Best Tool to Give the Family Holiday Hope

November 14, 2022

Hope is the Best Tool on the Holidays !

How do you give the family Holiday Hope? During Christmas and Hannaka family caregivers, especially in the dysfunctional family can be drinking or numbing themselves from the pain of caregiving. They will ruin the holiday celebration in one way or

another. Maybe they are drugging themselves with the telly or abusing prescription drugs. Depression and anxiety ( rife among caregivers) are predictors of increased alcohol use.

Social isolation, which is experienced by some caregivers, is also predictive of increased alcohol use.

How do you Give the Family Holiday Hope? How do you as a geriatric care manager change the script for these aging dysfunctional families – family caregivers and older members who are supposed to care for but can’t? How does a professional GCM make the characters transform?

It’s actually simple –but loaded with skill- give them hope. You need to use yourself to give them hope that things will change. It’s the best tool in a geriatric care manager toolbox- especially on and after the dreaded holidays.

Use of Self

To give the family holiday hope the use of Self is perhaps the most powerful tool for geriatric care managers. The use of Self provides families with guarded optimism. GCMs have to offer a vision of the future that is based not only on a desire for hopeful outcomes. This has come from our own clinical knowledge and belief that change to their nasty crippled, family

system is indeed possible.

By being direct, empathetic, and

nonjudgmental, we become a holding bay for

stressed caregivers, creating a place of safety,

confidentiality, consistency, and support.

Finally, give the family holiday hope by GCM’s offer our clients a model of

perseverance. By giving up on the possibility of

positive change and by exploring all options,

the GCM enables families to feel that, regardless of the outcome, they have done all that they can to support the older adult.

Be like Judy Garland on the holiday offering hope

Have yourself a merry little Christmas.
Let your heart be light

From now on
our troubles will be out of sight

Give the” Merry Christmas – next year

SIGN UP FOR MY HOLIDAY WEBINAR –

Get Ready for the Holiday Rush

WEDNESDAY, November 16th, 2022, FROM 2 PM – 3:30 PM PST

Learn how to create!

Pre-Holiday Social media campaigns to reach worried caregivers
Pre- Holiday-Materials about the warning signs that a parent needs help
Pre-Holiday Marketing to help you sign up families who might face a serious decline in aging parents

How to sell services to desperate post-holiday callers from Normal dysfunctional & long-distance family
How to use tools to contain holiday chaos & arrange care in festive family fright
How to move the family to New Year’s stability
Give the Family Holiday Hope

Position Your Agency ahead of Care Managers who do not have great pre-holiday marketing campaigns and lack the clinical skills how to work with Adult Children and families during the chaotic aging family holiday visit when adult kids find their aging parents need care
Featuring

Cathy Cress MSW author of the Handbook of Geriatric Care

Management

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Best Tool for Dysfunctional Family on Holidays- Hope

December 7, 2021

Give Families Hope the Best Tool Post the Holidays

Give the family Hope, after Christmas and Hannaka their older loved ones, especially in the dysfunctional family, could be drinking or numbing themselves from the pain of aging. Adult children can also ruin the holiday celebration one way or another. Maybe they are drugging themselves with the telly or abusing prescription drugs. Depression and anxiety ( rife among caregivers) are predictors of increased alcohol use. Social isolation, which is experienced by some caregivers, is also predictive of increased alcohol use.

How do you as a geriatric care manager change the script for these aging dysfunctional families – family caregivers and older members who are supposed to care for but can’t. How does a professional GCM make the whole family transform to change?

It’s actually simple –but loaded with skill- give the family hope. You need to and use yourself to give them hope that things will change. It’s the best tool in a geriatric care manager toolbox- especially on and after the dreaded holidays.

Use Use of Self as a Power Care Manager Tool

Care managers learning the use of Self is perhaps the most powerful tool for geriatric care managers. The use of Self provides families with guarded optimism. GCM’s have to offer a vision of the future that is based not only on a desire for hopeful outcomes. This has come from our own clinical knowledge and belief that change to their nasty crippled, family system is indeed possible. By being direct, empathetic, and nonjudgmental, we become a holding bay for stressed caregivers, creating a place of safety, confidentiality, consistency, and support.

Finally, GCM’s offer our clients a model of perseverance. By giving the possibility of positive change and by exploring all options, the GCM enables families to feel that, regardless of the outcome, they have done all that they can to support the older adult.

Be like Judy Garland on the holiday offering hope

Have yourself a merry little Christmas.
Let your heart be light

From now on
our troubles will be out of sight

Give the” Merry Christmas – next year

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 (the US and Canada)

Give frantic adult children hope 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 stockings through the use of self.

