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January 14, 2021

5 Vital Clinical Tools to Help Aging Dysfunctional Families-Post Horrid Holidays-

Thursday, January 21, 2021

2:00 3:20 Pacific Standard Time

Give frantic adult children hope when they desperately call after the holiday

Join me and learn how to come to the rescue of concierge dysfunctional families who found only coal in their stocking.

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Understand the Dysfunctional Aging Family System you must enter to get care for elders
Understand 11 Warning Signs You Are Working with Dysfunctional Family
Master Vital Clinical Tools, you to solve client problems
Take Six Steps Professional Must Take to Work with These Difficult Families
Get care for aging family members when the dysfunctional family members resist

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Best Tool for Dysfunctional Family on Holidays- Hope

December 22, 2020

Hope is the Best Tool on the Holidays

During Christmas and Hannaka family caregivers, especially in the dysfunctional family can be drinking or numbing themselves from the pain of caregiving. They will ruin the holiday celebration one way or another. Maybe they are drugging themselves with the telly or abusing prescription drugs. Depression and anxiety ( rife among caregivers) are predictors of increased alcohol use. Social isolation, which is experienced by some caregivers, is also predictive of increased alcohol use.

How do you as a geriatric care manager change the script for these aging dysfunctional families – family caregivers and older members who are supposed to care for but can’t. How does a professional GCM make the characters transform?

It’s actually simple –but loaded with skill- give them hope. You need to and use yourself to give them hope that things will change. It’s the best tool in a geriatric care manager toolbox- especially on and after the dreaded holidays.

Use of Self

The use of Self is perhaps the most powerful tool for geriatric care managers. The use of Self provides families with guarded optimism. GCM’s have to offer a vision of the future that is based not only on a desire for hopeful outcomes. This has come from our own clinical knowledge and belief that change to their nasty crippled, family

system is indeed possible.

By being direct, empathetic, and

nonjudgmental, we become a holding bay for

stressed caregivers, creating a place of safety, c

onfidentiality, consistency, and support.

Finally, GCM’s offer our clients a model of

perseverance. By giving up on the possibility of

positive change and by exploring all options,

the GCM enables families to feel that, regardless of the outcome, they have done all that they can to support the older adult.

Be like Judy Garland on the holiday offering hope

Have yourself a merry little Christmas.
Let your heart be light

From now on
our troubles will be out of sight

Give the” Merry Christmas – next year

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5 Vital Clinical Tools to Help Aging Dysfunctional Families-Post Horrid Holidays-

Thursday, January 21, 2021

Give frantic adult children hope when they desperately call after the holiday

Join me and learn how to come to the rescue of concierge dysfunctional families who found coal in their stocking.

Learn how to!

Understand the Dysfunctional Aging Family System you must enter to get care for elders
Understand 11 Warning Signs You Are Working with Dysfunctional Family
Master Vital Clinical Tools, you need to solve client problems
Take Six Steps Professional Must Take to Work with These Difficult Families
Get care for aging family members when the dysfunctional family members resist

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When “Cut Off” in The Family is a ” Phantom Limb” at Thanksgiving

November 26, 2020

The Dysfunctional Family’s Worst Time of The Year

Thanksgiving can be the gateway to the dysfunctional family’s worst time of year- the holidays. You face family across the table you despise or just both love and hate. Or there is that empty seat- the uninvited guest- the brother-sister, aunt, son, daughter who you never invite- the cut off-family member.

Families Phantom Limb

But since this leaves the family with that “phantom limb”- like the awful sensation that an amputated or missing limb is still attached and where it was is pulsating in pain- families reach out for someone to fix it.

The ordinary aging processes are made far tougher when a family has a history of dysfunction. Aging professionals, like geriatric care managers, have their greatest challenges in working with these “difficult” families around this time of year.

Dysfunctional Families Fail Eldercare

Dysfunctional families are not able to organize themselves effectively in the face of eldercare challenges and crises. These families are under more stress as they move from long-established roles into uncharted territory.

Family” Cut” off faces Phantom Limb at Thanksgiving

What if they “ cut off” their Dad years ago and now he had a severe stroke-what do they do?? Someone has to take over Mom or Dad’s care and these dysfunctional midlife adult kids are heavy ambivalent or just don’t want to do it. Now that the holidays are arriving – they have the same attitude about attending the family Thanksgiving dinner.

My favorite aging dysfunctional family ” cut off ” Thanksgiving film is Pieces of April Made as a comedy in 2003, it touches death and dying, sibling rivalry, mother-daughter estrangement, interracial love- and Alzheimer’s all fueled by deep family fault lines and how to cook a turkey on a broken stove. The film manages to make the old theme of fraught family Thanksgiving, crisp, funny, and ultra worth watching.I ordered it from Netflix but you can watch on YOUTUBE

Shot in 3 weeks for a measly $350 K, it received a Sundance Film award and accolades for its pedigree cast including 21-year-old Katie Holmes as the grunge Goth daughter who her family has ” Cut Off”, Patricia Clarkson as the dying Mom who distains then forgives her rebellious eldest child and Alice Drummond as the demented grandmother who comes along and plays the most rational person in the film in her obliviousness to the family holiday freak-out.

