Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Build Back Better Bill Could be Transformative- BUT -Running out of Time

December 15, 2021

9

Time About Out To Pass Build Back Better Bill

Biden’s Build Back Better Bill is dying. Decades of divestment have cost American families in time, opportunity, and money, with the greatest impacts landing on communities of color, seniors, the disabled, women, and LGBTQ+ people. Building a stronger, more equitable future requires investing in good jobs, quality care, education, and housing.  Senator Manchin and Sinema are blocking Biden’s Bill.

The Build Back Better Bill includes significant investments in our children, families, elderly and disabled 

Seniors will get New Medicare Hearing Benefit

Biden’s ill includes lowered drug prices, Medicare Part D Benefit Redesign according to Kaiser Foundation. But the bill also includes new  Medicare benefits  for seniors in:

  1. ACA Marketplace Subsidies
  2. Lowering Prescription Drug Prices and Spending
  3. Medicaid Coverage Gap
  4. Medicaid Home and Community Based Services and the Direct Care Workforce

Expanded Home & Community Based Care Included

Biden’s Build Back Better Bill , offers so much in caring for families, kids the elderly. In addition to expanding Child Tax Credit payments and ensuring the lowest income families receive the full benefit, would invest in-home- and community-based care services for the aging and people with disabilities; provide pre-k for 3 and 4 year-olds; invest in housing, child care, and nutrition programs; create good jobs, and so much more

Biden’s Bill would provide four weeks of paid medical leave, so the United States can join the rest of the industrialized world in giving its people the dignity of paid time off for a family or health emergency. So, if an aging parent or child is sick or there is a newborn, family can care for them and get paid.

 

 

Write or Call Your Congressman Fast Before Mansion and Sinema Destroy Biden’s Bill

Sign and send a letter to your Democratic senators: Care is infrastructure. The Build Back Better Act must include substantial investments in our families and communities.

 

Here are some quick tips when writing a personal letter or what to say on a call :

  • Keep your letter short or call and to the point;

  • Remind them that you are a constituent;

  • Share your personal story about your career as a care manager,  a social worker a nurse, a geriatric professional and your  client’s needing care, client’s  caring for a loved one, or the plight of a care worker
  • Emphasize that the majority of Americans support investing in human infrastructure, include: expanding Child Tax Credit payments, and ensuring the lowest income families receive the full benefit, investing in-home- and community-based care services for the aging and people with disabilities; providing pre-k for 3 and 4 year-olds; investing in housing, child care, and nutrition programs; creating good jobs; and more;
  • Encourage them to keep pushing to ensure investments in the care economy remain in the Build Back Better Act.
  • PLEASE DO THIS NOW ESPECIALLY FOR SENIORS IF YOU WORK WITH THEM

Filed Under: Biden Infrastructure Bill Passing, Biden's Care Infrastructure Bill, Biden's Caregiver Bill, Biden's Caregiver Bill Trouble, Biden's new Affordable Drug Bill, Bild Back Better Bill, 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, Black Travel RN, Blog, Care Infastructure, Care Infrastructure cut out, Care Infrastructure Dental, Care Infrastructure Hearing, Care infrastucture Vision, caregiver infrastructure, Caregiver low salary, caregiver mental health, Medicaid caregiver, Medicare, Medicare Dental Coverage, Medicare dental vision hearing coverage, Medicare Expansion, Medicare Hearing Coverage, Medicare Vision Coverage Tagged With: aging family, aging life care manager, aging parent care, aging parent crisis, Biden Build Back Better Bill, Biden Build Back Better Bill Dying, Biden's Home Care Plan, Biden's infrastructure- Caregiver Bill, Build Back Better Bill, care manager, case manager, Dental Coverage Medicare, geriatric care manager, Mansion Blocking Build Back Better, Medicare expansion 2021, Medicare Hearing Benefit, Medicare Part D Redesign, nurse advocate, nurse care manager, Sinema Blocking Build Back Better

Best Tool for Dysfunctional Family on Holidays- Hope

December 11, 2021

images_20141216-184443_1.jpg

 

Hope is the Best Tool on the Holidays

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 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 characters transform? 

 

It’s actually simple –but loaded with skill- give them 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 of Self

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, c

onfidentiality, consistency, and support.

