Cathy Cress

Expert in Aging Life and Geriatric Care Management

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10 Do’s &Don’ts Doing the Dysfunctional Family Calls Post Holidays

September 5, 2023

 

Most Calls for Care Managers Post Holidays

More than half of the aging families who call you inquiring about services will be dysfunctional families post-holidays. The great majority of calls will come from adult children. If you want to make the sale during the inquiry you have to know how to handle these dysfunctional family members on the phone and give them enough trust in you to sign your contract and give you a deposit for your services.

FIND OUT MORE 

How Do You Get Them To Trust You Enough to Sign Contract with Dysfunctional family Post holidays?

  1. Do Be Objective
  2. Do Use Active Listening
  3. Do Give them Hope you can solve their family problem
  4. Do a two-part inquiry and have the problem defined in the first part done by a skilled administrative Assistant
  5. Do study the problem before you do the second call and have exactly how you would solve the problem ready in a planned elevator speech
  6. Do a complimentary 30-minute consultation
  7. Do not give away the store but outline how you are an expert at solving the problems (moving, keeping at home, Alzheimer’s wandering and a bare outline of your solution
  8. Do not criticize dysfunctional family post-holidays
  9. Do not blame,
  10. Do not take sides if several family members points of view and express them

 

Sign Up for My Free January Webinar  

11 Vital Clinical Tools For Desperate Families Post-Holidays

             Thursday, Jan 6, 2022, 02:00 PM Pacific Time (US and Canada)

 

 

  Give frantic adult children hope using vital clinical tools when they desperately call after the holiday Join me Post-holiday and learn how to come to clinically rescue 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
  • Master 11 Vital Clinical Tools you to solve client problems
  • Take Six Clinical Steps Professional Must Take to Work with these Dysfunctional family post-holidays 
  • Get care for aging family members when the dysfunctional family members resist

 SIGN UP NOW

 

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

 

 

 

 

 

Filed Under: adult child calls post holidays, Adult Child Caregiver Pain, Adult Child Pain, adult child pain-point, adult child physical abuse, Adult children, Adulyt Child Call Post holidays, Aging, aging family crisis, Aging family pain, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Alarm Bells For Long Distance Family, ALCA Dysfunctional Family Help, Black, Black Aging Family, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black entrepreneurs, Black Geriatric Care Manager, Black geriatric care managers, Black RN, Black Travel Nurses, Blog, Care Management Inquiry Call, Caregiver Stress, Caregivers collapsing, Cash Clow, Concierge aging clients, Concierge Senior, Contract signed, Dysfunctional Aging Familu, Dysfunctional aging family, Dysfunctional Family & Holidays, Dysfunctional Family Inquiry, Families, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, inquiry, inquiry call, Intake COVID-19, Make the Sale, nurse advocate, nurse care manager, Sign Up Dysfunctional Aging Family, Sign Up GCM Client, Sysfuntional Family post holidays Tagged With: aging dysfunctional family, aging life care manager, aging life inquiry, aging life or GCM inquiry, Black, black american geriatric care managers, black american social workers, Black caregivers, Black Entrepreneurs, Black geriatric care managers, Black Nurse Entrepreneurs, Black RN's, Black start-up geriatric care management, care manager, case manager, Clinical Tool dysfunctional family, Clinical Tools Dysfunctional Holiday, dysfunctional aging family, Dysfunctional Concierge Family, Dysfunctional family post holidays, dysfunctional family roles, Dysfunctional VIP Family, geriatric care manager, help with dysfunctional family, Holiday Inquiry call, nurse care manager, Tools with Dysfunctional families, Working With Dysfunctional family

4 Dysfunctional Family Markers Clinicians Face

August 2, 2023

 

The normal family is the hand grenade compared to the nuclear bomb of the dysfunctional family

When both are faced with a filial crisis of aging parents being dependent and the adult child needs to take over they cower or explode.

How Do You Know a Dysfunctional Family

1. They lack the ability to resolve conflicts

The dysfunctional family has frequent psycho-social blockages that prevent the family from growing emotionally. They fail miserably at moving through all family stages and orchestrating family rituals. The adult children both love and hate their parents

2. They Cannot make Life transitions

In each dysfunctional family most life transitions in the family, like birth, adolescence, and marriage have been very difficult to make, marked by a lack of support from the parents. Every holiday, family reunion, funeral any family gathering might be drunkenly ruined. The parental figures are usually not in charge, nurturing, or able to establish establishes clear rules. They have never created an Excel spreadsheet on tasks to do to orchestrate a holiday. Like a disease spreading down generations, they never knew how happily celebrate anything together, as their parents wrecked ritual occasions as well.

