Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Will ” White Rabbit”and Grace Slick be Where Future Care Manager’s Will find Boomer’s Quality of Life

February 28, 2018

Geriatric care managers and aging professionals who want to advance the quality of life for their clients can make a measurable, long-lasting impact on overall health and well-being if they zero in on what brings elders quality of life.

But not all elders need the same services. Finding activities that help seniors grow and nurture their emotional, intellectual, physical, and/or spiritual quality of life can help to enrich an elder’s whole life and bring back joy.

What about boomers?

Elders is their 70’s can benefit from a personal assistance service added to your geriatric care management agency.Some boomers can be isolated and depressed from a lack of social interaction and an inability to find  groups or services in their community that would increase the joy in their life. They do not need health care assistance but can find more joy from socialization and a GPS to where to find it.

What will happen when care managers and professionals in aging will have to zero in on quality of life activities for older people young in the  60’s – today’s baby boomers. Where is their joy? What will advance their quality of life? How will you find it?

Assistance with technology by 1-1 home visits and through agencies that offer those services can be located by personal assistance services Helping boomers locate senior travel services can be another benefit to their quality of life.Even helping them prepare for a trip.Finding classes seniors would like to take and groups of seniors who offer them to seniors is another way a personal assistant can help. Elders are often interested in genealogy. Locating groups in the area that help with genealogy in libraries is a great personal assistance service and helping them on the web or connecting them to an expert who can guide them to find the history of their family.

A New York Times story says aging specialists of the future will find joy for clients in Led Zeplin , Bob Dylan or Muddy Waters, Grace Slick singing White Rabbit . The Times quotes a  retired UPS driver saying “What you’re supposed to do in your golden years is more of what you love,” he said. “What I’ve loved all my life is going to see live music.” He attends more than 100 shows a year, spending thousands of dollars traveling to concerts and multiday rock festivals like Bonnaroo, in Manchester, Tenn., which he plans to attend in June. He finds that he is far from the only “old guy” — his term — rocking out.

 

Filed Under: Aging, Aging Life Care, aging life care manager, care manager, Care Plan, Families, Geriatric Care Management Business, geriatric care manager, Geriatric Care Manager, geriatric social worker, nurse advocate, Quality of Life, Quality of Life for elders Tagged With: Aging Baby Boomers, aging life care manager, Bob Dylan, Bonnaroo, care manager, case manager, elder care, geriatric care manager, Grace Slick, nurse care manager, quality of life Alive Inside, White Rabbit

Why Did Eight Elders Die in a Nursing Home in Florida & What is the Moral of the Horror Story?

September 14, 2017

 

Eight older people just died in a Florida Nursing Home after Hurricane Irma ravaged Florida. Their deaths appear to be from extreme heat when their backup generator failed air conditioners after 1/2 of Florida’s power has not been restored. It is at present a criminal investigation.Now all Florida nursing homes are being inspected

This points to two disaster preparedness steps I suggest —-first to families of elders and second for professionals.

Alert to families, even if your loved one is in s skilled nursing home or assisted living, don’t assume they are safe.  Know when you place them (and update each year), the facility disaster’ and evacuation plan. Make sure before you choose a facility this complies with state codes.Call The state Ombudsman.

As Irma approached, I suggested to a friend here in California, that she find out her parents Florida Assisted Living facility, disaster, and evacuation plan. They lived in an independent apartment in a CCRC. The Dad is 98 and the Mom 96.

Mom is mid-state Alzheimer’s and Dad is mentally clear but frail. My friend had never thought about a disaster plan even with a looming hurricane that would envelop the entire state.

As the Monster cat 5 hurricane approached,  she thought her parents in safe hands in a what she termed a ” great” facility. When she called, her contact at the facility was in Rhode Island, which I thought strange in a disaster like a hurricane. Since her parents lived in an independent apartment, the contact told her they had to make their own arrangements. There had been a meeting telling residents how to prepare but, she had no idea if the Dad had was at the meeting.

I was floored. The family knew nothing about this disaster preparedness meeting. The Dad was 98. What was the evacuation plan, did they have safety supplies – like flashlights days of food, water? My friend was in California.

Here is the moral to the story.