Finally, 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 Winter Webinar https://us02web.zoom.us/webinar/register/WN_hwj7M77gTf-rdJov7iNZEQ

 

 

 

 

 

 

11 Clinical Steps to Work with Dysfunctional Families-Post Holidays –

Thursday January 21

 

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 Dysfuntional 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 Professional Must Take to Work with These Difficult Families

 

Sign -Up Now https://us02web.zoom.us/webinar/register/WN_hwj7M77gTf-rdJov7iNZEQ

 

Sign Up for My Free January Webinar  

5 Vital Clinical Tools to Help Aging Dysfunctional Families-Post Horrid Holidays- 

             Thursday, January 21, 2021

  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 stocking.      

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 Vital Clinical Tools, you need to solve client problems
  • Take Six Steps Professional Must Take to Work with These Difficult Families
  • Get care for aging family members when the dysfunctional family members resist

 SIGN UP NOW

 

SUBSCRIBE TO MY YOUTUBE CHANNEL GERIATRIC CARE 1

Filed Under: Aging Alcohol Abuse, caregiver, Caregiver Burn Out, caregiver burnout, caregiver mental health, CAREGIVER RESOUCES, Dysfunctional aging family, Dysfunctional Family & Holidays, elder care manager, geriatric care manager, geriatric social worker, Holiday Meltdown in Aging Family, Holiday Rituals in Aging Family, Holiday season, Loneliness, Long distance caregiver, Therapist Specializing in Aging Tagged With: aging life and geraitric care manager, aging life care manager, aging parent crisis, alcohol on the holidays, Alcolhol abuse in the elderly, care manager, case manager, dysfunctional family, geriatric care manager, geriatric social worker, Have Yourself a Merry Little Christmas, Holidays Crisis in aging family, holidays with aging parents, My Dysfunctional Family, nurse advocate, nurse care manager, Use of Self

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

 SIGN UP NOW

 

SUBSCRIBE TO MY YOUTUBE CHANNEL GERIATRIC CARE 1

Filed Under: Aging Alcohol Abuse, caregiver, Caregiver Burn Out, caregiver burnout, caregiver mental health, CAREGIVER RESOUCES, Dysfunctional aging family, Dysfunctional Family & Holidays, elder care manager, geriatric care manager, geriatric social worker, Holiday Meltdown in Aging Family, Holiday Rituals in Aging Family, Holiday season, Loneliness, Long distance caregiver, Therapist Specializing in Aging Tagged With: aging life and geraitric care manager, aging life care manager, aging parent crisis, alcohol on the holidays, Alcolhol abuse in the elderly, care manager, case manager, dysfunctional family, geriatric care manager, geriatric social worker, Have Yourself a Merry Little Christmas, Holidays Crisis in aging family, holidays with aging parents, My Dysfunctional Family, nurse advocate, nurse care manager, Use of Self

Why There So few Caregivers to Recruit in Health Care ??????

October 20, 2021

Where did the Caregiver all over the Nation Go?

When the COVID-19 pandemic hit and 13.7 million workers in roles comparable to direct care lost

their jobs in early 2020, they did not turn to direct care jobs, a recent study found. 

Of the 9.1 million who have now found a new job, “an immeasurably small number of workers” entered the direct care workforce, despite high demand for staff, a study by consulting firm PHI and the Health Workforce Research Center on Long-Term Care at the University of California San Francisco found.

Women, the main caregiver are leaving the workforce in record numbers, and it’s not just a result of the pandemic. 

The pandemic was the catalyst for millions of women leaving their jobs, but not the root cause. Since 2009, the number of women in the workforce has been decreasing because we haven’t made investments in child care and paid leave. Now the gap between men and women in the workforce is widening, while in most other countries the gap is shrinking. That’s leaving our whole economy vulnerable.  

Right now, women’s workforce participation is at 55.9%. The last time it was that low was 1987) 

Workforce for Women Caregivers and all Working women with Children Became Nightmare in Pandemic

The pandemic opened many eyes to the realities of child care in America when schools went virtual and many day-care centers closed. Covid-19 forced millions of working parents, especially women, to leave the workforce to care for their children. Following up on a campaign pledge to “make high-quality child care affordable,” President Joe Biden has asked Congress for hundreds of billions of dollars for early childhood care and education.

