Cathy Cress

Expert in Aging Life and Geriatric Care Management

Intake- Picking Up Need For VA Benefits Through Silence

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 One of those life-changing losses for aging vets was serving our country in the World War II. The long term impacts that experience can have on those who served has been in a state of denial by the Greatest Generation, and the veterans themselves.

 When the aging life or GCM does a psychosocial assessment standard care management practice may not guarantee that the care manager will always inquire more deeply into whether military service represents a life event that has influenced or continues to influence a man or woman’s physical and emotional health and well-being. Nor does it guartantee that the WWII vet , will talk openly their  40’s wounded  warrior past

The fact is, besides The VA itself, paltry attempt s have been made understanding the results of war of the 9 millions WWII vets and their families hidden psychic wounds like PTSD

Do when care manager does an intake family an client do not identify themselves as veterans or get to those deep wound without strong support from the GCM In an effort to avoid confronting the pain and trauma reliving h that experience, WWII may be avoided at all costs sabotaging the VA’s help.

My own father not seeking services from VA for PTSD  for 50 years,until he found my brother dead is a deadly example .

 

What is a Geriatric Care Management Care Plan? Sifting Clues

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To create a care plan, the next step is to sort through these data in your completed your functional and psychosocial assessments. You are like detective Sherlock Holmes or, if you are female GCM, Holmes fictional wife Mary Russell , portrayed in mystery author Laurie King’s series on Holmes.

This is where you, like detective Mary Russell, sift through clues, leaving no stone upturned, to ensure that all evidence to create the care plan has been taken into account before reaching conclusions. You must examine the clues closely.

Talk to each person in the older clients’ formal or informal support system and make sure all evidence is examined. Everyone has a different version of what happened to bring the client to you with a crisis you must solve.

. Analyze the client’s problems from all perspectives and then synthesize all the opinions into one truth, which will form your professional opinion. Collect all the data, through the assessments and one to one conversations and then look at each person’s point of view to come up with your own professional GCM point of view, which will be your care plan.

 

What is a Geriatric Care Management Care Plan?Assessments

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How does a geriatric care manager or aging professional create a care plan or your professional opinion of what the family ought to do to solve its problems? You begin by gathering all of the data with your assessment tools: your functional assessment data and your psychosocial assessment . You then add additional data you have gleaned from any specialized assessment you have done, such as depression, spiritual, or quality of life

Areas to Cover in Whole Family Assessment- Sandwich Generation Issues

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Sandwich Generation Issues- Many family caregivers have multiple generations requiring their attention and care. In 1981, Dorothy Miller coined the term sandwich generation to refer to inequality in the exchange of resources and support between generations.

Specifically, Miller was referring to a segment of the middle-aged generation that provides support to both young and older family members yet does not receive reciprocal support in exchange. Miller emphasized the unique stressors of multigenerational caregiving and the lack of community resources available to assist the middle generation. Because multigenerational caregivers are most often women dealing with the complex role configurations of wife, mother, daughter, caregiver, and employee, some researchers use the phrase women in the middle interchangeably with the sandwich generation.

In 2013 this is more and more an issue with men – adult sons as well. I am now helping a family where the 93 old Dad is home dying at his son’s home with Hospice and an excellent geriatric care management agency Livhome supplying 24 hour care. The adult son has four grown sons and three grandchildren. In all we have 4 generations sandwiched together helped thankfully by an excellent Hospice and terrific geriatric care management agency. These agencies together and in unison help unlayer the sandwich and allow the whole family  to come together to bring joy to all their lives while they surround this great grandfather through his death . That’s the grace of the whole family approach to me .

Areas to Cover in Whole Family Assessment- Past History /Trauma

Areas to Cover in Whole Family Assessment- Past History /Trauma

Geriatric Care Managers and Aging Professionals doing a “ Whole Family Assessment “ must ask themselves “why now”, and what has changed in the family unit that has created the need for the family to take action at this point in time.

Past History /Trauma – It is important for the Geriatric care manager or aging professional to identify critical events in the senior and family’s history, including psychiatric, health, family, and other life changing events. Wartime experiences, political upheaval and displacement, childhood abuse, neglect, and abandonment are just some of the issues, which may influence the family caregiver’s response.

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