Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Should You Change Your Care Management Mission to Say You Want To Make Money?

July 24, 2018

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Geriatric care managers must change their mindset and mission to bill 85% of their client time. Your mission must suggest that you are 100% clear you want to make money. It must appeal to the top 10% of the eldercare population seeking help for a senior. You use marketing and copywriting skills. A mission can be your tagline” Understanding Concierge Care Needs: Delivering Gold Standard Solutions”.

Your geriatric care management business plan starts with your mission statement, which should state the core of your business in a few sentences. The mission statement should reflect the goals and values of your organization including making money. It should be short, focused, perhaps only 20 words, written in the present tense, in positive terms, and without qualifiers.

 As the beginning of your business plan, your mission adds a key part to a document that will allow you to plan your business and get investors or business start-up loans funded by banks. 

These entities will know you plan to make enough profit to pay them back through your mission and financial projections. Your mission tells the upscale protentional clients you market to that they can expect the exclusive service they seek that is by nature expensive.

 

Want to make serve the GCM market that will make you a profitable business? Join me for my free webinar, “Start and Run a Profitable Geriatric Care Business” on August 22. Learn how to transform your GCM entrepreneurial dream into a money-making business with 5

profit driven steps

Learn these 5 Critical Steps to Financial success, including crafting your mission, from Cathy Cress, MSW, author of the book known as the bible of geriatric care management. Learn how to transform your GCM entrepreneurial idea into a profitable reality before you even open your doors. 

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Watch my YouTube below to learn how to craft a winning mission or tagline.

 

Filed Under: Aging, Aging Family, aging life business, Aging Life Care, aging life care manager, Blog, care management start-up, care manager, GCM Start -Up, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, home care, Mission, nurse advocate, nurse care manager, Webinar Tagged With: aging life care manager, aging parent crisis, Business Mission, care manager, case manager, Concierge Care management, geriatric care manager, nurse advocate, nurse care manager

Four Types of Aging Entitled Families Who Will Call a Care Manager on the Holiday

November 12, 2017

 Four types of aging families, who can afford geriatric care management and home care long as they have the financial resources, will call you over the holidays. Mom is unable to pull off the ritual of either Thanksgiving, Hannukah, Christmas or New Years or usually all four.You need to have excellent clinical skills to manage these families- get them through the holiday season and stabilized as the ongoing client after the first of the year.

The first two are dysfunctional aging families and take extensive psychodynamic skills. The last two are nearly normal aging families must have the crisis solved and shown tools and resources to arrange care in the future. Many times they can handle themselves after you have established care and a GPS to access the future care they need. But they may also want to remain as your clients for you to manage their care. 

Part of this is drawn from Claudia Fine and Nick Newcombe excellent chapter ” Entitlement in the Aging Family”, Care Managers Working With the Aging Family, Jones and Bartlett)

Narcissistic-Entitled Families:

Entitlement in these families usually develop from a specific kind of “not good enough parenting” in which the parents themselves have struggled with personality disorders, most typically, in this type of family, narcissistic  borderline personality  .( example President Trump)They struggled with borderline personality that went undiagnosed or was formally diagnosed and untreated. The narcissistic or borderline parent essentially does not experience the child/children as separate and discreet from themselves and, moreover, uses the child/children to serve parental needs.  This parent-child relationship is characterized by severe boundary issues in which seduction and abandonment are ever-present dynamics and where emotional unpredictability and instability are constant.  ( Fine and Newcombe- Entitlement in the Aging Family, Care Managers Working with the Aging Family)

 

 Rich and Famous-Entitled Families:

These families are identified by the parents’ socioeconomic, financial and political prominence.  ( example President Reagan)They are families in which all basic needs, services, resources and creature comforts are obtained via income, assets, abundant discretionary cash flow and/or come from the political position, station or power.  Once again, the entitlement of the family is passed from the parent to the child who in turn brings these behaviors and actions to the caregiving milieu and care management relationship.  In this category, the entitlement arises out of a family that is accustomed to purchasing everything.  They look to paid others to meet their needs (as opposed to families who must themselves find and orchestrate ways to meet basic and complex needs themselves or with the help of the extra-familial system).  Often these families have household staffs, i.e., nannies, butlers, drivers, private pilots, cooks, and maids.  They may have available to the business and family lawyers and accountants, as well as, teams of medical professionals and concierge physicians.  Consequently, in almost all situations they are uninvolved in processes, especially those that are difficult, stressful and time-consuming.  ( Fine and Newcombe- Entitlement in the Aging Family, Care Managers Working with the Aging Family)

 

Well-heeled seniors,

According to the New York Times, may be middle-class retirees who buy shoes from Payless but have a defined pension can afford care at home when they need it and private care management. They rode the post-war economy, held jobs long term and through that defined pension (no 401K) face a very healthy financial picture in aging.  They worked for city, county, state government are teachers, truck drivers, social workers or were union members in all trades. They had a career at Xerox, IBM, Campbell Soup and big Fortune 500 companies.

