Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Dysfunctional Aging Family Adult Children Who Call You Where You Need Clinical Skills

August 22, 2023

3 Types of Dysfunctional Aging Family Children Calls

Where You Need Clinical Skills

# 1 Inquiry from a Narcissistic Adult Children

in  Aging Dysfunctional Family

Dysfunctional adult children who inquire about your services can be a tough sell. First, let’s- consider The narcissistic adult child from an aging dysfunctional family who calls for help and has an “it’s all about me” attitude. The aging parent and or a midlife sibling could be narcissists. With aging parents, all siblings may have resented this self-absorption of their family their entire lives and have a love/hate relationship with older parents. Siblings, the other brothers, and sisters resent this, especially with parent care.  The self-absorbed sibling either does not participate in solving sibling or aging family troubles but just makes them worse. They call after a disastrous holiday event like the coming  Labor Day family gathering and you need clinical skills to work with them

#2 Inquiry from Devalued Child Entitled but Servile Adult.

 

Dysfunctional adult children who call you about your services can include devalued adult children from the aging dysfunctional family calls you, you need clinical skills to work with them. 

As a kid, the adult child of a narcissistic parent was devalued in the parent’s eyes so that the now aging parent can feel superior and powerful in the world. These children mature into adults who are emotionally impoverished, inflexible, and needy.

As a geriatric care manager, the adult child presents as entitled. As clients, these adult children fear that unless they make inflexible demands, they will receive nothing. “ Get my mother into a concierge wing of a hospital by tomorrow”

An adult child of a narcissistic aging parent will present as nasty, aggressive, and devaluing of the service provider. Or they could be essentially insatiable and easily injured by the helping professional. The adult children of narcissistic entitled families are also often angry and frustrated at having to give care to a parent or parents whom they experienced as ungiving, demanding, intrusive, overpowering, and needy. They are members of an ultra-dysfunctional aging family. They call after a visit to aging parents and you need clinical skills to work with them 

# 3-Inquiry from Needy Adult Children in the Dysfunctional Aging Family

 The adult child who calls may be the needy adult child. Baby boomers must evolve beyond the needy child he or she has been, depending on aging parents’ fiscal,

emotional, and social support, to the adult who supports his parent. Adult Children of aging parents in the 21st century not only confront the delay of their own needs when their parent’s aging and reliance call them but confront their own future and very much more immediate loss of the central figure in their lives, their own parents.

Some don’t- especially in the dysfunctional aging family.

These adults feel starved for parental affection they never received and often seek affection from professionals and other people in their lives to compensate for the care they didn’t receive as children. They call after the holiday and you need clinical skills to work with them. 

These 3  types of adult children have clinical difficulties that are coping and defense mechanisms allowing them to adapt to a dysfunctional family. The care manager must enter the family system clinically to address the needs symptoms and defenses of the adult children to get care for the elder.

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  Give frantic adult children hope when they desperately call this summer after they see their failing parent.  

 Join me and learn to clinically rescue concierge dysfunctional families made a summer visit to floundering Mom or Dad.      

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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 10 Clinical Tools Professionals Must Learn Before They Work with These Difficult Families
Learn how to solve dysfunctional family problems after you master these tools
Get care for aging family members when the dysfunctional family members resist
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Filed Under: Adult Child Pain, adult child pain-point, Adult Child Stress, Adult children, Aging, aging family crisis, aging family system, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Aging therapist, black care manager, black concieirge nurse, black concierge care manager, black concierge RN, Black Entrepreneur, Black entrepreneurs, Black Geriatric Care Manager, Black geriatric care managers, black travel nurse, Black Travel Nurses, Black Travel RN, Blog, borderline-narcissistic families, Clinical Tools Dysfunctional family, Concierge aging clients, Concierge caregivers, Devalued adult child, Dysfunctional aging family, Dysfunctional Family Inquiry, Dysfunctional Family System, elder fiscal abuse, Entited Family, Families, FREE WEBINAR, GCM Clinical Tools, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Narcissistic adult child, Needy Adult Child, nurse advocate, nurse care manager Tagged With: aging dysfunctional family, aging family, aging life care manager, black american geriatric care managers, Black Entrepreneurs, Black geriatric care managers, Black Nurse Entrepreneurs, care manager, Clinical Tool dysfunctional family, Clinical Tools for Aging Family, Devalued Adult Child, dysfunctional, Entitled Adult Children, Entitled aging client, Entitled Family, free webinar, geriatric care managers, Ivanka Trump, Needy Adult Child, nurse advocate, nurse care manager, parent care crisis, Tools with Dysfunctional families

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

Sell GCM or ALCA to wealth managers?

July 13, 2023

 

 

 

What makes 3rd Parties Like Wealth Managers Refer to Care Managers?

Do you want to sell to wealth managers? Why would third parties like wealth managers trust officers, sell to  GCM or ALCA by referring clients to a care manager If you have an Aging Life or GCM business you need to know. It is the benefits you bring to the 3rd party and their aging client.

Benefits you bring to the 3rd party and their aging client.

