Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Sign Up for My Webinar on Death Doulas and End of Life

January 11, 2023

Si

Add Death Doula &Death and Dying to Your Care Management Agency

Deliver a Good End of Life-

Add Death and Dying to Your Care Management Agency

Serve Your Client until Death Do You Part

This webinar is free

Join me on January  24 and 2 PM and learn why End of Life Services Are a perfect new service for care managers

Find Out More 

Sign up for my free webinar on Death Doulas

Death Doula – What is that?-In this 1 ½ -hour webinar you will learn “What is Death Doula and how Care managers can work with them.

Sign up for my webinar on Death Doulas and End of Life.  In A Washington Post, this week a Post article said that Death Doulas have become a nationwide death-positive, national movement mirroring the traditional ritual in Mexico that many Americans also celebrate, the Day of the Dead. That ritual holiday celebrates death as a positive part of life by remembering those who have died, honoring them with flowers ( marigolds), and “commemorating death as another element of life.

We live in a culture that is afraid of death- where death, like birth, was hidden in institutions, like nursing homes and hospitals for decades so that families never had to experience it. This hiding away from the entrance and exit of life is one reason why we fear death. Death-like birth used to occur at home, where families could see and feel the dying person, hold them, and smell them, so those fears were not there. Now like a birth, that can happen at home death can too at home with the help of a  geriatric care manager and a Death Doula who like a midwife of birth –  is a midwife of death. This a reason you should sign up for my webinar on Deliver of Good End of Life.

Sign up for my free webinar in Death Doulas and  End of Life and learn from an interview with Patti Urban ALCA care manager and Death Doula

What is a death doula? 

what exactly does a death doula do?

Do Death Doula work with Hospice, Care Managers, or just families

Is there a Charge

How can I contact a Death Doula

How can a care manager be trained as a Death Doula?

 

Patti, a Certified Dementia Practitioner, Senior Advisor, and End of Life Doula, is the owner of Aging Care Planning Solutions, a geriatric care management and end-of-life planning practice.  She is the former Executive Director of Shoreline of Clinton, a memory care assisted living community, and the former owner of Comfort Keepers, a home care company serving seniors, both located in Connecticut.  She is the founder of the Shoreline Area Senior Network, a local networking and educational group for professionals serving the senior community along the Connecticut Shoreline.  Currently, she is a member of the Advisory Council of the Agency on Aging of South Central Connecticut and is a former Board Member of the Shoreline Eldercare Alliance, Association of Women Business Leaders, Orchard House Adults Day Center, Shoreline Chamber of Commerce, and National Speakers Association Connecticut Chapter.

She resides in Connecticut and is the mother of three daughters and one son, all adopted from China.  She can be reached at 845-641-8123, pattiurban@agingcarePS.com, and www.agingcarePS.com.

Sign Up for my free Webinar

Sign up for my webinar on Death Doulas

We will Also Cover Serve Your Client until Death Do You Part

  • Transition the patient/family through the five stages of death
  • Help clients be active participants in their care
  • Give the family/caregiver tools to manage care
  • Provide family center care to  family caregivers and family
  • Choose the right support services through all stages of death
  • Introduce Hospice and Palliative care and work with their team
  • Use ALCA End-of-Life Benefits During COVID
  • Use  COVID -19  Family Coaching for GCM

Sign Up 

If you really want to add End of Life to your care management business sign up for this webinar now

