Living with diabetes or a pre-diabetes diagnosis can seem overwhelming, but it doesn’t need to be. With daily physical activity, effective medication, and a healthy eating plan, you can not only manage your diabetes but thrive with it. At Pivotal Health & Wellness, we provide specialized care from the comfort of your home so you can learn to confidently manage your condition.

If you’ve recently been diagnosed with diabetes or need help getting back on track, home health may be an option. Read the questions below, and if you answer “yes” to any of them, connect with your doctor or healthcare provider to discuss if home health is right for you.

• Have you visited the hospital, ER, or your doctor recently for diabetes-related concerns?
• Do you have difficulty managing blood sugar, lipids, or blood pressure?
• Are you experiencing blurry vision?
• Are your feet experiencing tingling, numbness, or pain?
• Do you have a wound or foot ulcer that won’t heal?
• Do you have other conditions, like high blood pressure or heart failure, that cause challenges with managing your blood sugar levels?
• Do you have difficulty managing multiple medications or adjusting to a new medication?

If you are living with diabetes, we know there’s a lot to manage. Checking blood sugar regularly, eating healthy foods, and taking medicines as prescribed are just some of the things that are needed to keep your blood glucose levels in check. At Pivotal Health & Wellness, we take the time to work with you so you can better understand your condition and manage your symptoms. Our team of nurses and therapists work with your healthcare provider to develop a plan of care that addresses your specific needs. When you choose us, you can expect care centered around you.

1. Assess your medical history, current condition, recovery needs, and overall health goals
2. Monitor your blood glucose and check vitals
3. Provide the educational tools to help you better understand your condition
4. Help you take medication, insulin, and injectables as prescribed
5. Improve your confidence in solving day-to-day challenges
6. Work with you on how to build a diabetes-friendly nutrition plan
7. Find safe ways to help you get moving and stay active
8. Teach you how to prevent complications by accurately monitoring and logging your blood sugar levels
9. Help you create healthy ways of coping with your condition
10. Educate you on symptoms and prevention methods to help keep you out of the hospital

If you've recently had a fall, we know you may be worried about another one. That’s why we’re here to help. Our clinicians provide personalized care to help you rehabilitate, stay safe and maintain your independence at home.

CenterWell® clinicians can help reduce your risk of falling and feel more confident in your home. If you answer “yes” to any of the following questions, connect with your doctor to discuss if Pivotal Health & Wellness may be right for you.

• Have you had a fall or near fall in the last year?
• Has it been longer than six months since you exercised regularly?
• Do you have a fear of falling that limits your activity?
• Do you feel unsteady when walking down a supermarket aisle?
• Do you feel as though your feet won’t go where you want them to go?
• Do you experience a sensation of spinning or dizziness when you tilt your head back, lie down or roll over in bed?
• Do you experience loss of balance or lightheadedness when you stand up?
• Do you have difficulty walking on gravel, a sloped sidewalk or other uneven surfaces in the dark?

Our clinicians provide expert care to improve balance and mobility and reduce your fall risk. They take the time to get to know you, understand your needs and provide personalized care to help you move around safely.

1. Assess your home environment for safety hazards and recommend modifications to reduce fall risk
2. Evaluate your strength, balance, vision and inner ear function to understand what may be causing unsteadiness
3. Review your medications to check for side effects that may increase fall risk
4. Develop a personalized exercise plan to improve confidence when walking
5. Recommend assistive devices to improve your mobility and confidence, and teach you how to use them safely

Caring for a wound or skin condition can feel difficult, but it doesn’t have to be. A personalized wound care plan is important for healing and infection prevention, and receiving care at home can often be the safest option. At Pivotal Health & Wellness, our clinicians provide expert care to help you heal and restore the health of your skin.

If you have a wound or skin issue that isn’t healing properly, home health may be an option. Read the questions below, and if you answer “yes” to any of them, connect with your doctor or healthcare provider to discuss if home health may be right for you.

• Do you have a chronic, non-healing wound, such as a pressure ulcer or injury, venous leg ulcer, diabetic foot ulcer, or neuropathic foot ulcer?
• Do you have other conditions — like diabetes, heart failure, or peripheral vascular disease — that cause challenges with managing your wounds?
• Are you experiencing complications from an amputation?
• Are you recovering from a burn?
• Do you have a surgical incision that won’t heal properly?
• Do you have a complicated treatment plan that is difficult to manage on your own?

