Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Emergency Go Binder -Family Caregivers Need for Global Warming

August 16, 2023

What Senior Services Can Do in Disasters

What Senior Services can do in disasters – You can prepare an emergency plan for your own agency. This is critical now for all care managers, home care agencies, and any senior service because of global warming. With the Maui Fire, CSA, or any senior agency watching another global climate change disaster, happening right in Maui. Senior service providers need to know how to prepare elders and their agencies for fires. Many of those suspected dead in Lahaina are thought to be older people who could not escape quickly enough as it was a fire that was swept by Hurricane Dora’s 80-mile-an-hour winds spread the fire so fast that many many just could not escape and now suspected snapped power lines . Lionel Montalvo, retired fire chief in Lahaina, said that many dead elderly would be found  Fema puts out a handout that can be shared with elders about how to prepare for fires with their level of disability.

In An Emergency, I  Panicked

What Senior Services can do in disasters was vividly revealed to me. I live in Santa Cruz County, Ca. , where the disaster of a 6.9 earthquake, in 1989 happened and future earthquakes stalk us. But we had a double disaster in  Aug 2021. Covid had started and then one of the 30 fires begun by lightning strikes all over California set the Santa Cruz mountains, with ancient 3000-year-old redwoods, ablaze. The fires caused 70,000 evacuations, and flames destroyed 1,490 structures, as the firefighters did not have enough fire personnel to fight the fire. There were so many fires statewide that all firefighters in the state were not enough to fight the blazes. In addition to the horror, the fast-spreading fire, our three assigned planes to drop water on the inferno, could not fly as smoke and fog prevented it. They went to other California fires.

I Had No Grab and GO, Binder

When all this was announced by emergency alerts we were told to prepare to evacuate too. In spite of just teaching how to put together a go binder for COVID- I had no go binder myself. I had no list of what I would take in an emergency from a 5 bedroom house with multiple family heirlooms, original art by children, grandchildren, and now famous friends, I had never scanned the multiple photographs of our family in frames to GOOGLE PHOTOS  all over the house nor those critical important documents like our trust, birth certificates, passports, insurance info in a filing to add a go binder. I  never made a GO Binder. I did that later now when the fire is 30% contained when it was no help in the emergency, but I do now when worldwide global emergencies, world wide spread like the black death.

What to put in Go-Binder

Emergency plan

What Senior Services can do in disasters is help clients create a grab-and-go binder with all the emergency contacts, documents like advanced directives, DNR power of attorney, and family contacts, the family cannot physically go into the hospital or evacuate but this Go binder can take your place. With important information about your family member when they are admitted without you by their side. Your go-binder should contain your family members’ most important information and documents. This will include.

  • Medical information
  • Emergency Contact List
  • Advanced Directives 
  • Critical medical, insurance, social security, Trust/will docs 
  • You can also order them pre-prepared 

Prepare for Double Disasters Now

In emergency situations, people sometimes do not think rationally as I did in the Santa Cruz mountain fire. We never know how we are going to react in an emergency until it actually happens. In order to prepare for any situation, hurricanes & COVID, Fires creating a grab-and-go binder should be an important part of your shelter-in-place plan for aging friends or relatives.

If Covid returns with new variants and many anti-vaxers who refuse immunizations,  older people sheltering in place, can still contract COVID and be rushed to the hospital in an emergency. But on top of COVID other emergencies like storms, wildfires, and floods occur on the top of the pandemic. Think of this summer and fall  when the hurricane season is predicted to be catastrophic due to climate change, the warming of the Oceans, and in the last week Hurricane Dora creating, along with drought the brutal disaster on going in Maui, where 1000 people are still missing and the dead over 100.

EMERGENCY PLAN FOR EVERY DISASTER

Prepare for emergencies

Emergency Plan Needed for all Senior Service Agencies to Serve Clients in the Misdst of Disasters and Exploding Global Climate Change 

What Senior Services must do in disasters, especially exploding climate change events, is to create an emergency plan for all emergencies for all staff, caregivers, and aging clients in your senior agencies or you as a practitioner. With hurricane Dora causing the  Maui fire and the west once again facing massive wildfires, tornados already wreaking devastation this season and the polar vortex perhaps coming again next year-do you have emergency procedures?