Filed Under: 5 stages of death, 5 Stages of Dying, 5 stages of End of Life, Acute Stage of Dying, Aging deaths, Aging Family, aging life business, Aging Life Care, aging life care manager, ALCA Role Death and Dying, Atul Gawande, black care manager, black concieirge nurse, black concierge care manager, black concierge RN, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black Geriatric Care Manager, Black RN, black RN care manager, black social worker, black travel nurse, Black Travel Nurses, Black Travel RN, Blog, Concierge aging clients, Concierge Care Manager, Death & Dying, Death and Dying Care Management, death and dying care manager, End of Life, End of Life Care manager, End of Life Cultural Assessment, Five Stages of Death, FREE WEBINAR, GCM role Death and Dying, GCM workinh with hospice, geriatric care management emergency proceduress, Geriatric Care Manager, Good end of life, Good hospice, nurse advocate, Palliative Care, Quality of Life in Death, Quality of Life in Dying, Recovery phase of death, US Medicalization of Death Tagged With: 5 stages of death, Acceptance Phase of Death, adding end of life services, aging family, aging life care manager, aging parent care, aging parent crisis, Aging SNF deaths, Benefits of Care Managers To Hospice, care manager, case manager, chronic phase of death, COVID-19 Deaths, COVID-19 deaths SNF's, death and dying, Death Doula, Death Douls at end of life, Deaths in Nursing Homes, disputes at end of life, end of life care, end of life care manager, End of Life Diagnosis, families fretting at end of life, family meeting end of life, Free Webinar geriatric care management, Free webinar on end of life, GCM in Death and Dying, geriatric assessment for end of life, Hospice, Hospice at end of life, Hospice Care, hospice for elderly parent, nurse advocate, nurse care manager

The Benefits of a Care Manager’s Role in Hospice

February 28, 2022

The Benefits of a Care Manager’s Role in Hospice?

The benefits of a care manager’s role in hospice are myriad.The geriatric care manager serves older adults before they find they are dying, so know them well. GCMs work with chronic care clients, sometimes for years, before eventually succumbing to their illness. They also work with clients who come to them facing the end of life issues.

 Care managers work with the process of acceptance and adjustment to terminal illness has five phases:

                                                    before the diagnosis,

 the acute phase ­

the chronic phase

 the recovery phase

 the terminal phase 

Thus the benefits of a care manager’s role in hospice is the care manager is a GPS for both the client and family through all stages at end of life, bringing in critical services like palliative care and hospice caregiver respite and quality of life the whole continuum of care for supporting the end of life- at the right phase at the right time –

Benefits You (as a GCM) will Bring to Hospice

 

  • Feature – geriatric care manager will bring the client to Hospice much earlier in the 5 stages of death and dying than the one month before death when most patients enter Benefit- the client &  & especially the family have the support and guidance 24x7throughallstages of dying
  • Care managers do a Quality of Death assessment to find out the patient’s wishes for a good death Benefit- the dying patient has the death he or she wants
  • You will make sure all the critical paperwork is needed is gathered and organized, including:
  • Insurance
  • Legal
  • Financial
  • Healthcare
  • End of life

Interventions vary according to the phase. The GCM may already have served the client and they are now facing a terminal diagnosis. But a geriatric care manager may be brought in when the family is negotiating through any one of these phases, their work begins with making a determination of what phase the client is in and what services are appropriate for that client at that stage. They are also the best professionals to bring in the quality of life to every phase so that the client can have not only a good death but a good life to the very end.

Benefits You Bring To the Family Friends and Hospice

  • Care Manager will monitor the client/care receiver’s and family caregiver’s health and psychosocial status and the paid caregiver’s care plan, to improve the quality of care and life for the client and caregiver  benefit So That Hospice can direct all it’s attention to the client and assured family caregivers needs are being met
  • Care Manager will accompany the client to all medical appointments and make sure that the 10 minutes cover all questions, that the physician’s orders are recorded and followed, and that all meds are picked up and set up properly Benefit –Hospice does not provide this  and ensures the client gets to all appointment relieves the family of another task and everyone is getting all the correct information from the physician
  • Care Manager will make sure that the family has an online personal health record or a notebook if they wish Benefit -The family has a way to keep track of information from many professionals involved and passes on the correct information to everyone in the family and they can feel more in control in an emotionally chaotic time
  • Care Manager will do a caregiver assessment and suggest interventions from the local continuum of care, including support groups, counseling, respite care, and private duty home care Benefit–You are insuring a whole family approach and  the family caregivers are getting the support and respite they need in this frightening time for their loved one
  • You will coordinate family meetings to facilitate issues like shock, grief, and shutting down Benefit You are a container, allowing the family caregiver to deposit their tremulous at times desperate feelings in a safe place so they can get help from you and be calmer for the dying loved one
  • You will coordinate health literacy information and training of disease skills for the family So What- You will create a forum for the family caregivers to express their grief, fear, and even hopes and demystifying all the unknown medical terminology to make the family feel more literate and self-assured in approaching the medical staff to get the information they need
  • You will monitor anticipatory grief in family and friends and bring in resources