 My advice to any family with a loved one in a facility of any kind, do not just assume your elders are safe. Get a copy the facility emergency plan, evacuation plan, know that they will contact you and if not why (in the case of my friend they said folks in independent living were in charge of their own emergency plans. )Make this a check off in shopping for a facility for loved ones. Global warming has brought an increase in these mega disasters and no matter where your parent resides they are vulnerable to earthquake, flood tornado, hurricane, polar vortex or fire – it is not if but a big when you need to do this.

 

For professionals –have this information on file about any facility a client is placed. Make sure they adhere to state laws, update it each year and if it does not make sense to you, do not use them.

For more information, the University of Florida,  Home of Disaster filled hurricanes has a great set of directions.

Call a geriatric care manager to manage the plan if you live long distance and make sure the facility is inspected and safe in a disaster.

Professionals check out the  Preparing for Emergencies-chapter in  Handbook of Geriatric Care Management  fourth edition, by Liz Barlowe on Disaster planning 1284078981.jpg

 

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, care manager, Care Plan, case manager, elder care manager, Elderly Disaster Plan, Emergency Plan, Geriatric Care Manager, Long Distance Care, nurse advocate, nurse care manager, Nursing Home disaster plan Tagged With: aging family, aging life care manager, Aging Life GCM Emergency Plan, aging parent crisis, care manager, case manager, facility evacuation plan, Florida Nursing Home Crisis, Geriatric care management operations manual, geriatric care manager, nurse care manager, nursing home emergency plan, nursing home evacuation plan

How Can You Improve Your Midlife Sibling Relationship Post Labor Day

September 5, 2017

 

 

Did you spend Labor Day with midlife and care of your aging parents came up. Did you wake with a horrible hangover- either from too much booze or just amplified emotional tension that turns you inside out next morning.

Perhaps it involved arguments over aging parent care? If dealing with your siblings gives you a royal headache, the tension may have been made worse by the conflagration of alcohol and /or age old rifts between you and your siblings that started in childhood.

It may be time to look into the roots of your family script before your parents do need care or if they need care now.

Did your step, half or blood sibling do something long ago that’s still a weeping wound in your mind? Does it keep you apart or in each other’s faces –  – especially awkward- during a holiday gathering when families were flocking together consuming mounds of barbecue & pot luck food and sharing old stories or recent family news

If the main villain in the family tragedy is a sibling or step sibling or half sibling – here’s a post-Labor Day quiz to see if you need help from someone like a geriatric care manager 

.

Find out if have a sibling “ I Hate You Story”. Maybe you did not think you needed this test few weeks ago. Post Labor Day – if you know you need the test now- here it is.

Take the test below.

1. Have you told your sibling story more than once to the same person?

2.  Do you play the sibling events more than two times in a day in your mind?

3. Do you find yourself speaking to the sibling who hurt you even when the person is not there?

4. Have you made a commitment to yourself to tell the sibling story without being upset then found yourself agitated anyway?

5. Is the sibling who hurt you a central character in your story?

6. When you tell your sibling story does it remind you of other painful things that happened to you?

7. Does the sibling story focus primarily on your pain and what you lost?

8. In your sibling story is there a villain?

9. Have you made a commitment not to tell the sibling story again and then broken your vow?

10. Do you look for other people with similar sibling problems to tell your story to?

11. Has your sibling story stayed the same over time?

12. Have you checked the details of your sibling story for accuracy?

If you answer yes to five or more the questions, there is a good chance you have a sibling I Hate You “ story. To end brother or sister blood step or half sibling blood feud and make peace makes forgiveness as a  gift to you.

Try a change of season resolution and welcome autumn by taking the – a step towards sibling forgiveness and parent care with the help of a geriatric care manager to hopefully make the next holiday, sometimes the dreaded Thanksgiving with siblings will be spent hangover free with the parent care issue resolved

Professionals Check out my book Care Manager’s Working With the Aging Family , with it’s chapter Working With Adult Aging Siblings Jones and Bartlett, to learn more about working with feuding midlife siblings.

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, care manager, Care Plan, Dysfunctional aging family, elder care manager, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, nurse advocate, nurse care manager, Siblings Tagged With: aging family, aging parent crisis, blood sibling, Cain and Abel, celebrations with siblings, elder care crisis, favorite sibling, geriatric care manager, geriatric care managers, half-sibling, Labor Day, manning the barbecue, midlife sibling crisis, midlife sibling team, Mom Loves You Bes Forgiving and Forging Sibling Relationships, sibling, siblings fighting, step sibling, victim, villian

What Does a Care Manager Do When a Client Asks For Help with Assisted Suicide?