The emergency plan to prepare for emergencies should contain specific policies and procedures,  like who will care for your clients when the agency members have to evacuate, and a plan that is written out and made explicitly. It should include directions that the owner or manager would like followed in emergency circumstances. The emergency plan should be signed and dated by both the owner and the manager, reviewed periodically, and updated as policies and procedures or circumstances change. An emergency plan is your first line of defense when an emergency or disaster occurs.

Informal agency emergency procedures work in a start-up care management business but what if the solo practitioner is ill and out?

If illness, accident, or some other unforeseen event overtakes an owner or man­ager, like, no emergency procedures can be suicide in an emergency, not to mention liabil­ity to your elderly clients.

You could be like  GCM Jim Boyd who lost his business in the Paradise Fire that knocked him out.

PARADISE FIRE DEVASTATION OF A GERIATRIC CARE MANAGEMENT PRACTICE

GCM Jim Boyd of Paradise, California lost everything in the catastrophic fire in the town of Paradise, where he lived and practiced. He was trying to evacuate aging clients in Paradise, located in the midst of the Sierra forest when the huge forest fire immolated the entire town. Another care manager in the Sierras took over for him as an Aging Life Care partner. Although a “Go Fund Me” started by the Aging Life Care Association raised almost $10,000 for Jim, he did not have enough to rebuild his Paradise home where he had his home-based GCM business. Then he and  90% of the residents of Paradise never returned.

Emergency Plan-Every geriatric care professional needs a formal, written backup plan that dictates action, should a disaster or emergency arise.

 

It‘s necessary to assess your company’s risk of temporary or permanent service disrup­tion  you will prepare for emergencies with an agency emergency plan

if a disaster or emergency is experienced. This may seem an overwhelming task at first, but when you break it down into pieces, it becomes workable.

One part of your emergency plan should be explaining an emergency plan and checking the home for safety at intake. Then at each monitoring visit have an emergency plan checklist to make sure safety devices work- and are still in the house –are their batteries that still work, flashlights fire alarms, if an emergency exit plan is still posted, and family or paid caregivers still trained on what to do in an emergency.

Learn how to prepare for emergencies and how you can prepare yourself, your clients, and your staff for disasters and absences of key personnel.

With global warming’s effects causing fires like the Maui Fire -floods, larger hurricanes, and the specter of more catastrophic weather events, you need to prepare for emergencies. Get the new Handbook of Geriatric Care Management 4th edition now at my website –  out in Kindle or hardback with an excellent chapter on how to prepare your agency for disasters, plus forms to use, by former GCM President Liz Barlow.           

 

 

 

Filed Under: Advanced Directives and Covid-19, advanced directives& COVID-19, Aging, aging family crisis, Aging Life Care, aging life care manager, ALCA COVID-19 Crisis, ALCA Disaster Plan, ALCA Products for COVID_19, Blog, Coronavirus Coaching, Coronavirus emergency plan, Coronavirus safety elders, coronavirus shut down, CORONAVIRUS Stay at Home Plan, COVID, COVID-19 & Care Management, COVID-19 & Wildfire, COVID-19 &Shelter in Place Plan, Covid-19 and GCM SERVICES, COVID-19 Emergency Go Binder, COVID-19 Emergency Plan, Covid-19 GCM Products, COVID-19 Hospital Discharge Plan, COVID-19 Plus Hurricane, COVID-19 Recover at Home Plan, elder care manager, Emergency Go Binder, Emergency Plan, Geriatric Care Manager, geriatric social worker, nurse advocate, nurse care manager Tagged With: 5th edition GCM OPERATIONS MANUAL, ADVANCED DIRECTIVES & COVID-19, aging parent crisis, care manager, case manager, COVID GCM Procedures, COVID- 19 GO Binder, COVID-19 PRODUCTS, Covid-19 Telehealth, COVID-19& LONG DISTANCE CARE, crisis with aging parents, geriatric care manager, nurse advocate, nurse care manager, parent care crisis

Rural Living Elders Greatest Risk to Perish in Massive Hawaii Fires

August 14, 2023

RURAL LIVING ELDERS AT GREAT RISK IN FIRES _ELDERLY 2XMORE LIKELY TO DIE IN FIRES

Rural Living elders are at great risk of fires. The U.S. Fire Administration estimates that older adults are more than twice as likely than the general population to die in fires. One-quarter of the Paradise residents, in the devastating fire that burnt down an entire California town in 2018, through PG&E Malfeasance had a disability which is double the statewide statistic. One geriatric care manager who lives there lost his home and practice trying to rescue a local older client.