    Benefit- You will create a forum for the family caregivers to express their grief, fear ,even hope and find the help they need to so on with the journey to death

    The benefits of a care manager’s role in hospice
  • You will review all new medication with family caregivers and care staff- Benefit-you will unravel the confusing litany of pharmaceutical word salad  and make sure the family and friends both understand  what med does what, how to set up meds, and remind the meds when hospice is not present

Join me in my new FREE Webinar
Learn to Sell Benefits not Features to Third Parties  to Grow Your Care Management Bottom Line

When: March 15th 2022  

The benefits of a care manager’s role in hospice


2 PM-3:30 PM PST
Learn
 

What is a benefit vs features and how to find benefits for each 3rd party you market to?

What specific problems do you solve for hospice, wealth managers, elder law attorneys, and concierge physicians  

What specific problems to solve for upscale Assisted Living, accountants, financial planners, MD’s  

Step by Step how to set up meetings with 3rd parties to make the sale

SIGN UP


Find out more by watching my youtube playlist on Death and Dying on my channel Geriatric Care 1

Follow Cathy @ cathycress.com

Filed Under: 5 Stages of Dying, 5 stages of End of Life, Acute Stage of Dying, Adult Child Pain, Advanced Directives, Aging, Aging deaths, aging family crisis, Aging Life Care, aging life care manager, ALCA Role Death and Dying, Benefits, Benefits of ALCA to Hospice, Benefits of Care Management, Benefits of Care Management to Hospice, Benefits of Geriatric Care Management, Benefits vs Features, Benifits & Assisted Living, Blog, care manager, case manager, Death & Dying, Death and Dying Care Management, death and dying care manager, elder care manager, Families, Geriatric Care Manager, geriatric care manager, geriatric social worker, Goof Death, Hospice, Hospice Care, nurse advocate, nurse care manager, Palliative care manager Tagged With: aging family, aging life care manager, aging parent crisis, Benefits, benefits of ALCA, Benefits of Care Managers To Hospice, Benefits Of Geriatric Care Managers, Black, black american geriatric care managers, black american social workers, Black caregivers, Black Entrepreneurs, Black geriatric care managers, Black Nurse Entrepreneurs, Black RN's, care manager, case manager, end of life, end of life care manager, Features and Benefits, Features and Benefits of geriatric care management, five phases of death, free webinar, Free webinar marketing, geriatric care manager, Hospice, nurse advocate, nurse care manager, palliative care manager. Hospice

The Benefits of a Care Manager’s Role in Hospice

February 28, 2022

The Benefits of a Care Manager’s Role in Hospice?

The benefits of a care manager’s role in hospice are myriad.The geriatric care manager serves older adults before they find they are dying, so know them well. GCMs work with chronic care clients, sometimes for years, before eventually succumbing to their illness. They also work with clients who come to them facing the end of life issues.

 Care managers work with the process of acceptance and adjustment to terminal illness has five phases:

                                                    before the diagnosis,

 the acute phase ­

the chronic phase

 the recovery phase

 the terminal phase 

Thus the benefits of a care manager’s role in hospice is the care manager is a GPS for both the client and family through all stages at end of life, bringing in critical services like palliative care and hospice caregiver respite and quality of life the whole continuum of care for supporting the end of life- at the right phase at the right time –

Benefits You (as a GCM) will Bring to Hospice

 

  • Feature – geriatric care manager will bring the client to Hospice much earlier in the 5 stages of death and dying than the one month before death when most patients enter Benefit- the client &  & especially the family have the support and guidance 24x7throughallstages of dying
  • Care managers do a Quality of Death assessment to find out the patient’s wishes for a good death Benefit- the dying patient has the death he or she wants
  • You will make sure all the critical paperwork is needed is gathered and organized, including:
  • Insurance
  • Legal
  • Financial
  • Healthcare
  • End of life

Interventions vary according to the phase. The GCM may already have served the client and they are now facing a terminal diagnosis. But a geriatric care manager may be brought in when the family is negotiating through any one of these phases, their work begins with making a determination of what phase the client is in and what services are appropriate for that client at that stage. They are also the best professionals to bring in the quality of life to every phase so that the client can have not only a good death but a good life to the very end.