Learn how to

**Road sign message – Change just ahead**

Understand the Dysfunctional Aging Family System you must enter to get care for elders
Master 11Vital Clinical Tools you to solve client problems
Implement Use of Self
Take Six Clinical Steps Professional Must Take to Work with These Difficult Families
Get care for aging family members when the dysfunctional family members resist

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Can a Caregiver Assessment Avoid UnnecessaryPlacement ?

April 9, 2021

When a Caregiver is so Overwhelmed that A SNF is a Choice but a Very Bad Choice

If the family is so overwhelmed by the care that they are considering placement, this threat should trigger the GCM to do a caregiver assessment immediately, found in the Handbook of Geriatric Care Management If the GCM is called to relocate an older person and the underlying cause seems to be caregiver burnout, this can be another trigger to use this valuable GCM tool. By using a caregiver assessment the geriatric care manager may find that building respite for the caregiver, through other relative or paid caregivers, a caregiver support group, or coaching the caregiver to make changes that make her/ his tasks more bearable and doable and avoid inappropriate placement of the older person

Avoid Elder Physical Abuse Though a Caregiver Assessment

If caregiver abuse is suspected, a caregiver assessment is a critical immediate tool. This is a situation where the GCM must contact Adult Protective Services, following their own state’s laws. Elder abuse can be triggered by caregiver stress in some situations. Depression that reaches a clinical level in a caregiver can be predictive of elder abuse of an elderly client can prompt a GCM to do a caregiver assessment. You should also do a geriatric depression scale at the same time. Use the GDS and the caregiver assessment to help both the caregiver and the care receiver and avoid the risk of physical abuse and prevent involvement of APS making the caregiver and care receiver’s lives even more painful and chaotic and risking placement in a nursing home.

Mrs. Handy has Two Dads in Her Head

Let’s take the example of Mrs. Handy, a caregiver daughter caregiver She calls a GCM as she is about to place her Dad. Besieged by so many other stressors, her own health is deteriorating because she cannot get any sleep, due to her Dad going to bed so late and her inability to rise above her old self when her Dad was 40 and she was 19 and what he said she did. Now he is 70, very impaired with vascular dementia, incontinent and she needs to be who she is in the here and now a woman of 40, caring for an impaired Dad in her 70’s. The care manager coached her to set a new boundary for him to go to bed early. She needs help in getting rid of the old parent in her head and putting the 70-year-old demented incontinent parent before her. In addition, she sees her doctor for depression, joins an online caregiver support group, and asks siblings in other towns to take her Dad once a month for a week. Her Dad is not moved to skilled nursing. This is what a geriatric care manager can do for her to help avoid unnecessary placement.

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Caregiver Assessment- What Does It Takes Professionally ?

March 30, 2021

Doing TWO Assessments

To meet the needs of the whole aging family, the care receiver, and the caregivers, GCMs need to begin assessing the caregiver as well as the care receiver. There is a synergy between the caregiver and client – they are interdependent. If the caregiver is stressed or weak the client does not receive good care. They both suffer without supports that a care manager can give them.

A caregiver assessment helps the GCM see this faltering interdependence by using a caregiver assessment. The National Center on Caregiving at the Family Caregiver Alliance calls this a process gathering information describing the caregiving situation and identifying the family caregivers’ particular problems, needs, resources, and strengths. This means that the care manager can see issues from a caregiver’s perspective and can focus on what supports they need to give them the best care. The GCM compares this to the client’s assessment of needs. The result of doing two assessments is discovering both the client/ care receiver needs and restore health and well-being, prevent poor care, client injury or illness, caregiver burnout, trauma or quiting, and unnecessary placement in a nursing home.

Create a Circle of Care

One resource that a GCM can bring to a caregiving family is what Gail Sheehy calls a circle of care. To create this supportive connection, the GCM needs to take her or his coaching skills and put together a support system around the formerly isolated, solitary family caregiver. The GCM can coach the family caregiver to ask for help so the GCM can assist in reorganizing the family so adult siblings can share in the care of the older client with the identified family caregiver. The GCM is what Sheehy calls a compassionate coach who can help the beleaguered caregiver attract and assemble a platform to keep on giving the care she or he wants to give the aging person.

Caregiver Resources

A circle of care includes emotional resources for the direct family caregiver. These emotional resources could and should include adult siblings. Reconnecting midlife brothers and sisters, through the circle of care, is an important GCM task, as siblings are the longest and deepest relationships in any person’s life. The GCM may have to depend on his or her clinical skills in helping siblings with forgiveness or reconnecting siblings who live long distances apart to add them to a circle of care. Midlife siblings have often spent the last 30 years tending to their own families, so the point of reconnection of midlife brothers and sisters often happens when they are in middle age in the midst of a crisis in parent care. This is where the GCM needs to employ clinical skills in midlife sibling work or to find the resources for the family to help with this healing sibling reconnection.