Rural Living elders at great risk in fires

 

Rural Living elders at great risk in fires showed up again in the present Hawaii fire. The devastating Hawaii fire that just destroyed the entire town of Lahaina on Maui where over 90 people have now been found dead and this number is growing fast and 1000 are missing. This fire is rated above the Campfire which destroyed the town of Paradise in 2018. Many of those suspected dead in Lahaina are thought to be older people who could not escape quickly enough as it was a fire that was swept by Hurricane Dora’s 80-mile-an-hour winds spread the fire so fast that many many just could not escape. Lionel Montalvo, retired fire chief in Lahaina, said that many dead elderly would be found 

Decades of research confirm that the physical limitations that accompany advanced age make it much more difficult to escape disaster, but so do the social isolation and stubbornness that experts say is common among the elderly.

BREATHING PROBLEMS FOR SENIORS UBER RISK IN FIRES

The elderly are at the greatest risk for fire-related breathing problems according to the CDC.So if they just live in fire-prone areas and do not lose their home the very air they breathe can make them ill or actually kill them. Wildfire smoke can in the worst cases be deadly, especially among older people. Studies have shown that when waves of smoke hit, and patients experience respiratory problems, heart attacks, and strokes.

In 23 counties, older Californians overwhelmingly choose to live in fire-prone areas. Including in San Luis Obispo County, where 82% do live in rural areas.

Rural Living elders are at great risk of fires. That means nearly 2 million older Californians live in areas where wildfire is a formidable threat. It is not only the elderly who are losing homes in these rural Forest fires but those in facilities.

According to NPR in San Francisco, there are more than 10,000 long-term care facilities in California, from six-bed assisted living homes to large nursing centers.

Their analysis found that 35% of these facilities are in risky areas. With as many as 105,000 residents to safeguard if fire comes, these care home operators must now consider how to evacuate during a pandemic, a more complicated and difficult task.

California is aging faster than the rest of the country. In 10 years, the state projects the number of people over 65 will grow to 8.6 million.

RURAL LIVING ELDERS AT GREAT RISK IN FIRES SANTA CRUZ COUNTY FIRES TURNED REDWOODS INTO INFERNOS

In Santa Cruz, California, where my home and my home office are located wildfires in our Santa Cruz mountain forest burnt down 25 % of our county in 2020.  Of the two most damaged areas in the county was Bonnydoon, a rural area overlooking the Pacific which is very beautiful and rural. Among the many senior facilities damaged was Brookdale Senior Living which was evacuated due to smoke damage and inhalation by residents. They had to send patients to the Bay area, and in the Brookdale case, frail confused elders were sleeping on cots close to each other, risking COVID-19 and exacerbating their confusion, according to one daughter who moved her mother to her home in Santa Cruz permanently.

ELDERS COLLIDE WITH CLIMATE CHANGE

“There is absolutely a colliding of the events of both population aging and climate change,” said the University of South Florida gerontologist Kathryn Hyer. The elderly population represents 1/5 of our population and growing. Climate disasters as we can see from one climate catastrophe after another this year -like the Maui fire explode in power and frequency. According to the EPA, these colliding statistics are a formula for a disaster in a disaster.