Benefits You Bring To the Family Friends and Hospice

  • Care Manager will monitor the client/care receiver’s and family caregiver’s health and psychosocial status and the paid caregiver’s care plan, to improve the quality of care and life for the client and caregiver  benefit So That Hospice can direct all it’s attention to the client and assured family caregivers needs are being met
  • Care Manager will accompany the client to all medical appointments and make sure that the 10 minutes cover all questions, that the physician’s orders are recorded and followed, and that all meds are picked up and set up properly Benefit –Hospice does not provide this  and ensures the client gets to all appointment relieves the family of another task and everyone is getting all the correct information from the physician
  • Care Manager will make sure that the family has an online personal health record or a notebook if they wish Benefit -The family has a way to keep track of information from many professionals involved and passes on the correct information to everyone in the family and they can feel more in control in an emotionally chaotic time
  • Care Manager will do a caregiver assessment and suggest interventions from the local continuum of care, including support groups, counseling, respite care, and private duty home care Benefit–You are insuring a whole family approach and  the family caregivers are getting the support and respite they need in this frightening time for their loved one
  • You will coordinate family meetings to facilitate issues like shock, grief, and shutting down Benefit You are a container, allowing the family caregiver to deposit their tremulous at times desperate feelings in a safe place so they can get help from you and be calmer for the dying loved one
  • You will coordinate health literacy information and training of disease skills for the family So What- You will create a forum for the family caregivers to express their grief, fear, and even hopes and demystifying all the unknown medical terminology to make the family feel more literate and self-assured in approaching the medical staff to get the information they need
  • You will monitor anticipatory grief in family and friends and bring in resources

    Benefit- You will create a forum for the family caregivers to express their grief, fear ,even hope and find the help they need to so on with the journey to death

    The benefits of a care manager’s role in hospice
  • You will review all new medication with family caregivers and care staff- Benefit-you will unravel the confusing litany of pharmaceutical word salad  and make sure the family and friends both understand  what med does what, how to set up meds, and remind the meds when hospice is not present

Join me in my new FREE Webinar
Learn to Sell Benefits not Features to Third Parties  to Grow Your Care Management Bottom Line

When: March 15th 2022  

The benefits of a care manager’s role in hospice


2 PM-3:30 PM PST
Learn
 

What is a benefit vs features and how to find benefits for each 3rd party you market to?

What specific problems do you solve for hospice, wealth managers, elder law attorneys, and concierge physicians  

What specific problems to solve for upscale Assisted Living, accountants, financial planners, MD’s  

Step by Step how to set up meetings with 3rd parties to make the sale

SIGN UP


Find out more by watching my youtube playlist on Death and Dying on my channel Geriatric Care 1

Follow Cathy @ cathycress.com

Filed Under: 5 Stages of Dying, 5 stages of End of Life, Acute Stage of Dying, Adult Child Pain, Advanced Directives, Aging, Aging deaths, aging family crisis, Aging Life Care, aging life care manager, ALCA Role Death and Dying, Benefits, Benefits of ALCA to Hospice, Benefits of Care Management, Benefits of Care Management to Hospice, Benefits of Geriatric Care Management, Benefits vs Features, Benifits & Assisted Living, Blog, care manager, case manager, Death & Dying, Death and Dying Care Management, death and dying care manager, elder care manager, Families, Geriatric Care Manager, geriatric care manager, geriatric social worker, Goof Death, Hospice, Hospice Care, nurse advocate, nurse care manager, Palliative care manager Tagged With: aging family, aging life care manager, aging parent crisis, Benefits, benefits of ALCA, Benefits of Care Managers To Hospice, Benefits Of Geriatric Care Managers, Black, black american geriatric care managers, black american social workers, Black caregivers, Black Entrepreneurs, Black geriatric care managers, Black Nurse Entrepreneurs, Black RN's, care manager, case manager, end of life, end of life care manager, Features and Benefits, Features and Benefits of geriatric care management, five phases of death, free webinar, Free webinar marketing, geriatric care manager, Hospice, nurse advocate, nurse care manager, palliative care manager. Hospice

