Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Consult with Seniors on COVID-19 Safety Through Telehealth

June 29, 2020

Mixed Messaging to Seniors who are 80% of Deaths in COVID-19- Provide Safe Message Through Telehealth

The elderly and their families are confused about the government’s mixed message about COVID-19.Covid-19 is brutal on the elderly, with those 65 and older accounting for 80% of the U.S. deaths from data the Centers for Disease Control. The Wall Street Journal reports the same vicious statistic -80% of deaths in Europe are older people.

Each World Pandemic Picks its Victims 

This is not just because older people die more than other populations. Each pandemic picks its victims. Only 13% of the estimated 12,469 U.S. deaths in the 2009-2010 H1N1 pandemic were among those 65 and older. The elderly’s apparent resistance to that virus was one reason the fatality rate was so low. The earlier H1N1 strain that caused the pandemic of 1918 and 1919 was much more virulent, causing an estimated 675,000 deaths among a U.S. population less than a third the size of today’s yet killed one-third of the world’s population. It wreaked havoc primarily of young adults.

CDC Muzzled in Telling Seniors & Citizens Real Science

 The coronavirus increasing assault today is made 10 times worse by the mixed messaging in the US. The CDC, once the premier health agency in the world, is now muzzled and states that nursing home residents are at high risk to the coronavirus, where they estimate that 40-60% of all seniors will die. Yet now the CDC  states nursing homes could reopen and defers to the state law when helping the family https://www.cdc.gov/coronavirus/2019-ncov/hcp/long-term-care.html.

The present administrations mixed messaging with Covid-19, like the CDC site’s confusing directions to seniors has according to the Kaiser Foundation undermined the public trust and left seniors and their families aimlessly looking for the safest path.

Geriatric Care Manager’s and seniors services need to create their own COVID-19 Telehealth products to help seniors and their families in their community.

Create that safe path for client’s yourself

JOIN ME FOR MY NEW FREE WEBINAR                       

Create 5 Telehealth Products for COVID 19

WHEN. THURSDAY AUGUST 6

TIME- 2 PM:- 3:30 Pacific Standard Time

Geriatric Care Management Business has been devastated by COVID-19 shutdowns. Create 5 COVID-19

Products from sheltering in place through the hospital, recovery at home, discharge from an SNF, or hospital for local and long-distance elders. Increase your bottom

line as COVID spreads throughout the US and more shutdowns loom

Learn Step by Step How to Consult with Aging Families and Seniors to:

  • Choose the best Hipaa Compliant Telehealth Products to Remotely Consult with Client

  • Help a Local Family Help a Loved One Safely Shelter in Place
  • Help a Long-Distance Family Help a Local Loved One Shelter in Place
  • Help an Aging Family Help a Loved on Hospitalized for Covid-19
  • Help an Aging Family Help a Loved one Recover when Discharged from a Nursing Home
  • Help an Aging Family Help a loved one Recover when Discharged from a

Hospital

WHEN. THURSDAY AUGUST 6

TIME- 2 PM Pacific Standard Time

       REGISTER NOW 

Filed Under: Aging Community & Covid-19, Aging Life Care Assocaition, ALCA Products for COVID_19, ALCA sales, Blog, CDC, Coronavirus safety elders, coronavirus shut down, CORONAVIRUS Stay at Home Plan, COVID-19 & Care Management, Covid-19 Death Nursing Homes, Covid-19 mixed messaging, Death and Dying Care Management, FREE WEBINAR, Geriatric Care Management Business, geriatric care manager, geriatric social worker, Infection Control Nursing Homes, infection control SNF, nurse advocate, nurse care manager, Sales in geriatric care management, social media marketing campaign, Webinar Tagged With: aging family, aging life care manager, aging parent care, care manager, case manager, COVID-19 deaths SNF's, COVID-19 PRODUCTS, COVID-19 SERVICES, COVID-19 Telehealth product, Federal Response To Covid-19, GCM Telehealth Product, geriatric care manager, nurse advocate, nurse care manager, nursing home COVID statistics

Dear Governor Newsome – Don’t Sentence Frail Elders To Ca. Nursing Homes Wrenching Them from Free Loving Family Caregivers!

June 18, 2020

Dear Governor Newsome :

I am on the board of the Health Project Center in Santa Cruz, County that operates the MULTI-PURPOSE SENIOR SERVICES PROGRAM (MSSP program ). and CAREGIVER RESOURCES PROGRAM (CRC)  in both Monterey and Santa Cruz Counties.

