Carroll Home Care and Carroll Hospice have joined the National Association for Home Care and Hospice, the Hospice Association of America and thousands of agencies in declaring November 2008 as National Home Care and Hospice month.

November is a time to reach out to the community, celebrate all we've accomplished, acknowledge colleagues and remember the patients and families that we have served.

Eligible patients receive skilled services in the comfort of their homes for nursing, therapy, social work and personal care.

Medicare, Medicaid, private insurance and managed care organizations can provide benefits for home health care.

Hospice patients receive end of life care which addresses physical, emotional as well as spiritual needs in their homes. For patients who meet the criteria, Carroll Hospice offers another level of care in its inpatient facility, the Dove House.

There, patients who may require a level of care that cannot be provided in their current residence receive care 24 hours a day.

For further information on the services of Carroll Home Care and Carroll Hospice, call 410-871-8000.

Meanwhile, enjoy this warming dessert as the days grow colder.

Apples and raisins provide the moistness, which means less oil can be used in this low saturated fat, low cholesterol and low sodium coffee cake.

Apple Coffee Cake

5 cups Tart apples, cored, peeled, chopped

1 cup sugar

1 cup dark raisins

1/2 cup pecans, chopped

1/4 cup vegetable oil

2 teaspoons vanilla

1 egg, beaten

2 and 1/2 cups sifted all-purpose flour

1 and 1/2 teaspoons baking soda

2 teaspoons ground cinnamon

Directions: Preheat oven to 350 degrees Fahrenheit. Lightly oil a 13"x9"x2" pan. In a large mixing bowl, combine apples with sugar, raisins and pecans. Mix well. Let stand 30 minutes. Stir in oil, vanilla and egg. Sift together flour, soda and cinnamon; stir into apple mixture about one third at a time, just enough to moisten dry ingredients.

Turn batter into pan. Bake 35 to 40 minutes. Cool cakes slightly before serving.

Yield: about 20 servings.

Each serving: calories, 188; total fat, 5 grams; saturated fat, less than 1 gram; cholesterol, 11 milligrams; sodium, 68 milligrams.

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