 

 

If You Are a Woman or Work In Aging Call Your Congressman

Care Infrastructure may be dead if folks in health care and older constituents do not contact their congressman and tell them to support this bill. They control the votes for the bill and you have to let them know you will only vote for them if they do. Common Cause has this easy way to find and contact your congressman  If you believe in Medicare and senior’s right  to not have their teeth rot, not hear their grandkids or be unable to read a book- please do it now

 

 

 

Filed Under: Blog, care economy, Care Infastructure, caregiver childcare problem, caregiver loss to home care, Caregiver low salary, caregiver mental health, caregiver pain, caregiver recruitment, Caregivers collapsing, Caregivers contracting COVId, caregivers leaving workforce, Pandemic & childcare Tagged With: aging family, aging life care manager, aging parent care, Biden Infrastructure Plan for Rural areas, Biden's Home Care Plan, Biden's infrastructure- Caregiver Bill, Black, black american geriatric care managers, black american social workers, Black caregivers, Black geriatric care managers, Black start-up geriatric care management, Black travel nurses, Call Your Congressman, Care Economy, Care infastructure, Care Infastructure Frozen, care manager, case manager, free child care, free day care for working mothers, heath care workers leave worksforce, nurse advocate, nurse care manager, Pandemic's effect on work force, Woman leaving workforce, women leaving workforce

NY Times-The Mushrooming Home Care Aide Crisis

October 8, 2021

Crisis in Homecare Aides NY Times

The New York Times featured a story on the crisis in home care aides on September 25th,2021.The NYT article warned ranks of home care aides are expected to grow by more than those of any other job in the next decade, according to the Bureau of Labor Statistics.But It’s also among the lowest paying occupations on the list. Yet in spite of geriatric care managers  and homecare’s dependence on these aides ,nearly one in five aides lives below the poverty line.  So we have a crisis built on high demand and low supply.

Geriatric Care management depends on home care aides.

Whether a Geriatric Care Manager is placing aides through a partnership with a private duty Home Care agency or employs them by being  a Care Managed Home Care Agency- working with elders means 90% of the aging clients will need  from 4 to 24 hour care from home care aides.

Home Care Aide Top Job In Growth

 

The ranks of home care aides are expected to grow by more than those of any other job in the next decade, according to the Bureau of Labor Statistics. It’s also among the lowest paying occupations on the list. Yet .in spite of geriatric care managers dependence or these aides ,nearly one in five aides lives below the poverty line. 

Seniors Want To Remain at Home

 By 2030, 21 percent of the American population will be at the retirement age, up from 15 percent in 2014, and older adults have long been moving away from institutionalized care. According to an AARP survey, three-quarters of Americans age 50 and older

indicated they prefer to remain in their current residence or community for as long as possible as opposed to a senior care facility.The

preference among older adults to remain in familiar homes and communities is termed “aging in place   “ 

Home Care Industry in Dire Straights

In 2019, national spending on home health care reached a high of $113.5 billion, a 40 percent increase from 2013, according to the most recent data from the Centers for Medicare and Medicaid Services.

But this growing industry , which Geriatric Care Managers and all aging services  critically need to support aging in place or care at home rather than an institution,  is in dire trouble.

The pandemic only made things worse. It exposed the vulnerability of not only the

elderly and infirm but also of those who care for them. As Covid-19 spread across the country, many families turned to home health care as an alternative to nursing homes, which had become hot spots for the virus. Shortages of personal protective equipment made the work risky. Many home care aides have not been able to work due to their own underlying conditions, family concerns or general anxiety. This has caused a crisis in the Home Industry, which care managers depend upon for staffing cases. Now with the Biden Mandate of requiring Medicaid and Medicare home care providers to get vaccination, there will be a whole new crisis with care providers under those giant government programs or work in hospitals .

Solutions to the National loss of Home Care Aides

There are many other factors fueling the loss of  paid care providers and there are great solutions offered by Leading Age a national non profit for aging and home care.

This includes , expanding training, increasing pay and increasing the caregiver pipeline to include college students, high school students and recent immigrants.

Filed Under: Blog, caregiver, caregiver infrastructure, Caregiver Infrastructure bill, Caregiver living wage, Caregiver low salary, caregiver mental health, Caregivers collapsing, Caregivers contracting COVId, COVID Homecare aide exposure, COVID impact homecare, homecare aides contract COVID, homecare living wage, homecare low wages, homecare staffing crisis Tagged With: AARP, Aging In Place, COVID-19 exposure, geriatric care manager private duty home care, home care aide crisis, home care aide low salary, Homecare industry disorganization, homecareaides live in poverty, New York Times, not enough private caregivers, private duty home care, solution homecare aide loss, Staffing crisis

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