KEEP THESE NURSING HOMES CERTIFIED SENIORS IN THE CHEAPER COMMUNITY

I am writing to support these programs and implore the governor not to cut their funding. These senior programs were created to keep people out of expensive nursing homes in the 1970s and keep them in the cheaper and nurturing community. By cutting MSSP and CRC the state will only accrue more debt by spending more money to fund now COVID -19 disease-ridden nursing homes. These nursing home certified beneficiaries who are the frailest and poorest of our elderly population. They are kept in the community by MSSP where they receive food services, socialization, and therapy. Their family caregivers receive respite.

Giving these caregivers respite can be the difference between caregiver burnout due to unpaid relentless 24-hour care of a loved one. Burnout ends in placement in nursing homes. But with COVID -19 still rampaging many cannot even get in.

 CAREGIVER RESOURCE CENTER  KEEPS FRAIL SENIORS IN FREE FAMILY CARE VS NURSING HOME PLACEMENT $80,000 a year 

Respite to caregivers to stop inappropriate placement in nursing homes is one of the main functions of the Caregiver Resources Centers in California,  which needs its funding kept intact by the governor. The Center provides support to families caring for loved ones with cognitive impairments such as Alzheimer’s Disease, making referrals to caregiver counseling, support groups, local caregiver service, and giving small respite grants. Without the caregiver falling apart, which the Caregiver Resource Center stops, once again, the older nursing home certified client will just end up being forced to trying to get into a nursing home at $80,000 a year, when the family caregiver was FREE.

 IF these programs are demolished by the governor and MSSP and CRC are axed out in a blood-spattered cut and these frail seniors will be dumped into California nursing homes where the state will spend needless money it does not have.

 

STATE WILL PAY $80,000 A YEAR PER PERSON FOR NURSING HOME PLACEMENT VS. $5000 FOR MSSP

These programs save the state money. Each of the MSSP clients is disabled enough to be eligible for nursing homes and poor enough to be eligible for MediCal. So instead of the

state paying $80,000 or $90,000 per person per year in a nursing home, the State pays only on average a little over $5,000 for the person to be in MSSP and nothing for the family caregiver. .This makes the cuts both fiscally wrong and mystifying.

 

 MSSP CUTS MAKE RECIPIENTS GO  TO NURSING HOMES WITH 0 TESTING, JUNK PPE THAT LOOKS LIKE  GARBAGE BAGS WITH HOLES

Seniors have borne the greatest share of death already from COVID-19, as over 50% of the dead in the US are now elders from coronavirus who lived in a nursing home rife with the virus. These MSSP participants, without the support of MSSP, will have to turn to nursing homes.  According to the House Select Committee on Nursing Homes a few days ago, these facilities do not have enough testing and personal protective equipment to stop the virus from spreading. They do not even have PPE and at CMS direction, FEMA has been sending out junk for PPE that looks like garbage bags with holes. This is what you would be sentencing these frail elders to with the scrawl of the governor’s seal.

 

 CRC CUTS SEND Frail ELDERS FROM FREE FAMILY CARE TO $80,000 YR NURSING HOMES

 You are sending these seniors from the loving care of their family to nursing homes with few beds, COVID-19 raging from one bed to the next bed, beds not 6 feet apart, and no

testing or PPE. All this while the state pays $80,000 or $90,000 per person per year in a nursing home when the State pays only on average a little over $5,000 for the person to be in MSSP.

CUTS TRAVESTY IN JUDGEMENT AND MORAL FISCAL BANKRUPT CHOICE 

 

I am a graduate of Berkeley with a master’s in SW in aging planning and community development and this is just planning for more state debt and more seniors dying in expensive, CMS FEMA and Federally caused, death traps called nursing homes.

Sincerely

Cathy Cress MSW

 

 Cathy  Cress
cressgcm@got.net
CressGCM Consult
https://cathycress.com/

Santa Cruz, Ca 95062

Filed Under: Adult children, Aging Family, aging family crisis, Aging Life Care Assocaition, aging life care manager, Aging therapist, Blog, caregiver, Caregiver Burn Out, caregiver burnout, CAREGIVER RESOUCES, CMS & Nursing Home Policy, Coronavirus safety elders, Covid-19 Death Nursing Homes, CUTS to California Caregiver Resource Centers, Cuts To California MSSP, Free Family Caregiver, Geriatric Care Management Business, Geriatric Care Manager, Infection Control Nursing Homes, MSSP cuts in California, nurse care manager, Nursing Home Deaths, Poor Nursing home staffing, PPE, PPE Nursing Homes, Skilled Nursing Facility, SNF death COVID-19 Tagged With: Aging advocate, aging life care manager, aging life or geriatric care manager, aging parent, California Senior Program Cuts, care manager, caregiver burden, caregiver burnout, case manager, CRC cuts IN CALIFORNIA, geriatric care manager, geriatric social worker, Governor Newsome-Ca, MSSP cuts in California, nurse advocate, nurse care manager, Stop Cuts to Frail Elder in California