3. There are murky roles in the  family

 

The chief role of the parent is characterized by a lack of leadership in the family and the ability to nurture the children. Mom rarely became the high priestess at the summer family reunion or the memorial day picnic when everyone gathers at her house or any family ritual gathering. The family members generally do not believe the parent is there for them and can be depended upon. The concierge’s dysfunctional family is colored by bloody strained relationships and unresolved conflicts and ruined ritual memories.

 

4. They inspire great literature

The family is the inspiration for great literature. O’Neil’s wrenching play A Long Day’s Journey into Night” portray the most miserable of dysfunctional families. Alcohol, drugs, and secrets that have been kept by all for generations splatter the pages of this great play mirroring all the ruined family ritual celebrations -children of dysfunctional families recall with horror.  Award-winning plays and films, like Tracey Letts August in Osage County about a ruined ritual funeral from hell when Julia Roberts tries to beat up drug-addled, drunk presiding mother Meryl Streep, or Succession Where a Narcissistic Dad pits his adult children against each other to succeed  him when he dies

ed6855aa32d877d7fc1ef9ee757e0f17-98.jpgRituals Bring Out the Worst in Family

In a dysfunctional family when an aging  Mom does not make the very small things she was able to pull off like the Latkes or the Christmas cookies, the Memorial Day family Reunion or big things like the daughter’s wedding, someone has got to take over or be and family organize or r the successor to Mom, and resentments skyrocket – tempers flare – and the torch just might never get passed.

The family is again thrown into crisis.

That means someone in the tribe has to take over -yet the dysfunctional family has no model or spreadsheet for any transition in power. They cannot pull off any ritual celebrations or even family Taco Tuesdays. Most critically when the rudderless head of the family needs care, these adult children cannot care for a parent who did not care for them. Succession is about the transition of power in the family.

Sign Up for My September Webinar on Working With the Dysfunctional Family

 

 11 Clinical Steps to Work with Dysfunctional Families-

Tuesday, 2:00-3:30 PM

September 16, 2023

 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 stockings.

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 Professionals Must Take to Work with These Difficult Families

Sign -Up Now 

 

 

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

Learn more about how to work with the dysfunctional family in Handbook of Geriatric Care Management 5th edition 

 

Filed Under: adult child pain-point, adult child physical abuse, Adult children, Aduly Child Stress, Aging, Aging Family, aging family crisis, aging life business, Aging Life Care, aging life care manager, Black, Black Aging Family, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black entrepreneurs, Black Geriatric Care Manager, Black geriatric care managers, Black RN, Black Travel Nurses, Blog, case manager, Cut Off, Dysfunctional Aging Familu, Dysfunctional aging family, Dysfunctional Family & Holidays, Families, Geriatric Care Management Business, geriatric social worker, Holiday Meltdown in Aging Family, Holiday Rituals in Aging Family, Holiday season, Holiday Sibling Rivalry, Holidays, nurse advocate, nurse care manager Tagged With: aging dysfunctional family, aging life care manager, boundaries dysfunctional families, care manager, case manager, Clinical Tools Dysfunctional Holiday, Dysfunctional Concierge Family, dysfuntional family, geriatric care manager, Holiday Meltdown in Aging Family, Long Days Journey Into Night, nurse care manager

Why Adding Care Planning & Care Management Private Duty Home Care Great Idea?

May 1, 2023

Adding Care Management to Home Care Gives Clients Path to Hope

By adding geriatric care management to a private duty home care agency, new clients will understand the solutions and path to hope you bring beyond home care. This offers buy-into your agency, customer satisfaction, and trust in your service, thus hope that the elder care problem can be solved.

 

In the care planning process, a geriatric care manager is vital to families, particularly in the early stages of caregiving. Most families do not understand the needs and problems of the older adult or the costs associated with these options.  They are under terrible stress because they feel out of control. The care manager will explain the problems, solutions, and cost at a one-to-one care planning meeting. This makes new families and clients feel in control and have hope, which is vital to keeping the case long-term. GCM becomes their trusted guide.

A geriatric care manager sorts all the problems in the case and comes up with important solutions in a care plan; they use that to explain what is needed for the client. She/He is very much like a detective- a professional Sherlock Holmes, solving the case for a very confused, desperate family.