Climate change is having a significant impact on wildfires according to the National Oceanic &Atmospheric Administration 

Rural Living elders a great risk of fires and it is only getting hotter, harder to breathe more dangerous for all worldwide US residents reflected in the heat wave in Arizona and Texas with a high-risk population of aging individuals but radically  more so for elders, who are number 1 in health problems and live at home or in facilities in the middle of these mammoth forests, turned into infernos of death

 

 

Filed Under: Aging Families and Disaster, aging family crisis, Aging Life Care, ALCA Disaster Plan, Assisted Living Crisis, Black Entrepreneur RB, Black Entrepreneur RN, Black Geriatric Care Manager, Black geriatric care managers, Black RN, black social worker, black travel nurse, Black Travel Nurses, Blog, Climate change catastropes, Climate Change Fires, COVID-19 & Wildfire, Disaster, Disaster 2020, ELDER FIRE RIsk, Elderly Disaster Plan, Fire Risk to Elders Climate Change, FIRES, GCM Disaster Plan, Hawaii Fires, Hawaii wildfires, Home care disaster plan, Home Care Emergency Coronavirus Plan, Maui wildfire Elder deaths, Maui Wildfires, Nursing Home disaster plan, Paradise Fire, Rural Elder Fire Risk, Rural Elders and Climate Change Risk, Rural Elders Risk Fire Death, Santa Cruz Fires, Trump Administration, WESTERN FIRES, Wildfire risk and elders, Wildfire Tornados Tagged With: aging life care manager, aging parent care, aging parent crisis, Bonniedoon fire, Breathing Problems in fires, California wildfires, care manager, case manager, crisis with aging parents, Elder risk in fires, Hawaii Fires, Lahaina fire, Long Term Facilities Risk Fires, nurse advocate, nurse care manager, preparing for a disaster, Rural Aging & Wildfires, Rural Elders at Risk 4 Fire, Rural Fires in West, Rural Risks in Wildfires, Santa Cruz Wildfires, Trump response Ca Wildfires, Western fires & Elders, wildfires in west

Omicron Gone Nuclear-Are you Marketing Your Agencies COVID-19 Safety ?

January 3, 2022

 

How Do You Market the Safety Of Your Agency with Omicron Cases Exploding Nationally?

What is the best way to show the Covid -19 safety protocols of your GCM or homecare agency with new Omicron surge exploding COVID cases once again?  You must overcome adult children’s hesitation to use homecare and GCM services. Why hesitation? Although about 62% of all Americans are now vaccinated -while— more than 87 percent of adults 65 and older — have been fully vaccinated, yet terrifying the public and adult children who care for aging loved one’s needing care at home —as  COVID exploding again with the highly contagious omicron variant accounting for an estimated 58.6% of sequenced U.S. virus cases in the week ending Dec. 25, as the Centers for Disease Control and Prevention’s Nowcast model showed, was up from an estimated 22.5% a week earlier ., 22% self identify as anti-vaxers,  So aging families remain very nervous about your agency coming into a senior home.

During this new COVID-19 Omicron surge what families look for in your agency is your Covid 19 safety of staff- the care providers, care managers, and office staff’s vaccination rate, your safety protocols, PPE equipment use, and evidence that you work with your local department of health, state and CDC to stay compliant.

DO YOU CREATE A COVID -19 SAFETY MARKETING PLAN?

Hygienic shield offering COVID-19 Saftey from omicron

A key element that goes into that marketing plan would be an e-newsletter, with a marketing campaign on your covid-19 safety  sent out in formats like Constant Contact   Survey Monkey  other choices

This will boost the clients you can serve, as the Omicron surge has made adult children and elderly clients are nervous to have visitors come to their homes, exposing elders

States and individual health systems have historically addressed vaccination requirements for diseases such as influenza and hepatitis B. You must follow your state’s COVID regulations.  Today, more than 2,500 hospitals, or 40 percent of all U.S. hospitals, have announced COVID vaccination requirements for their workforce. They span all 50 states, the District of Columbia, and Puerto Rico.  Potential clients need to know your care staff and care managers you use are incentivized to get vaccinated. 

newsletter to market COVID -19  safety 

Other Ideas to Add to your e-newsletter about COVID

Warning about Omincron surge 

Include Videos in your e-newsletter like this terrific e-newsletter that Lifespan, a care management agency in Santa Cruz, Ca. uses introducing their staff products and services during COVID. 

