process.

“I was treating a patient who needed to strengthen his upper body,” said Kaitlyn. “We started off doing armchair exercises which he didn’t care for at all. One day I turned some music on and I saw a whole other side of him. He almost came out of his chair because he loved music and dancing. The music made it fun – with a functional goal. That’s why I love my job.”


Christina Elliott - Seaford BranchChristina Elliott – Seaford Branch

Christina has been a certified occupational therapy assistant with Peninsula Home Care at Nanticoke (PHCN) for one year. She graduated from the Occupational Therapy program at Delaware Technical Community College in 2014. Her work experience includes skilled nursing and short-term rehabilitation. Christina enjoys being constantly challenged and having to be creative when it comes to helping patients achieve their goals. She values the PHCN team she works with and says it is a pleasure to work with people who are like minded and all share the same goal – patient recovery. 

“I actually treated a patient who was not able to live independently but never gave up and worked hard to gain his strength and function back so he could live on his own again,” said Christina. “With occupational and physical therapy, anything is possible. I have seen it with my own eyes.”


For more information about Occupational Therapy services and for more resources about home care decisions, please visit https://www.peninsulahomecare.com/resources/.

Peninsula Home Care Educates on Medication Management During Patient Safety Awareness Week

Peninsula Home Care Educates on Medication Management During Patient Safety Awareness Week

SALISBURY, MD – The season is about to change which means time to break out the rubber gloves and mop for some good ol’ fashion spring cleaning. Don’t forget the medicine cabinet! It’s a good time to go through prescription bottles and over-the-counter medications to see what has expired, needs to be disposed of and what is still safe to use. 

“Medication management a top priority for our team,” said Barbara Murray, Peninsula Home Care Maryland branch director.  “Many of our patients are taking a minimum of ten different prescriptions a day.  They may not even be aware that the medications they come home from the hospital with could be a duplicate of something they have at home or may have an adverse effect when taken with another drug.  It can be dangerous and even deadly if a patient doesn’t understand the implications of non-adherence or why there are taking what they have been prescribed.”

Peninsula Regional Medical Center is doing its part to promote medication adherence by providing an opportunity for patients to leave the hospital with medication in hand.  Once a patient opts in, they can pick up their medication from the hospital pharmacy or have the prescriptions delivered to their room.

“Over the past year we have ramped up our use of PRMC Home Scripts to provide patients with up to a 30 day supply of their medication on discharge because we know this directly impacts hospital readmissions.  We recently crunched the numbers and have seen the rate drop from 10% to 8%,” said Dr. William Cooper, Ambulatory pharmacy manager for PRMC Home Scripts at PRMC.  “Our Meds in Hand program provides educational points during the entire hospital stay so patients know the importance of medication adherence and how it impacts their recovery and wellness.” 

When a patient transitions from hospital to home and home care is ordered by a physician, one of the very first steps PHC does is an assessment of ALL prescribed medications and over-the-counter supplements.  It’s people like Stacie Mankad, registered nurse with Peninsula Home Care who help streamline the process for patients with calls to the pharmacy, checking up on refills, making follow up appointments and educating people so they understand what it is they are taking and why.

“For many of our patients, timing is a challenge,” said Stacie Mankad, RN with Peninsula Home Care.  “Remembering to take their medications, what time of day and paying attention to dosages too.  The blister packs at some of the pharmacies help with this.  Then we have some who continue to take medications that were once prescribed but are no longer necessary.  This can lead to adverse reactions and unfortunately hospital readmissions if not identified quickly.”

Medication Nonadherence includes the following:

  • Taking outdated medications
  • Taking damaged medications
  • Improper storage of medications
  • Improper deliver of devices (inhalers)
  • Failure to fill new or refillable Rxs
  • Omitting a dose or doses
  • Overusing medications
  • Prematurely discontinuing medications
  • Taking a dose at the wrong time
  • Taking others medications

Patient Empowerment

What can the patient do to help manage medications?

  • Make a list – Keep an updated list of all over-the-counter and prescription medications with you at all times so you can share it with each member of your healthcare team. 
  • Keep a prescription file – After reading all of the written material that comes with your prescriptions, file it in a safe place where you can find it if you have questions about dosage or side effects.
  • Use one pharmacy – If possible, have all medications filled at one pharmacy so your pharmacist can track them and alert you of any potential drug interactions.
  • Set an alarm – Use an alarm on your phone or watch to remind yourself to take your medications.
  • Use a pill box – Pill boxes are marked with the days of the week so you can keep track of which medications you need to take on a daily basis.  You can also designate times of day with the color of the pill box – light for day and dark for night.

Peninsula Home Care Congratulates Dawn Gears on her Promotion to Account Manager, Community Liaison for Worcester County

SALISBURY, MD – Peninsula Home Care, a locally owned and operated home health care agency providing award winning skilled care to patients on the Lower Shore since 1985, is pleased to announce Dawn Gears, LPN, transitioning to the role of account manager/community liaison for Worcester County.