Mature

Education training and experience.

Providing a care plan and opportunity for discussion and buy-in among family members can be important in educating, initiating, modifying, or continuing PDHC services. Instead of an agency, the client bonds with the care manager and builds a 1-1 relationship that is long-lasting and puts a face on an agency.
The key is a highly trained, experienced, certified geriatric care manager, not a staff member who is called a care manager but has no training. Since the care managers added to the homecare bill per hour, this multi-faceted professional will pay for her/his salary many times and allow you to bill for what you have been doing for free.
Creating a care plan is not just an art- it is a skill that takes education, training, and experience.

Free Webinar

New  Free Webinar-Why Merge Home Care and Care Management

Find Out More.

Webinar-Why Merge Home Care and Care Management

When-May 18, 2023 -2 PM -3:30 PM PST

Money is the first and most important reason to merge care management with home care. You will be able to capture billable hours that you and now giving away for free. The second reason to add care management to home care is market positioning. Clients will choose your agency if you offer this merger and competitors do not. A third reason is that a care manager is perfect for introducing home care to family caregivers. Care Managers sit down with the family and review the geriatric assessment and care plan they created for the client. Last, this 1-1 care manager meeting introduces a concierge guide through the labyrinth of caregiving, showing exactly what homecare plus care management will do to solve the client’s problems, increase their quality of life and offer relief to the sometimes-desperate family members. Find out more by signing up for this free webinar.

Learn

How this merger creates more Profit for both Care Management and Home Care

The Advantages of Merging Home Care and Care Management

Competition Survey to make third parties and Adult Children Choose you

Co-Branding the merged agencies.

Technology for both home care and care management

Co-Locating both staff.

Marketing Merged care manager home care.

Critical Success Factors for the Success of the Merger

Link-SIGN UP NOW

 

Filed Under: Aging, Benefit of Merger Home Care7 Care Management, Black Aging Family, black care manager, black concieirge nurse, black concierge care manager, black concierge RN, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black entrepreneurs, Black Geriatric Care Manager, Black geriatric care managers, Black RN, black RN care manager, black social worker, black travel nurse, Black Travel Nurses, Black Travel RN, Blog, Care management, Care Plan, Concierge Home Care, Concierge Personal GCM, concierge top 10%, Families, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, home care, Homecare merger with CareManagement, Homecare&caremanagement partnering, Webinar Tagged With: aging family, aging life care manager, aging parent crisis, care manager, case manager, elder care manager, geriatric care manager, home care, nurse advocate, nurse care manager

Merger of Homecare and Geriatric Care Management Makes You a Concierge Agency

April 11, 2023

The merger of homecare & care management gives you a concierge care manager who will serve& draw the top 10% of concierge clients

This merger of homecare and care management gives you the way to position your merged agency as the only home care agency that gives gold-standard exclusive  1-1 services to the top 5 % who demand this entitled level of care – who are the ” Rich and Famous” s (for example, President Reagan), Narcissistic Enrtitles Families ( Example President Trump)

Concierge Client-Teacher with defined pension

The merger of homecare & care management gives you marketing power to sign up the 90-55% 10% “Well Heeled Middle-Class Seniors: who are concierge clients in their retirement as they have defined pensions because they were in a union and never given a 401K. These surprising concierge clients are usually not demanding – they lived frugal work lives without riches, shopped at Payless or grocery outlets- but can afford you now in their generous retirement. They are represented by teachers, nurses, bus drivers, subway drivers, etc.

The lower 90% only call when there is a crisis, and that crisis often leads to home care. Homecare costs between 4000-6000 a month. This is why you need to serve that top 10%. The upper 10% can afford that, according to Pew research, in this nation of broad income disparity, and 90% below cannot.

Demand and not need determine the success of a Homecare or geriatric care manager business. This fundamental fact of life must be taken into consideration when developing a business plan for for-profit, fee-based home care and geriatric care management businesses.

 

Who Can Really Afford Homecare and Care Management?

merger of homecare and care managemeny

The target market for the merger of homecare and care management combined will not serve not the 65 million families who need homecare or management services but the much smaller subset of those families who can afford to hire a geriatric care manager and private duty home care agency or are willing and able to pay for the services that GCMs who can actually find their way to you.

