elder abuse Archives ⋆ Cathy Cress

10 Steps to Serve Demanding Wealthy Long Term Aging Clients Like Donald Trump

December 11, 2019

MANAGING ENTITLED CLIENTS

How Do You Deliver and serve long-term clients from the top 10% financially- who can offer sustainable financial growth to your Aging Life or GCM company?

You offer superior professional Gold Standard Concierge Service to Client and Family- Care they demand.

You offer preventative care to avoid crisis and chaos that can be there MO -Helps Keep Clients Out of E room and nursing homes and keep them at home where they wish to be and you from losing the case.

You write or rewrite your business plan that has a value proposition in your marketing plan to reach your target markets to concierge clients in the upper 10% and the third parties who in many cases serve them as well, like elder law attorneys and upscale assisted living.

10 CARE AND FEEDING TIPS TO KEEP ENTITLED CLIENTS LONG TERM

Deliver gold standard concierge service
Offer confidential services that clients and families can trust
Do not have the VIP syndrome with these sometimes famous clients
Serve whole aging family where adult children are entitled and difficult as well.
Provide a GPS through health care needs so that best care is delivered seamlessly
Have a full GCM toolbox and know all community resources –to change tools as client change and age safely in place
Refer or provide skilled background checked home care aides who meet the need of entitled clients
Be willing and skilled enough to accept difficult entitled clients who are narcissistic, demanding and unreasonable like Donald Trump , Sumner Redstone, Huguette Clark
Have someone on your staff who has a clinical background in dysfunctional aging families, and psychodynamic diagnosis, and understands undue influence
Have upscale resources in your resource database like private drivers, private chefs, car services, upscale golf clubs that cater to older clients, and upscale assisted living

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The busiest season for care managers is January & February after as adult children have just visited for the holiday and seeing their elderly parents skating on very thin aging ice

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Ten Warning Signs of Aging Dysfunctional Family- Warning Sign Number Two

October 30, 2019

Dysfunctional FamiliesAnger-physical anger, emotional abuse, financial abuse

Fiscal and emotional abuse is the red blinking second sign of the dysfunctional aging family. Anger occurs normally in all families. However, in dysfunctional families, anger may take the form of repeated physical or

emotional abuse. This happens not only in one generation but passed on to next and perhaps all subsequent generations. Adult children are often getting even with their aging parents for being neglectful, perhaps physically abusive parents when these angry adult children were kids.

Fiscal abuse is a ” sleeper” form of abuse, yet a pernicious aging family problem. Adult children committed a whopping 40% of the abuse. Other family members were the next big thief’s investigated. The coming holidays create jaw-clenching stress on adult children who visit and finally see their parents decline. This means they need to care for them, which they have no idea how to do. Part of that comes from- they were never cared for as kids themselves. The holidays can be saved for a dysfunctional family, by care managers. Care managers can help them avoid abuse and support them to get the care they need for their aging parents who neglected them as children.

Financial Advisors Can be Thieves Too

The so-called fiduciary rule, which was scheduled to go into effect in April, would have required financial advisers working with retirement accounts to put the interests of their clients ahead of their own—

Brokers are currently allowed to follow a less-stringent “suitability” standard, which lets them recommend options that cost seniors more—and pay them more—even if a cheaper or more appropriate choice is available.

The Trump administration “blocked this rule and continues to block many retiring and aging client interests – putting them second and financial advisors interest (or ) profit first. This rule was supposed to go into effect January first, 2018 but was blocked again until 2019″. Formerly representing the U.S. Chamber of Commerce, Eugene Scalia played a major role in convincing an appeals court judicial panel to vacate the Obama Labor Department’s fiduciary rule. He is now Secretary of Labor and the DOL is working on a replacement rule to be unveiled by the end of the year.

Check out my latest webinar about working with dysfunctional aging families over the holidays

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5 Ways to Tame the Turbulence of Holiday Meltdown in Aging Families

THIS FREE WEBINAR IS ON NOVEMBER 21 FROM 2 PM-3 PM

Learn how!

How to work with both dysfunctional and long-distance families who call during the holidays

How to give hope to frantic children who call, after seeing their aging parent struggling with the rituals
How to sell services to desperate adult child callers
How to use GCM tools to contain Holiday chaos
How to use financial forecasting to prepare for growth during the holidays
Sidestep the Many Care Managers Who Do not know how to work with Dysfunctional Aging Families and get the client
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Find out more in my YouTube channel Geriatric Care 1

How Can Geriatric Care Managers Help Stem the Rising Tide of Crisis in US Assisted Living Facilities?

March 29, 2019

Assisted Living has faced a metastasizing crisis for the past 20 years. Geriatric Care Managers can help. This calamity in care has been dramatically documented in Pro Publica’s Elderly at Risk and Haphazardly Protected

In 2013 CANR ( California Advocates for Nursing Homes Residents ) released a report “ Residential Care in California,” Unsafe, Unregulated and Unaccountable Among other staggering findings, they documented infrequent and inadequate state inspections to ensure safe or good care CANR also found that weak penalties for poor or dangerous care- left zero incentive to the facilities to improve care. They kept delivering the same sometimes life-threatening care to elders.