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8 Ways to Tame the Turmoil of the Holidays & Twindemic in the Aging Family

Learn how!

How to sell services to the desperate Aging Family during the holiday surge
How to give hope to frantic children who call when their aging parent struggling with Loneliness and isolation on the holidays
How to help the Aging Family make holiday visits remotely or safely in person
How to counsel the Aging Family to track aging decline &Twindemic risk in loved ones
How to work with both dysfunctional and long-distance families who call during the holidays
How to use GCM tools to contain Holiday chaos
How to use financial forecasting to prepare for business growth during the holidays

Sidestep the Many Care Managers Who Do not know how to work with Dysfunctional family or do COVID Coaching of Aging Families so the client chooses you

THIS FREE WEBINAR IS Thursday, December 3, 2020, FROM 2 PM – 3:30 PM PST

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Find out more about Holiday Adult Child Freak out- in the YouTube for My YouTube, Channel Geriatric Care 1

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The 2 Deadliest US Sites of COVID-19 Nursing Homes & Prisons

May 2, 2020

PRISON INMATES AND NURSING HOME PATIENTS NOT 6FT APART – 6 FEET UNDER

70% of inmates in federal prisons have COVID-19. In Kansas, the Lansing Correctional Facility had a riot of inmates over COVID-19 lack of care or protection It took the rebellion to get the coronavirus testing PPE and care. The Bureau of Prisons in Kansas confirmed finally that 79 staff have coronavirus and 88 prisons and prisoners dead.

Older residents in nursing homes cannot rebel like prisoners. Many can’t even walk. The Atlantic Magazine just published an article, We are Killing Elders Now. The writer states “In at least six states, these fatalities account for half of all COVID-19 deaths, and according to the World Health Organization, half of all coronavirus fatalities in Europe have been traced to nursing homes too. Some of this mortality is linked to long-term-care facilities that are shoddily run or that violate health standards. But most of them are doing the best they can with what they have. And they don’t have much”.

KAISER FOUNDATION NURSING HOME STAFFING AND USE OF PPE NOT REQUIRED IN MOST STATES

Kaiser reports -Staff Screening. It is more common for states to recommend rather than require daily screening of staff for illness in NFs (24 states recommend, 16 states + DC require)

Use of PPE. More states recommend (23 states) than require (7 states + DC) staff to use PPE

Two States that require testing for coronavirus of ALL residents of nursing homes are Maryland where 556 have died as of the Washington Post article. and Tennessee

THE FEDS HAVE NO CMS FEDERAL GUIDELINES OR REPORTING

We have no federal guidelines for safety testing according to an article by the Kaiser Foundation

It is now estimated that 16,000 deaths have occurred in nursing homes and that is without the federal government revealing any numbers and not making available any testing. But the numbers are probably huge- if we could just do testing.

CMS announced it would have a meeting of a “panel” of experts “ sometime at the end of May”. After probably 20,000 older people died and the feds did nothing this shows their sense of urgency about this pandemic’s national “elder cleansing”.

WHAT CONNECTS PRISONS AND NURSING HOMES – CONCENTRATION CAMPS

So, what is the connection between the viral spread of COVID-19 in nursing homes and prisons- 6 feet ? Prisoners and residents, in nursing homes, and prisons cannot social distance. Jails and prisons have human beings crammed together with no choice. Nursing homes have 2 beds or if you are on Medicaid three to a room. Neither group has a choice to social distance. They are ” concentrated” as in concentration camps or death camps.

Do SOMETHING – HELP NURSING HOMES PREVENT MORE CARNAGE

So, as someone who has spent her career in aging, I am calling out to everyone, especially professional in aging – do something. Since the feds appear to be doing little- call your congressman, write a letter to the editor.

BE KIND LIKE RACHEL MADDOW REPORTS LA JEWISH HOME LA WAS

Rachel Maddow suggests calling your local nursing homes and see what they need. Be kind like the LA Jewish Home was to a smaller nursing home LA Brier Oaks. They wanted to test their residents and had no tests and the larger LA Jewish Home had tests and shared them with the smaller as a good neighbor. What they found was ravaging but it also showed caring and generosity. Care and be generous and show the helpless elders in nursing homes in your town you are opposed to -nursing home being prisons or concentration camps.

When Cut Off in The Family is a ” Phantom Limb” at Thanksgiving

October 24, 2019

The Dysfunctional Family’s Worst Time of The Year

Families Phantom Limb

Dysfunctional Families Fail Eldercare

Family” Cut” off faces Phantom Limb at Thanksgiving

Shot in 3 weeks for a measly $350 K, it received a Sundance Film award and accolades for its pedigree cast including 21 year old Katie Holmes as the grunge Goth daughter who her family has ” Cut Off”,Patricia Clarkson as the dying Mom who distains then forgives her rebellious eldest child and Alice Drummond as the demented grandmother who comes along and plays the most rational person in the film in her obliviousness to the family holiday freak-out.

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5 Vital Clinical Tools to Help Aging Dysfunctional Families-Post Horrid Holidays-

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