 This subset really represents the top 10% of the economic spectrum and, more precisely, among the rich and famous, the top 1% who actually held onto its share of national wealth in the 2008 economic crisis and  gained quite a bit with Trump’s tax cut in 2019 

Adding geriatric care management with concierge customer services  transforms your  Home Care Agency into a more profitable service.

Why- a geriatric care manager is a powerful health care concierge, just like concierge medical services.

Combing these two services is a highly effective selling point to potential concierge clients who are in the top 10% income brackets.

These clients can afford long-term care geriatric care management and the most costly long-term expense, private duty home care.

 A geriatric care manager is a highly skilled geriatric health care professional who acts as a personal GPS to the concierge aging  family, making your homecare agency more attractive to wealthy clients

GCMs and ALCA members offer home care ultra-personalized aging parent care which Concierge Clients demand.

You build a deep relationship with the client and family by adding a geriatric care manager who creates this

Adding Geriatric Care Management Gives you A GPS through the Journey of Aging

stock-photo-16832488-tense-couple-in-therapy-session.jpg

The care manager who practices as a GPS through elder care helps your concierge clients home care clients step by step through one of the hardest journeys of their life.

A geriatric care manager’s highly personalized service meets all the needs of the concierge’s aging family and the client.

GCMs are like a concierge at a 5-star hotel.  They serve the entitled clients and their family caregivers by solving their health and psychosocial problems as they age, arranging paid care through your agency, and finding many other ways to relieve the caregiving stress problems of their adult children while making elder care more seamless.

New Webinar-Why Merge Home Care and Care Management

When-May 18, 2023 -2 PM -3:30 PM PST

Learn More

The first and most important reason to merge care management &homecare is money. You will be able to capture billable hours that you are now giving away for free. The second reason to add care management to home care is market positioning. Clients will choose your agency if you offer this merger of 2 services key senior services and competitors do not. A third reason is a care manager is a perfect person to introduce home care to the family caregivers. Care Managers sit down with the family and go over the geriatric assessment and care plan they created for the client. Last, this 1-1 care manager meeting introduces a concierge guide through the labyrinth of caregiving, showing exactly what homecare plus care management will do to solve the client’s problems, increase their quality of life and offer relief to the sometimes-desperate family members. Find out more by signing up for this free webinar

 

LEARN

How this merger creates more Profit for both Care Management and Home Care

The Advantages of Merging Home Care and Care Management

Competition Survey to make third parties and Adult Children Choose you

Co-Branding the merged agencies.

Technology for both home care and care management

Co-Locating both staffs.

Marketing Merged care manager home care.

Critical Success Factors for the Success of the Merger

 

SIGN UP NOW 

Sign Up in white background. 3D Illustration.

Filed Under: 7 touches marketing, Adult Child Caregiver Pain, Adult Child Stress, Aging, aging life business, aging life care manager, ALCA business, ALCA Partnerships, Benefotof merger Homecare&Care Management, Black Aging Family, black care manager, black concieirge nurse, black concierge care manager, black concierge RN, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black entrepreneurs, Black Geriatric Care Manager, Black RN, black RN care manager, black social worker, black travel nurse, conceirge Customer services, Concierge Client, concierge clients, Concierge Geriatric Care Manager, Concierge Home Care, Concierge Physican, Concierge Senior, concierge top 10%, Concierge Wealth Managers, GCM as GPS for the family, GCM Working With Aging Family, Homecare&caremanagement partnering, merger of homecare and care management, narcissistic client Tagged With: adding geriatric care management to PDHC, aging family, aging life care manager, aging parent care, aging parent crisis, Black, black american geriatric care managers, black american social workers, Black Entrepreneurs, Black geriatric care managers, Black Nurse Entrepreneurs, Black RN's, care manager, case manager, Concierge Home Care, Entitled aging clinet, geriatric care management, nurse advocate, nurse care manager

What Good Life to The Very End Can a Care Manager Bring ?

January 18, 2023

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Bringing Good Life to The Very  End

What Good Life to the very end can you bring -in the terminal phase of life -? Here is a wonderful example 

 Bill died at the home of his son after he had accepted that he was to die of liver failure and stopped all lifesaving treatment, like dialysis at the hospital and entering hospice. The decision was made that he would die at his son’s home with 24 care from his Care Management agency Livhome and his ongoing care manager Mary Brennan.