“With Dawn’s background in nursing and her familiarity with the patients, she is well positioned to initiate education at bedside in the hospital or rehabilitation facility before they are discharged and transitioned to home care,” said Barbara Murray, Peninsula Home Care Maryland branch director.  “We know ultimately know this will help prevent readmissions to the hospital because patients will be better prepared to be a part of their plan of care to manage their conditions and speed the recovery process.”

Dawn’s responsibilities as account manager/community liaison include regular visits to physician offices, nursing homes and rehab facilities to transition patients to home care, working closely with PHC clinical managers who handle the start of care for new patients and building partnerships with community organizations and local businesses.

“I am excited about my new role and look forward to helping patients understand the why behind their plan of care,” said Gears.  “If they don’t fully comprehend why they need to follow their care plan, there is a greater chance for non-compliance and readmissions.  I am fully committed to being a part of the full circle of care for patients and making connections for them – because I know it works.”

Dawn graduated from Kent State University in Kent, Ohio with an Associate’s Degree in Applied Business Management.  She also earned a Bachelor of Science in Business from Point Park University in Pittsburgh, Pennsylvania.  She graduated from Delaware Technical Community College in Georgetown, Delaware with her LPN certificate. 

Dawn lives in Berlin with her husband Nathan Gears.  When not on the job, Dawn enjoys traveling, gardening and trying new wines. 

Peninsula Home Care Welcomes Three New Staff Members to the Team

SALISBURY, MD – Peninsula Home Care, a locally owned and operated home health care agency providing award winning skilled care to patients on the Lower Shore since 1985, is pleased to announce the addition of three new staff members, one in Maryland and two in Delaware, to the Peninsula Home Care team.

“We take pride in every individual we hire because they drive our mission and truly go above and beyond to put the patient first,” said Barbara Murray, Maryland branch director.  “We look forward to investing in our new staff members and promoting their growth to provide high quality services to all of the communities we serve.”

Peninsula Home Care welcomes two new hospital liaisons, Denise Fields to the Maryland team and Tisha Donovan to Delaware.  Peninsula Home Care at Nanticoke also welcomes Jenna Hare as the newest community account manager to the Delaware team.


Denise Fields, PHC Maryland Hospital LiaisonDenise Fields, PHC Maryland Hospital Liaison

Denise joined Peninsula Home Care in 2018 with a diverse healthcare background.  She most recently served as a case manager at a local hospital where she handled care coordination and transitions of care for all patients.  She was heavily focused on linkages to services along the continuum to promote quality patient centered care.  For eleven years Denise worked as a case transition nurse and developed strong relationships with hospital and health system providers, hospitalists and physicians.  As a nurse case manager and care coordinator, she developed and implemented plans of care and collaborated with interdisciplinary teams to develop safe discharge plans for patients.

As a Peninsula Home Care hospital liaison she is responsible for managing referrals from hospitals, collaborating with care coordinators and educating patients on requirements for home care.  She works closely with the patient and their family to help them better understand the hospital to home process, answer questions and work with the plan of care to help patients achieve their outcomes.

In 1973, Denise graduated from North Technical Education Center in Riviera Beach, Florida with a degree in practical nursing.  In 1976 she graduated with an Associate of Science Degree in Nursing from Palm Beach Junior College in Lake Worth, Florida.  She graduated from Palm Beach Atlantic College in West Palm Beach, Florida with a Bachelor of Science in Nursing in 1983.


Tisha Donovan, LPN / Hospital LiaisonTisha Donovan, LPN / Hospital Liaison

Tisha started working for Peninsula Home Care in October, 2018 after working as a nurse for eleven years.  She has 23 years of experience in the medical field with roles as a medical assistant, medical office manager and sales.

In her role as hospital liaison, Tisha serves as the connector between Peninsula Home Care at Nanticoke, the hospitals and patients.  She works closely with patients, family members and caregivers through the hospital to home navigation process.  Tisha offers support through her collaboration with care coordinators and clinical managers to customize and implement a plan of care that best fits the needs and goals of each individual patient.

Tisha graduated from Delaware Technical Community College with degrees for medical assistance and licensed practical nursing.


Jenna Hare, PHCN Community Account ManagerJenna Hare, PHCN Community Account Manager

Jenna joined the Peninsula Home Care at Nanticoke team in August, 2018 as a community account manager.  She collaborates with individuals, organizations and businesses to establish partnerships to better serve the community’s healthcare needs. Jenna is the face of Peninsula Home Care at Nanticoke at community events and has launched a schedule to take the OWLs Club on the road to different locations promoting health related topics, conditions and available resources each month.

Jenna’s work experience includes time in pediatrics as a certified medical assistant working with both the clinical and clerical teams to help patients and build trust with families to better serve their needs.  She has also been a certified personal trainer for three years and enjoys helping others reach their personal health goals.

Jenna graduated from the Certified Medical Assistant program at Harris School of Business in Dover Delaware.  She received her certified personal training credentials from American Fitness Professionals & Associates.  She has enrolled to study business management at Wilmington University in 2019.


Serving Sussex County & Lower Kent Counties in Delaware and Wicomico, Worcester & Somerset Counties in Maryland

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