Clients in the upper 5% of income will call you because their wealth manager or bank trust officers referred them. But the wealth manager needs to know what benefits you offer them and their clients if they are to make referrals to your agency. On the feeding chain of referrals, they are one of your most important sources to feed income for your business. because these clients can pay privately for many years with their mammoth incomes and investment. You have to deliver what benefit you promises sell Benefits, not Features to Wealth Managers to Grow Your$ Bottom Line

Sell benefits not features to wealth managers is a key to great marketing. Do you know how you do that? When you market Geriatric care management, what makes the final sale is ” What’s in it for me the 3rd party. “Benefits answer that question for your targets. Learn how to make a great marketing presentation and sale to 3rd parties, like wealth managers or bank trust Departments, by understanding the benefits geriatric care management brings to them and the rest of your target audiences.

 

[Read more…]

Filed Under: 3rd party targets, ALCA Beneifits, ALCA Marketing, Benefits, Benefits of Care Management, Benefits of Care Management to Hospice, Benefits of Geriatric Care Management, Benefits to Conservators, Benefits to ElderLaw, Benefits to Guardians, Benefits to Third Parties, Benefits to Trusts, Benefits to wealth managers, Benefits vs Features, 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, Blog, Cathy Cress MSW, Close The Sale, Concierge Care Manager, concierge top 10%, Conservator, Features vs Benefits, FREE MARKETING WEBINAR, FREE WEBINAR, GCM Sales, GCM Webinar, geriatric care manager, geriatric care manager start up, Make the Sale, marketing, Marketing aging life care, Marketing features and benefits, marketing geriatric care management, marketing pitch, Marketing Plan for Concierge Clients, Marketing Strategy, marketing to conservators, marketing to edlerlaw attorneys, marketing to guardians, marketing to the top 10$, Marketing to top 5% Tagged With: aging family, aging life care manager, aging parent care, aging parent crisis, benefits of ALCA, Benefits Of Geriatric Care Managers, benefits to 3rd parties, Benefits to Wealth Managers, Benefits VIP Clinets, care manager, Features and Benefits, Features and Benefits of GCM, geriatric care manager, marketing to wealth manager, nurse advocate, nurse care manager, Sell Benefits, wealth managers, webinar Benefit or Features, Webinar Features and Benefits

Merging Care Management with Homecare Gives You a Competitive Edge.

May 16, 2023

 

Merging Care Management to Homecare Gives You a Competitive Edge.

Merging care management with home Care gives you a competitive edge, but you need to do a Competition Survey to find out how to position your merged agency ahead of all your completion.

Why should you add geriatric care management to your private-duty home care agency?

It can make a client shopping for a Care Managed homecare agency chooses you instead of your competition because you offer one-stop shopping. The adult child does not have to hire one agency to manage care and a second to do homecare. You offer an enticing package for the beleaguered, stressed caregiver desperately seeking help.

MARKETING POSITIONING. Product, needs,

That’s called positioning.

Merging  care management with home Care gives you a competitive edge and shows what makes you different from your competition.  Adult children in a struggling with their aging parents learn that geriatric care management plus private duty home care is an added bonus to families in a crisis. Thus a care management service can be an important differentiator for agencies offering home care. It helps you get more clients and outstrip your competition. So you need to find out through the competition survey if there are any care-managed home care agencies and what you can offer that they do not in their menu of services like care management like Move Management or Home From the Hospital, all offered in my operations manual.

 A geriatric care manager can do a great job of teaching clients and families why they need care. A geriatric Psychosocial and functional assessment and care plan is a very clear way for families to understand care needs and recommendations and to plainly see all the options for providing this care and choose your agency. The GCM is looked at as a desperately needed guide, not a salesperson, to get services started.

Care manager assessments are broader in scope than a private duty home care assessment and include not only family and social supports and home safety but spirituality, Quality of Life, finances, legal, nutrition, environment, mental status, depression,  sibling rivalry, dysfunctional families, relocation options and assistance and death and dying. A GCM assesses for alcoholism and drug abuse, domestic violence, sleep quality, sexuality, activity tolerance, personal values, and cultural beliefs. So they offer an in-depth overview of clients’ and families’ problems.  

 Your geriatric care manager’s care plan gives recommendations and options to consider so the family and client can make the best choices for providing this care.  The bonus to you is this lengthy, very valuable assessment is billed.

Plus, the Family feels like they have a very involved individual concierge to solve their problems

Free Webinar 

SIGN UP FOR MY LATEST WEBINAR- LAST DAY TO SIGN UP 

New  FREE Webinar-Why Merge Home Care and Care Management

 

Webinar-Why Merge Home Care and Care Management

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

The first and most important reason to merge care management to home care is money. 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

LAST DAY TO SIGN UP

Link-SIGN UP NOW

 

Filed Under: Aging, billing 85% of GCM hours, Black geriatric care managers, Black RN, black social worker, black travel nurse, Black Travel Nurses, Black Travel RN, Concierge aging clients, Concierge Care Manager, Concierge caregivers, Concierge Client, Concierge Geriatric Care Manager, entrepreneur business, entrepreneur care manager, Geriatric Care Management Business, Geriatric Care Manager, Home Based Care, home care, Merging Care Management and Homecare Tagged With: adding geriatric care management, aging family, aging life care manager, aging parent care, beat competition, care manager, Functional Assessment, Geriatric Assessment, geriatric care manager, private duty home care

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

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