We know living with a chronic wound can be challenging, and we’re here to help. Working closely with you and your healthcare provider, we create a care plan that may include skilled nursing care, physical therapy, occupational therapy, and/or speech therapy. If you need help with everyday activities, like bathing or dressing, a home health aide may also be provided. Our care approach combines wound treatment with self-management tips.

1. Assess your medical history, current wound condition, recovery needs, and overall health goals
2. Provide the educational tools to understand the proper care and management of your wound
3. Provide treatment, including cleaning and bandaging of your wounds
4. Capture photos and measurements of your wound to track healing
5. Monitor your supply of wound bandages and products
6. Help you make lifestyle changes that can promote healing and skin restoration
7. Support with everyday activities, such as bathing or dressing, with the help of a home health aide, if necessary
8. Educate you on symptoms and self-care to prevent infection and hospitalization

At Pivotal Health & Wellness, we’re committed to supporting you with what you need to improve your health and live your best life. Our Community Health Workers can work with you to identify barriers to health and connect you with the needed resources, like meal services, financial assistance, support groups, and more.

If you are a Pivotal Health & Wellness patient, our CHW's can help you understand how challenges in your daily life can affect your health. They can then connect you with the social and financial services you need to support your recovery. If you answer yes to any of the following questions, ask your doctor if Pivotal Health & Wellness may be right for you.

• Have you had trouble getting to your medical appointments?
• Are you worried about paying for your prescriptions?
• Do you have trouble getting healthy food or other daily needs?
• Do you feel lonely, isolated or need more support at home?
• Do you need help finding community services or programs?
• Do you feel stressed or overwhelmed about your chronic condition or diagnosis?

When you choose Pivotal Health & Wellness for skilled nursing or therapy services—like physical, occupational or speech therapy—your plan of care may also include CHW services to support your recovery and overall well-being.

1. Finding community resources for financial help
2. Connecting you with food delivery resources, like Meals on Wheels
3. Educating you on healthy coping skills to support your overall well-being
4. Connecting you with community support groups
5. Providing you with counseling and short-term therapy
6. Helping you understand your available health insurance benefits
7. Sharing your progress with loved ones

A procedure, like joint replacement surgery, can significantly improve your quality of life. But planning for your rehabilitation can be just as important as the surgery itself. At Pivotal Health & Wellness, our clinicians provide personalized care to help you recover and rehabilitate safely at home.

Pivotal Health & Wellness can help patients regain their independence after a surgery, whether it is a planned or unplanned surgery. If you answer “yes” to any of the following questions, connect with your doctor to discuss if home health may be right for you.

• Have you recently had surgery, such as a hip or knee replacement?
• Has surgery made it hard for you to do daily tasks like getting dressed, bathing or cooking?
• Are you having difficulty walking around your home after your surgery?
• Are you struggling to prepare your meals as a result of your surgery?

Our expert clinicians provide evidence-based care to make your surgery recovery as smooth as possible. We take the time to get to know you and your unique needs, helping you reach your health goals and regain independence.

1. Perform a health assessment and review your post-discharge instructions to answer any questions you may have
2. Discuss any surgery-specific precautions you may need to consider
3. Review your current medicines to make sure you understand what they are and how to properly take them
4. Examine your wound bandages, teach you about wound care and bandage changes, and order the proper supplies
5. Assess your current level of mobility, evaluate the safety of your home, and make recommendations for improvement

After surgery, the right support makes all the difference. At Pivotal Health & Wellness, we help patients like Win recover safely and confidently with personalized post-surgical care. Watch how Win regained his strength and balance—and danced with his wife at their wedding ceremony, just weeks after his hip surgery.

When you’re recovering from surgery, we can help. Depending on your needs, your care plan may include skilled nursing, physical therapy, and occupational therapy. If you need help with everyday activities, like bathing or dressing, a home health aide may also be provided.

• Determine if you have ongoing nursing needs in addition to those provided in your personalized post-surgical rehabilitation plan
• Assess your understanding of your medications and diet, and provide information and instruction about them if needed

• Assess your mobility and determine if you need other home healthcare services, including additional equipment like a wheelchair, walker, or cane
• Instruct you and your family in the care of your incision, and how to prevent and recognize infection and complications
• Develop a plan for new ways to perform everyday tasks, like getting dressed, cooking, or bathing
• Teach you and your family ways to modify your activities, conserve your energy, and use supporting equipment