After his coming to terms with his death, Bill and his family, sons,  grandchildren, and great grandkids were able to say their goodbyes and offer the unconditional love that they had been fearful to express before his acceptance of death. A feeling of light & joy permeated his room, a family room overlooking the garden, where his hospital bed was set up. Great-grandchildren brought pictures and marveled at “grandpa grandpa “ high up in a hospital bed.

The  Good Life to The Very End -Joy of Hearing

His son put headphones with a mike on and William could hear and speak, as he had not in years.  It was like the wonderful film and concept  Alive Inside.  Hearing was a gift that gave him such joy in his last weeks of life.

The Good Life to the Very End- Let Family Just be Family

The family could just be family because they had care providers to care for bill. His 24-hour caregivers were gifted loving care providers from a GCM agency  Livhome. The 24-hour shifts included a nurse of 18 years from Central America and a man finishing his Ph.D. from the Congo. They cared for him with great warmth, so his family could just be family, relaxing in their love and surrounding him, as if in a circle, that swirled with 4 generations, going every which way while he watched, really loved, and melted into his last stage. His sons, grandchildren great grandchildren, and nephew ate meals, chitchatted, and welcomed each new family member coming in to see William, as he remained in the center in his hospital bed, the fulcrum of the gathering.

The Good Life to the End of a Great Care Manager620-amy-goyer-juggles-work-and-caregiving-mobile-technology.imgcache.rev1382542973676.web.jpg

The geriatric care manager, GCM Mary Brennan, from Livhome, a seasoned powerful and so kind LCSW, adjusted here and there, with care providers, and family needs. Bill’s needs followed the guidance of hospice, who were slowly increasing the pain meds, and supporting his health and medical care needs in death. The geriatric care management agency worked as a partner supplying 24 care and support for the family.

Bill was able to have again, a magical care provider from Livhome, who had been with him for almost two years and was so at the end.

You are only as strong as your weakest link- those are the care providers. These people were the raft that floated Bill up while the family, offered love and hospice provided medical and end-of-life support. Together they buoyed Bill into his last stage of dying, knowing that his family was the fabric of every step he took toward forward towards death. They gave him that good life till the very end.

If you want to add an End of Life service and other services, plus all the forms necessary, go to my website,  and check out GCM Manual 

Free Webinar

 

Upcoming Free Webinar

Deliver a Good End of Life 9 Steps to Death &Dying

Jan 24, 2023 02:00 PM Pacific Time (US and Canada)

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 Join Us

Learn About Death Doulas

Upcoming Free Webinar

Deliver a Good End of Life 9 Steps to Death &Dying

Jan 24, 2023, 02:00 PM Pacific Time (US and Canada)

 SIGN-UP 

 

Good Life to The Very  End

 

Serve Your Client until Death Do You Part
Join me on January 24 2023 and learn why End of Life Services re a perfect new se

 

 

 

Learn to guide the patient/family through the five stages of death. Understand how to help clients be active participants in their care. Give the family caregivers tools to manage care. Find out how to provide family-centered care to caregivers and families. Learn to choose the right support services for the client through all stages of death.
Introduce Hospice and Palliative care to the client earlier and work with their team.
Find out how to Use COVID -19 family coaching for GCM. Discover the role of Death Doula at end of life.

Time

Jan 24, 2023, 02:00 PM Pacific Time (US and Canada)

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, Advanced Directives, Aging, Aging deaths, aging family crisis, aging life care manager, Benefits of ALCA to Hospice, Black Aging Family, black care manager, black concieirge nurse, black concierge care manager, black concierge RN, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black entrepreneurs, Black Geriatric Care Manager, Black geriatric care managers, Black RN, black RN care manager, black social worker, black travel nurse, Black Travel Nurses, Black Travel RN, care manager, care manager operations manual, Death & Dying, Death and Dying, Death and Dying Care Management, death and dying care manager, Dementia & Holidays, End of Life, End of life documents, entrepreneur business, entrepreneur care manager, entrepreneur RN, Geriatric care manager & Hospice, Good Death, Hospice, Hospice Care, nurse advocate, nurse care manager, Palliative Care, Private Duty Home Care Tagged With: aging family, aging life care manager, ALCA in End Of Life, Alive Inside, Being Mortal, care manager, case manager, Dying at Home, end of life care manager, GCM in Death and Dying, geriatric care manager, Good Life to the Very end, Hospice, Hospice at Home, Joy in End of Life, nurse advocate, nurse care manager, terminal phase of death, Terminal Stage of Death

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