A 2019 American Society on Aging report, cited the perfect storm that brought this accelerating crisis toAssisted Living residents. Americans desire to age in place and not die in a nursing home coupled with a huge increase in private sector expansion in Assisted Living all over the US were both a big factor. These two causes were amplified, according to ASA, by facilities not being covered by Medicare, thus not having the federal oversight and requirements of the feds.

Among the major complaints that families themselves face is poor or no medications management, patients not being encouraged to participate in activities or not enough activities or both, residents not being bathed as often as is needed, and animosity between families and staff members for family members showing up unannounced or being micromanagers

How can geriatric care management help this crisis?

GCM can monitor the care of an older person frequently (every week, every other week-) compensating for the long intervals between state inspectors visits already cited as a problem. This is especially helpful for long distance care providers.
GCM can monitor personal care like bathing grooming getting to necessary Dr.s appointments and work with facility and family to make sure this happens.
Geriatric care managers will do a one to one assessment of the care of the older person in the Assisted Living then find a solution to any problems they find and implement it making sure that problems are solved before a crisis
If they find poor care of patients in the Assisted living they are mandated reporters and will immediately report the abusive problems to Adult Protective Services.
Geriatric Care Management can set up or monitor medications.
Geriatric Care managers will do a Quality of Life assessment for elders who are not engaging in activities and find what activity within the Assisted Living or in the community if the facility has a poor activity program. They can engage the older person by hiring a Concierge Companion to engage the older person in the activity.

If you want to implement a Concierge Companion service/ product in your care management practice check out my GCM Operations Manual with step by step Concierge Companion procedures and marketing, in addition to 13 other innovative geriatric care management products/services.

Are Your Clients Skating Away From the Holiday Like Joni Mitchel?

December 21, 2018

What are the signs that a family wants to skate away from Christmas gathering and skip it altogether Printer-friendly version of this lyric

It’s coming on Christmas
They’re cutting down trees
They’re putting up reindeer
And singing songs of joy and peace
Oh I wish I had a river I could skate away on

As Joni Mitchel told us on her melancholy 1971 masterwork, “Blue” Celebrations with family on the holidays can often want you to take the ice and skate away from.

What are the signs that the family wants to ditch the dreaded dinner altogether?

1. Spending time with dysfunctional families often causes lots of seasonal lubrication – “A Holiday on Ice” like David Sedaris tells us. So # 1 there will be too much drinking and the resulting family drunken insults and fights

2..Distancing & cut off- are pulling away and having nothing to do with family or an individual in your family.

4.You find adult children who have not spoken to parents or siblings for years.

The celebrity feud and cut off between

Angry roommates or sisters in christmas sitting on a couch in the living room at home

Angela Jolie and her Dad actor John Voigt is a well-publicized example

What prompted Jolie’s reconciliation – helping grandchildren- Jolie- reconciled with her Dad because of her children’s need for a grandparent and the knowledge that your children just have a very different version of a relationship with your parents than you do.

When you assess the aging family as a professional you look at several signs of dysfunction. Contentiousness and anger are two other signs- the ripping pattern of divorce, remarriage, or other disruptions in relationships that shred the balance within the family system- both hacked by anger and contentiousness.

Gathering all these angry, contentious, cut off, divorced, often drunken insulters- ex-spouses, stepchildren, left behind blood children, deadbeat Dad’s and pour on alcohol and hold the mistletoe -you have the wrathful explosion that is that is dysfunctional family skating the holiday on ice.

Find out more about in Emily Salz and Lynn Hackstaff’s chapter Family Conflicts, Dependence and Mutuality: Care Management and the Dysfunctional Family. Handbook of Geriatric Care Management 4th edition.Jones and Bartlet.

When they call you be prepared, be ready, be a little fearful. Here are some tips.

10 Steps to Market to & Serve Wealthy, Demanding Long Term Aging Clients Like Donald Trump

September 6, 2018

How Do You Deliver Your Value Proposition of serving long-term clients from the top 10% financially- who can offer sustainable financial growth to your Aging Life or GCM company?

You offer superior professional Concierge Service to Client and Family- Care they demand when you need it

You offer preventative care to avoids Crisis -Helps Keep Clients Out of E room and nursing homes and Keep them at home where they wish to be

You write or rewrite your business plan that has a value proposition that includes your marketing plan to reach your target markets o concierge clients in the upper 10% and the third parties who in many cases serve them as well, like elderlaw attorneys and upscale assisted living.

You Use the value proposition from your business plan – leading to one-time/long term client engagements – How

Deliver concierge service
Offer confidential services that clients and families can trust
Adjust your plan of care as professionally needed for family & client
Serve whole aging family
Provide a GPS through health care needs so that best care is delivered seamlessly
Have a full GCM toolbox and know all community resources –to change tools as client change and age safely in place
Refer or provide skilled background checked home care aides who meet the need of entitled clients
Be willing and skilled enough to accept difficult entitled clients who are narcissistic, demanding and unreasonable like Donald Trump , Sumner Redstone, Huguette Clark
Have someone on your staff who has a clinical background in dysfunctional aging families, and psychodynamic diagnosis
Have upscale resources in your resource database like private drivers, private chefs, car services, upscale golf clubs that cater to older clients, and upscale assisted living

Find out more about a value proposition and subscribe to my Youtube channel Geriatric Care 1 to find out more about marketing Aging Life or Geriatric Care Management.

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