Can You Give a Good Death without” Rage, Rage Against the Dying of the Light”?

March 9, 2021

slide-worried-manjpg.jpg

Dylan’s Thomas warns us in his poem

 

Do not go gentle into that good night,
Old age should burn and rave at  close of day;
Rage, rage against the dying of the light.

 Give a good death – not a cold terrifying dying of the light.

 

But today a care manager or geriatric social worker can help an older client go gentle into that good night, they do not have to burn and rage at the close of their day because you will be giving them as Atul Gawande suggests – a good death – not a cold terrifying dying of the light.

 

The terminal phase of any life-threatening illness is the time between diagnosis and the final decline when no cure or extension of life is in the offing. The individual confronts progressive decline and deterioration. Death is imminent. The care manager has a role.

The focus of doctors and patients now changes from attempting to cure the illness or prolong life to trying to provide relief from pain and to comfort the sufferer. Religious concerns such as what happens after someone passes away or how to handle the suffering at the end of life or how to give comfort to family members are the focus during this time as well as trying to tie up any loose ends.

Death to Rage About- Alone in the Hospital

But in the time of the plague, when  95.5 % of souls still die in the hospital and not at

home the care manager has a critical role with the family. High tech introduced by the care manager and at times the hospital with the care manager coordinating the family outsides and unable to touch their dying loved one – can make this death full of rage more gentle as the person passes into the night.

Care Manager tasks:

Make a referral to hospice if the family has not  already reached out

Partner with hospice and work under them

Monitor anticipatory grief needs

 Communicate that this is the end (and time to say goodbye)

 Assess spiritual needs and contact the appropriate religious-spiritual counselors to provide comfort and healing.

 Encourage family members to say The Four Things That Matter Most   “Please forgive me”, “I forgive you”, “Thank you”, and “I love you”.

Assess the need for paid caregivers to help the family or help family members share round the clock care among family and friends

 Support the family members in their need to grieve and have respite by continuing to assess for overload and burn out with a caregiver assessment tool 

Prepare family for the active phase of dying which can be loud and disturbing to someone who is not aware of what will occur

Bring in technology if death is alone in the hospital

 

Join me Thursday, March 11, and learn why End of Life Services Are a perfect new service for care managers 

Deliver a Good End of Life- Add Death and Dying to Your Care Management Agency

 

Serve Your Client Until Death Do You Part

 In this 1 ½ -hour webinar you will learn how to

 

 

1.Transition the patient/family through the five stages of death

2. Help clients be active participants in their care

3.Give the family/caregiver tools to manage care

4 Provide family center care to caregiver and family

5 Choose the right support services through all stages of death

6.Introduce Hospice and Palliative care and work with their team

7 Use ALCA End of Life Benefits During COVID

8.Use  COVID -19  Family Coaching for GCM

SIGN UP

 

 

If you really want to add End of Life to your care management business sign up for this webinar now

 

Gwendolyn LAZO Harris MA, CT, Seniors at Home, San Francisco and Diane LeVan MA both highly expert care managers, created a seminal chapter “Palliative Care and End of Life Care Manager ” in my book Care Manager’s Working With the Aging Family  

 

 