 

Professionals- Physician, Attorneys, CPAs

This group made a very healthy living during the late 20th Century, probably had a defined pension and have very lucrative investments that allow them to afford home care and care management. They usually come from nearly normal families and have been well parented although you will find a mixture of dysfunctional aging families.Their adult children tend to be supportive of their parents, although again you will find a mixture of dysfunctional families in this category.

 

 

 

 

 

 

 

Filed Under: Aging, Blog, elder care manager, Families, Geriatric Assessment, Geriatric Care Management Business, geriatric care manager, geriatric social worker, home care, Narcissistic Personality, nurse advocate, nurse care manager, Webinar Tagged With: aging family, aging life care manager, aging parent care, aging parent crisis, care manager, case manager, Certified Senior Advisors, geriatric care manager, nurse advocates, nurse care manager, well heeled seniors

How to Assess the Caregiver and Avoid Hospital Readmission

October 1, 2017

 

Assessing the Family Caregiver is a relatively new but crucial concept for geriatric care managers and professionals in aging.As geriatric care managers and aging professional, we are health and social services oriented. For almost 3 decades we have assessed the care receiver for problems with function, social connection, and psychological issues. If we suspect depression we have completed that screen. If our client plans to move, has cultural needs and preferences, exhibits signs of dementia, need ways to improve quality of life or a spiritual connection, we have assessed the care receiver for those problems.

All our assessments have left out the major fact – care is an exchange. To receive care, the patient/client usually needs a family caregiver to give or supervise it. That family caregiver is the glue that holds it all together and his or her inner bond begins to break with the strain of caring.

Other countries have seen what the US has yet to grasp. In the United Kingdom, a seminal law passed in 1995 called the Recognition and Services Act , which provided British caregivers a statutory right to request an assessment at the same time that a frail elder or adult with disabilities is assessed.

So developing a caregiver assessment is critical, especially in this era of penalties to hospitals for readmission. The caregiver is the key to keeping an older person in the community and not back in the hospital. If they are not trained, have physical problems that inhibit caring, find some tasks, like changing adult diapers uncomfortable, have no car to pick up meds or drive to the doctor’s follow-up an appointment, you have a problem and probably a readmission.

Learn how to do a caregiver assessment along with a care receiver assessment.This will help you keep your aging client both out of the hospital and potentially out of inappropriate placement in a skilled nursing facility. Plus you will learn just not how to assess caregiver burnout but be able to create a care plan that will help your family caregiver have a better quality of life while they giver better care to their loved one. Read the chapter ” Assessing the Caregiver ” in my book Care Manager’s Working With the Aging Family, Jones and Bartlett. The price has just been cut in half to make it more affordable for the practitioner.

 

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, care manager, caregiver, caregiver assessment, case manager, elder care manager, Families, GCM Start -Up, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, home care, nurse advocate, nurse care manager, Private Duty Home Care, Quality of Life Tagged With: aging parent, aging parent care, caregiver assessment, caregiver burnout, caregiver family meeting, caregiver overload, caregiver overload with sisters, caregiving family members, caring for a yourself as a parent, case manager, elder care crisis, geraitric assessment, geriatric care management, geriatric care managers, geritaric care manager, National Association of Geriatric Care Managers, parent care, Psychosocial assessment, red flags for a family meeting, stress and burden

How to Assess the Caregiver and Avoid Hospital Readmission

August 30, 2017

 

Assessing the Family Caregiver is a new but crucial concept for geriatric care managers and professionals in aging.As geriatric care managers and aging professional, we are health and social services oriented. For almost 3 decades we have assessed the care receiver for problems with function, social connection, and psychological issues. If we suspect depression we have completed that screen. If our client plans to move, has cultural needs and preferences, exhibits signs of dementia, need ways to improve quality of life or a spiritual connection, we have assessed the care receiver for those problems.

All our assessments have left out the major fact – care is an exchange. To receive care, the patient/client usually needs a family caregiver to give or supervise it. That family caregiver is the glue that holds it all together and his or her inner bond begins to break with the strain of caring.

Other countries have seen what the US has yet to grasp. In the United Kingdom, a seminal law passed in 1995 called the Recognition and Services Act , which provided British caregivers a statutory right to request an assessment at the same time that a frail elder or adult with disabilities is assessed.

So developing a caregiver assessment is critical, especially in this era of penalties to hospitals for readmission. The caregiver is the key to keeping an older person in the community and not back in the hospital. If they are not trained, have physical problems that inhibit caring, find some tasks, like changing adult diapers uncomfortable, have no car to pick up meds or drive to the doctor’s follow up an appointment, you have a problem and probably a readmission.