Nursing Home Still Deaths Camps, 40,000 Dead – Feds Skew the Stats

June 14, 2020

Rachel Maddow once again, now the House of Representatives swept a spotlight on the despicable nursing home mortality rate of COVID -19. Nursing Home residents remain the largest % of deaths in the US. Although only 0.6 of the population they  represent a whopping  42 % of the deaths 

Feds Statistics Insanely Wrong

Highlighting the Do Nothing attitude that continues in the Trump federal government, CMS just released data collected from nursing home national wide that is cast as insanely wrong. Nursing home officials said their data were somehow scrambled, either because nursing home personnel reported in the wrong columns, or the numbers were loaded incorrectly somewhere between the CDC and CMS.

Yesterday the House Select Committee Briefing Confirms Urgent Need for Federal Action to Protect Nursing Homes from Coronavirus

Chaired by Rep. James E. Clyburn, they explored the devastating impact of the coronavirus pandemic on nursing home residents and workers, including the deaths of more than 40,000 Americans in nursing homes across the country. 

 Chairman Clyburn called on the Trump Administration to take action to protect nursing homes, stating:  “[W]e need the federal government to ensure our nursing homes have enough testing and personal protective equipment to stop the virus from spreading.  That means providing coordination and resources—not just leaving it up to the states.” 

Dr. David Grabowski of Harvard Medical School explained, “Rather than pushing the logistics and costs of testing and PPE to states and nursing homes, the federal government needs to own this issue.  The federal government should set a consistent policy across all U.S. nursing homes and then provide states and nursing homes with the resources to achieve it.”  He concluded, “The buck has to stop there.” 

The Trump administration failed to provide nursing homes with testing and protective equipment.

We have focused on a lack of PPE in hospitals but what about nursing homes. Asked if the federal government has done enough to stem the outbreak in nursing homes, Dr. Grabowski replied:  “Absolutely not, the guidance was not sufficient.  I’ve actually called it ‘non-guidance guidance’ in that there were no teeth or dollars behind it.  And if you don’t put logistics, if you don’t put costs into this guidance, if it’s just simply a theoretical set of guidance for the nursing homes and for the states; it’s not actually going to happen.”  He concluded, “I would have liked to have seen federal leadership.”

Dr. Grabowski stated that nursing homes in many states still “can’t get testing fast enough” and “are really struggling to find the tests.”  He explained, “The federal government should’ve put the testing in place and actually paid for it.”  He stated, “Until we get rapid and accurate testing for all staff and residents, we won’t be able to contain COVID.”

Mr. Carlson explained that nursing homes face serious shortages of PPE and that “shipments from FEMA have been a bit late and inadequate.”  He also explained that “the lack of federal coordination” has “impeded facilities’ ability to identify infected persons and to provide care.”

PPE Feds Send Looks like Blue Plastic Trash bags

NPR reported the PPE is either never delivered, flimsy, and much less than ordered or looks like remade trash bags. Instead of proper medical gowns, many packages hold large blue plastic ponchos.

In late April I blogged about the national COVID epidemic in nursing homes. It has been a month and a half and death toll, which was 10,000 rocketed up to, 40000, now – that’s 30,000 more deaths in just a month and a half.

Workers in the facilities still have inadequate PPE to protect themselves from the virus, and CMS in some fabulist attempt to look like it actually cares about Medicare and Medicaid, comes up with an outcome study that seems to be run by drunks or charlatans.

Now Rachel Maddow is showing us nothing has changed except the bodies are piled higher and higher in nursing homes. I care and I assume every senior agency that gets this does but put that caring into action. Write your Congressman, or maybe just adopt a nursing home and raise money in the community to buy PPE for them. This is, of course, pathetic but the government does not care, CMS does not care and President Trump certainly does not care about older people.

Filed Under: Aging deaths, aging family crisis, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Aging therapist, ALCA COVID-19 Crisis, Assisted Living, Blog, care manager, case manager, CMS & Nursing Home Policy, Coronavirus safety elders, Covid 19, Covid-19 Death Nursing Homes, Covid-19 Nursing Home, geriatric care management emergency proceduress, geriatric care manager, geriatric social worker Tagged With: aging life care manager, aging parent care, care manager, CMS COVID response, geriatric social worker, nurse advocate, nurse care manager, nursing home COVID statistics, Nursing home COVID testing, nursing home death, PPE in Nursing Homes, Skilled Nursing death