  • Tell a story with the COVID safety you want to show future clients and their adult children
  • Use your i phone to record your video

  • marketing Covid -19 safety of your agency

  • If you are a care manager, include a list of great reasons that a client or customer should work with an ALCA or Geriatric Care Manager during the Coronavirus pandemic. ALCA members get this in a flyer “Why Work With An ALCA Member During A Crisis “.The Aging Life Care Association has huge resources for dealing with coronavirus impact on geriatric care management. This makes joining ALCA now a great idea in this lethal pandemic and its deadly effect.

      • 5 steps to create an e-newsletter with the right copy, to get out the word about you

         

      • Sign Up for my Latest Free Webinar

         

         11 Clinical Steps to Work with Dysfunctional Families-Post Holidays –

      •  

        CressGCMWebinar -Thursday, January 6 2022 2:00-3:30 Pacific Time

      •  

        Sign Up For Free

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

          

        and learn how to come to the rescue of concierge dysfunctional families who face a need for care                                                                                 during the omicron surge.

         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 the 5 Clinical Tools – you need – to solve these problems with your clients

         

        Learn Six Steps Professional Must Take to Work with These Difficult Families

        Sign -Up Now   

      • Even if you cannot attend, you will get a recording the next day by signing up

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Filed Under: 3rd party targets, aging family and COVID, aging family crisis, aging life business, Aging Life Care, aging life care manager, Aging therapist, ALCA COVID-19 Crisis, ALCA Disaster Plan, ALCA Products for COVID_19, Black Entrepreneur RB, Black Entrepreneur RN, Black RN, Black Travel RN, Blog, branding, branding ALCA business, Care Management Products, coronavirus, Coronavirus Coaching, Coronavirus emergency plan, coronavirus marketing, coronavirus quality of life virtual program, Coronavirus safety elders, coronavirus shut down, CORONAVIRUS Stay at Home Plan, COVID -19 Safety, Covid 19, Covid 19 Webinar, Covid Safety Video, COVID Saftey, COVID Webinar, Covid-19, COVID-19 & Care Management, COVID-19 & Delta Variant, Covid-19 and GCM SERVICES, Covid-19 Death, Covid-19 GCM Products, COVID-19 GCM Safety Procedure, COVID-19 Safety, COVID-19 Webinar, Create newsletter data base, Delta Variant Safety, e-newsletter, email newsletter, Family Caregiver, Fear of Omicron, FREE MARKETING WEBINAR, FREE WEBINAR, GCM Webinar, Geriatric Care Management Business, geriatric care manager, Geriatric Care Manager, geriatric care manager start up, Geriatric Care Managers value, geriatric social worker, INFECTION CONTROL & COVID-19, inquiry, inquiry call, inquiry COVID-19, Lifespan Care Management for Elders, Marketing aging life care, marketing ALCA /GCM, marketing care management, Marketing copy, Marketing GCM Pre-Post Covid, marketing geriatric care management, Marketing Home Care, marketing newsletter, marketing pitch, Marketing Plan for COVID, Marketing Tools 2021, nurse advocate, nurse care manager, Omicron varient, postioning, quality of life -COVID-19, Social Media for eldercare, social media marketing, social media marketing campaign, Telehealth with ALCA, Therapist Specializing in Aging Tagged With: aging family, aging life and geraitric care manager, aging life care manager, aging parent care, aging parent crisis, care manager, case manager, COVID-19 intake, COVID-19 PRODUCTS, Covid-19 Telehealth, COVID-19 Telehealth product, COVID-19 Webinar, nurse advocate, nurse care manager

Start-Up Geriatric Care Management Marketing and PR Checklist

April 7, 2021

 

To grow an ALCA or Geriatric Care management business, you must use-  marketing and public relations (PR). ( usually social workers and nurses have never done )Here is a helpful start –

 

 Start-Up Geriatric Care Management PR/ Marketing Checklist

1. Brand Identity- including logo design and collateral material design

Services needed to complete

Research competition, develop key differentiating features, develop a brand positioning statement, and develop business names, graphic design for the logo.

, colors for business communication. Consider consulting a branding firm.