Learn how to do a caregiver assessment along with a care receiver assessment .This will help you keep your aging client both out of the hospital and potentially out of inappropriate placement in a skilled nursing facility. Plus you will learn just not how to assess caregiver burnout but be able to create a care plan that will help your family caregiver have a better quality of life while they giver better care to their loved one. Read the chapter ” Assessing the Caregiver ” in my book Care Manager’s Working With the Aging Family, Jones and Bartlett. The price has just been cut in half to make it more affordable for the practitioner.

 

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, care manager, caregiver, caregiver assessment, case manager, elder care manager, Families, GCM Start -Up, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, home care, nurse advocate, nurse care manager, Private Duty Home Care, Quality of Life Tagged With: aging parent, aging parent care, caregiver assessment, caregiver burnout, caregiver family meeting, caregiver overload, caregiver overload with sisters, caregiving family members, caring for a yourself as a parent, case manager, elder care crisis, geraitric assessment, geriatric care management, geriatric care managers, geritaric care manager, National Association of Geriatric Care Managers, parent care, Psychosocial assessment, red flags for a family meeting, stress and burden

What Types of People to You Find Among the Concierge Clients Who Can Afford Paid Care Besides Donald Trump?

August 12, 2017

Here is a list of several types of aging families , who can afford geriatric care management and home care  long term because they have the financial resources, which are usually over a million dollars in assets.. Part of this is drawn from Claudia Fine and Nick Newcombe excellent chapter ” Entitlement in the Aging Family”, Care Managers Working With the Aging Family, Jones and Bartlett)

Narcissistic-Entitled Families:

Entitlement in these families usually develop from a specific kind of “not good enough parenting” in which the parents themselves have struggled with personality disorders, most typically, in this type of family, narcissistic  borderline personality  .( example President Trump)They struggled with borderline personality that went undiagnosed or was formally diagnosed and untreated. The narcissistic or borderline parent essentially does not experience the child/children as separate and discreet from themselves and, moreover, uses the child/children to serve parental needs.  This parent–child relationship is characterized by severe boundary issues in which seduction and abandonment are ever-present dynamics and where emotional unpredictability and instability are constant.  ( Fine and Newcombe- Entitlement in the Aging Family, Care Managers Working with the Aging Family)

 

 Rich and Famous-Entitled Families:

These families are identified by the parents’ socioeconomic, financial and political prominence.  ( example President Reagan)They are families in which all basic needs, services, resources and creature comforts are obtained via income, assets, abundant discretionary cash flow and/or come from the political position, station or power.  Once again, the entitlement of the family is passed from the parent to the child who in turn brings these behaviors and actions to the care giving milieu and care management relationship.  In this category, the entitlement arises out of a family that is accustomed to purchasing everything.  They look to paid others to meet their needs (as opposed to families who must themselves find and orchestrate ways to meet basic and complex needs themselves or with the help of the extra-familial system).  Often these families have household staffs, i.e., nannies, butlers, drivers, private pilots, cooks, and maids.  They may have available to them business and family lawyers and accountants, as well as, teams of medical professionals and concierge physicians.  Consequently, in almost all situations they are uninvolved in processes, especially those that are difficult, stressful and time-consuming.  ( Fine and Newcombe- Entitlement in the Aging Family, Care Managers Working with the Aging Family)

 

Well-heeled seniors,

according to the New York Times, may be middle-class retirees who buy shoes from Payless but have a defined pension can afford care at home when they need it and private care management. They rode the post war economy, held jobs long term and through that defined pension (no 401K) face a very healthy financial picture in aging.  They worked for city, county, state government are teachers, truck drivers, social workers or were union members in all trades. They had a career at Xerox, IBM, Campbell Soup and big Fortune 500 companies.

 

Professionals- Physician, Attorneys, CPAs

This group made a very healthy living during the late 20th Century, probably had a defined pension and have very lucrative investments that allow them to afford home care and care management. They usually come from nearly normal families and have been well parented although you will find a mixture of dysfunctional aging families.Their adult children tend to be supportive of their parents, although again you will find a mixture of dysfunctional families in this category.

 

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Filed Under: Aging, Blog, elder care manager, Families, Geriatric Assessment, Geriatric Care Management Business, geriatric care manager, geriatric social worker, home care, Narcissistic Personality, nurse advocate, nurse care manager, Webinar Tagged With: aging family, aging life care manager, aging parent care, aging parent crisis, care manager, case manager, Certified Senior Advisors, geriatric care manager, nurse advocates, nurse care manager, well heeled seniors

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Cathy Cress is the leading national expert in Aging Life and Geriatric Care Management. She is author of Handbook of Geriatric Care Management 4th edition, Jones and Bartlett, published 2015 and known as the bible of geriatric care management. Continue Reading >

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