August 9, 2017

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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.

But what happens, when in the terminal phase the client asks you, the geriatric care manager, about the right to die in your state. In California where In June 2016, our state became the fourth in the nation to allow medical aid in dying for patients suffering from terminal illness, they do have a right to discuss this with their physician. Four other states have passed this law including Oregon, 20 years ago.

In an article in yesterday’s New York Times a physician in Oakland, Ca discussed the ethical dilemma that physicians face. She called for more, guidance and training for physicians in solving this dilemma themselves but also said the law was working well.

For geriatric care managers.

This speaks to more directions for care managers who face this request and it’s ensuing dilemma. We cannot make any of these decisions but this adds another step for us if the clients ask us to help them with physician assisted suicide. So we need protocols and training as well.

 I am adding new  protocols ,about requests for physician assisted suicide, to  the product Care managers Working With Death and Dying  in My Geriatric Care Management Operations Manual, for those who want to add a death and dying service  or End of Life to their  Menu of Services

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Filed Under: Aging, Aging Life Care, aging life care manager, Blog, care manager, Care Plan, case manager, Death and Dying Care Management, death and dying care manager, elder care manager, End of Life Care manager, Families, GCM Start -Up, Geriatric Care Management Business, geriatric care manager, Geriatric Care Manager, geriatric social worker, nurse advocate, nurse care manager, Palliative care manager Tagged With: aging family, aging life care manager, aging life or geriatric care manager, aging parent care, aging parent crisis, Assisted Suicide, care manager, case manager, Certified Senior Advisors, Hospice, nurse advocate, nurse care manager, palliative care manager

Geriatric Care Management Coaching Needs to be NBA Level in PLayoffs

June 10, 2017

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The whole family approach involves ” coaching the family” and using  CORE skills that help a family caregiver give better care and allow the family to have a more success in their outcome.Care Manager and geriatric social workers have to be winning coaches or they loose not the game but the opportunity to really help the family.

 

The desired outcome of the Care Planning process is for care managers to secure agreement to the Plan of Care.  Time is needed to engage the senior and their family caregivers in the process in order to help them understand the rationale of the plan.  This is a critical stage in the process due to the fact that in spite of the care manager’s skill in developing and presenting a quality Plan of Care, it can all fall apart if those involved do not genuinely agree to it.

Dan Sullivan, the Strategic Coach, Inc.,https://www.strategiccoach.com/our-team/  has said “aging parents do not know how to discuss their economic, medical, psychological, emotional, and lifestyle requirements with their adult children and their children are not confident about broaching any of these subjects.  This is causing an expanding number of family-stressful maladies including neglect, estrangement, bankruptcy, poverty, guilt, resentment, and depression.

 

One important tool that the care manager can offer is the tool as the expert communicator.  The value to family caregivers is that the care manager can facilitate often hard to raise issues, opening up the conversation.  Family caregivers often feel compelled to take action prior to discussing the situation with the senior.  The results are often disappointing.  Family members may have different agendas while moving at different paces with differing needs to maintain control.  With the care manager’s expertise, they can offer family caregivers insight into the differences.  The care managers have the expertise in helping family members communicate in a manner that respects all parties.   This process can create better understanding, enhanced empathy, and compassion between family members.

 

  • Bunni Dybnis MA, LMFT, CMC Director of Professional Services LivHome, LA
    and
    Steve Barlam Chief Professional Officer, Co-Founder LivHome
    MSW, LCSW, CMC, both highly expert care managers, created a seminal chapter on the Tools that a care manager or geriatric social worker need to work with aging families in my book 
    Care Manager’s Working With the Aging   They cover these CORE skills in that chapter, including how to see a care plan may be blocked.
  • Filed Under: Aging, Aging Life Care, aging life care manager, Blog, care manager, Care Plan, case manager, elder care manager, Families, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, home care, nurse care manager Tagged With: aging family, aging family crisis, aging life care manager, aging parent, aging parent care, assessing the caregiver, care manager, Care Managers Working with the Aging Family, care plan, case manager, eldercare manager, geriatric care manager, nurse advocate, nurse care manager

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