2. Business Identity            –

Get coordinated business card envelopes, note cards, and folders                                  

Services needed to complete

Graphic design, printing, and delivery

3. Products sheets or Sell sheets, Brochures

Services needed to complete- Copywriting, graphic design, printing, and delivery

4. Identified and 3rd party targets – including a prospect profile

Services needed to complete-

Identify targets ( elder law attorneys, assisted living, concierge physicians, trust/wealth management departments) in your services area.  Research develops prospect profiles, mailing lists, key factors in specific communication messages per target audience. Add to marketing excel sheets.

Want to know more?

 

 

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Filed Under: 3rd party targets, Aging, Aging Family, aging family crisis, aging life business, Aging Life Care, aging life care manager, ALCA Disaster Plan, brand, branding, branding ALCA business, Branding GCM Business, care management start-up, care manager, complementary consultatiom, coronavirus marketing, e-newsletter, GCM emergency procedures, GCM Sales, GCM Speaker's Bureau, GCM Start -Up, GCM Webinar, Geriatric Care Management Business, geriatric care manager, geriatric social worker, Logo, marketing, Marketing aging life care, marketing ALCA /GCM, marketing care management, Marketing copy, marketing geriatric care management, Marketing plan, Marketing Sell sheets, Marketing Strategy, Marketing to top 10%, Marketing Tools 2021, nurse advocate, nurse care manager, Public Relations, social media marketing, START UP, Start-up Marketing, Third Party Tagets Tagged With: aging family, aging life care manager, Benefits vs Features, Brand identiy, care manager, geriatric care manager, geriatric care manager private duty home care, home care care manager, Home care marketing, marekting, marketing geriatric care management, nurse advocate, nurse care manager, PR for geriatric care management

8 Steps to Take to Avoid Midlife Sibling Mayhem on Thanksgiving

November 12, 2020

Ritual Celebrations  + COVID Turn Into Kick- Boxing

Celebrations, (like Thanksgiving coming up) Hanukah, Christmas

 

Father’s – any holiday— can be a nightmare with adult siblings and the dysfunctional family. You have to show up, yet you prepare for the daggers or uppercuts – either wielded by you as a sibling.

 Tips to Save the Holidays

1) It is a holiday event, not a family meeting. If you want to talk about personal issues, make a date to get together with your angry sister/brother.

2) Remember that it is Thanksgiving and not all about you. Keep a positive attitude for the sake of your aging parent if they are there, your own kids your nieces and nephews, and your adult siblings.

4)Have a family meeting to discuss COVID restrictions and the best way to stay safe,

 

which might mean a zoom meal Do not exclude in the decision. Again to build a team effort.

5) Call ahead and arrange to split the bill if you order individual meals from a  restaurant due to COVID – ahead of time- again team effort and no embarrassing credit card bargaining at the table that only brings on more fights.

 

6) Keep your alcohol in check. You can’t control anyone else but you can control and even change yourself. We all say things we may regret with lots of nervous drinking.

 

7) Check out in-person family meeting tools and some free online meeting tools so if you have an aging parent you can arrange care between siblings with online after the holiday get meeting- not in midst of holiday visit.

8) Hire an aging life care manager to facilitate a family meeting.

SIGN UP FOR MY FREE WEBINAR

 

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 strugglingwith 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

Sign Up Now

 

 

Find out more in the YouTube for My YouTube, Channel  Geriatric Care 1

 

 

Filed Under: Adult children, ADULT SIBling, Aging, Aging Life Care, Aging Life Care Assocaition, aging life care manager, ALCA COVID-19 Crisis, ALCA Disaster Plan, Coronavirus safety elders, COVID & HOLIDAY SEASON, Cut Off, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Holiday Rituals in Aging Family, Holiday Sibling Rivalry, nurse advocate, nurse care manager, Remote Thanksgiving Family Visit, SIBLING, sibling rivalry, Sibling Strife Holidays, Sibling Strife Thanksgiving, THANKSGIVING BLOG, Thanksgiving Parent crisis, Thanksgiving Safe Visits to Grandma, Thanksgving visits during COVID Tagged With: check list for holiday visit, COVID Safety Precautionss, COVID THANKSGIVING VISIT, danger signs for holiday visit, dysfunctional family on the holiday, Holiday COVID Celebration, Holiday Crisis For Aging Family, Holiday sibling rivalry, Holidays with midlife siblings

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