Filed Under: 5 Stages of Dying, 5 stages of End of Life, Aging, Aging Family, aging family crisis, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, ALCA Role Death and Dying, Blog, care manager, case manager, Death & Dying, Death and Dying Care Management, death and dying care manager, elder care manager, End of Life, End of Life Care manager, End of life documents, Families, Five Stages of Death, geriatric care manager, Geriatric Care Manager, geriatric social worker, Good Death, nurse advocate, nurse care manager, Palliative care manager, Webinar, Webinar ALCA GCM Tagged With: 5 stages of death, adding geriatric care management, aging life care manager, ALCA &end of life, ALCA Death and Dying, Atul Gawande nurse care manager eldercare manager, Benefits Care Managers, Benefits of Care Managers To Hospice, care manager, case manager, death and dying, eldercare manager, end of life care, free webinar, geriatric care manager, Hospice at end of life, Hospice Care, Palliative Care, terminal phase of dying, US medicaization of Death

Do You Do Cultural Assessment With an End Of Life Client?

February 13, 2021

 

 

 Each Culture Has Different Customs and Beliefs in End of LifeiStock_000063346301_Medium-1.jpg

There may be cultural differences in end-of-life decision making as a result of underlying cultural values with disclosure of a terminal illness and very critically -use of life-sustaining medical treatment. With the widespread availability of advanced medical technology in the United States, people are encouraged to do everything possible to seek a cure for a life-threatening medical condition or sustain life. However, there are many other cultures for whom quality of life is more important than the length of life.

Other Cultures Do Not Follow US Medical Model ChiCheng_hmpgHdr.jpg

There are some societies, such as Japan, where a terminal illness may not be disclosed to a patient and it is culturally inappropriate to discuss impending or imminent death. For instance, among some Chinese, it is considered bad luck to discuss death because such talk may cause death to occur. Sometimes the ethnic elder is not expected to make healthcare decisions and the responsibility may be based on a traditional family hierarchy. For instance, in many Filipino families, there may be a designated decision-maker who is not the patient (e.g., the oldest son or a daughter or son who is a health professional) and who articulates the wishes of the elder or family.

Some Cultures Follow Religious  Customs and Beliefs in Death & Dying

Other end-of-life decisions are based on religious tenets. In many Catholic immigrant communities, there may be strong resistance to an advance directive because the document would signify a “loss of hope” or be interpreted as suicide, which is against church doctrine. These beliefs may also influence the use of hospice services.

 

Deliver a Good End of Life- Add Death and Dying to Your Care Management Agency

Serve Your Client until Death Do You Part

 

Join me Thursday March 11 and learn why End of Life Services Are a perfect new service for care managers

 

In this 1 ½ -hour webinar you will learn how to

 1.Transition the patient/family through the five stages of death

2.Help clients be active participants in their care

3.Give the family/caregiver tools to manage care

4. Provide family center care to caregiver and family

5. Choose the right support services through all stages of death

6.Introduce Hospice and Palliative care and work with their team

7. Use ALCA End of Life Benefits During COVID

8.Use  COVID -19  Family Coaching for GCM

Sign Up

If you really want to add End of Life to your care management business sign up for this webinar now

 

 

 

 

 

 

 

 

 

Filed Under: Advanced Directives, advanced directives& COVID-19, Aging, Aging Life Care, aging life care manager, ALCA Role Death and Dying, Benefits of ALCA to Hospice, Cultural Assessment, Cultural Assessment Death, Cultural Beliefs in Death, Death & Dying, Death and Dying, Death and Dying Care Management, death and dying care manager, End of Life, End of Life Care manager, End of Life Cultural Assessment, End of life documents, Families, FREE WEBINAR, GCM role Death and Dying, Geriatric Care Management Business, Geriatric Care Manager, Geriatric Care Manager Cultural Assessment, geriatric social worker, Good Death, Hospice, Hospice Care, nurse advocate, nurse care manager, Palliative Care, Palliative care manager, SNF death COVID-19, US Medicalization of Death Tagged With: 5 stages of death, Acceptance Phase of Death, adding end of life services, Aging Life Care Association, care manager cultural assessment, chronic phase of death, COVID-19 Deaths, cultural assessment, Cultural Beliefs in Death, Cultural Customs in Death, cultural diversity, death and dying in COVID-19, geriatric care manager, Hospice at end of life, Palliative Care at end of life, US medicaization of Death

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