Nursing Homes residents in Pandemic -Need Help Today, Mother’s Day& Future

May 10, 2020

MOTHER’S DAY 6 FEET APART AND LONLEY

Nursing home residents, like prisoners, are locked in space “less” than 6 feet apart in facilities with a growing death rate that has reached 20% of all Covid-19. Support them on Mother’s Day and every day in the future. Their situation is increasingly dire as in Florida, a state with the largest elderly population the cases have spiked radically since restrictions were lifted  60% of new cases are in nursing homes 

If you are an aging professional- step up to the plate. Through the Hartford Foundation join Huddles.The network is designed to support nursing home leadership, staff, residents, and families impacted by the COVID-19 pandemic. For the week of May 11-15, the huddles will focus on testing. They have organized the Engage Initiative for COVID-19 in Nursing Home. So join and advocate for  facilities with the highest death rate in the country- where the federal government does nothing as a holocaust is occurring

MAKE A SIGN AND VISIT A LOCAL NURSING HOME TODAY

Support older residents in nursing homes by making a SIGN and standing outside the facility. Gather some friends. People all over the country are doing this, showing the residents they are loved. In Holiday Florida, nursing home residents were treated to a mother’s day parade. In Chillicothe, Ohio. residents drove around the driveways of a nursing home in HONK for HUGS 

Today or someday this week, just call a nursing home in your city and tell them what you are doing. Get their permission and ask if you can go from window to window with your sign of Happy Mother’s Day or ” whatever you wish for them “and wave. It is that simple. Today these elderly, sick and threatened mothers, cannot see anyone, often have family long distance who cannot see them, and are literally locked in a facility where beds are not 6 feet apart.

PLAY IT FORWARD – DO SOMETHING FOR NURSING HOME RESIDENTS IN THE NEXT FEW WEEKS

No matter what your state, town, or the facility is doing to protect them they are the number one target of coronaviruses doing to protects them. AARP  has started a mutual Aide group to both give and receive emotional aide during a pandemic. Join a group or organize a group to make phone calls to residents of the local nursing homes. If you are a retired medical professional down to an aide or someone who can answer the phone- instead of virtually, you could really step up to the plate, and volunteer to help a nursing home that is understaffed in the pandemic .

In my home state, CALIFORNIA, you can join the Social Bridging Program. You can also join the Friendship line to call older people who are lonely and just need you to be there to listen.

 

ONE SMALL STEP FOR PEOPLE IN THE BULLSSEYE OF DEATH

The point is to do something one small thing whether it is on Mother’s Day Monday or this week. Take a step to help the bullseyes targets of COVID-19 the elderly who are terrified, lonely, and now on Mother’s Day alone.

Filed Under: Blog, coronavirus, Covid 19, Covid-19, COVID-19 & Care Management, Covid-19 Death Nursing Homes, Covid-19 Nursing Home, Death and Dying Care Management, GCM COVID 19 Crisis, GCM products in COVID-19, geriatric care management emergency proceduress, geriatric care manager, Geriatric Care Managers & Assited Living, geriatric social worker, Hartford Foundation & Nursing Homes, Mother's Day, Mother's Day in Skilled Nursing, Nursing Home Deaths, Senior Isolation, Senior Loneliness, Social Bridging Program Tagged With: aging family, aging life care manager, aging parent crisis, care manager, case manager, COVID-19 Deaths, COVID-19 deaths SNF's, COVID-19 Mother's Day, death and dying in COVID-19, mother's day Nursing Home, nurse advocate, nurse care manager, nursing home deaths, Visit Mom in Nursing Home

Why is CMS Loosening Nursing Homes Infection Control in Pandemic ?

May 9, 2020

When 20% of COVID-19 cases are in Nursing Homes -CMS Rolling Back Infection Control

Insanely CMS and the FEDS are considering rolling back infection control in a nursing home in the middle of a coronavirus pandemic -when more than 20 % of the cases in the US are in Nursing Homes.

The mind-boggling idea was reported in USA Today. A rule proposed last year by the Centers for Medicare and Medicaid Services (CMS) would modify the amount of time infection prevention must devote to a facility from at least part-time to “sufficient time,” an undefined term that lets the facility decide how much time should be spent.

Why do you need infection control in a nursing home- even before COVID -19?

Over 4 million Americans are admitted to or reside in nursing homes and skilled nursing facilities each year and nearly one million persons reside in assisted living facilities. Data about infections that occur in these skilled nursing home include on a normal day before coronavirus

  • 1 to 3 million serious infections occur every year in these facilities.
  • Infections include urinary tract infection, diarrheal diseases, antibiotic-resistant staph infections, and many others.
  • Infections are a major cause of hospitalization and death; as many as 380,000 people die of the infections in LTCFs every year.
  •  

Nursing Homes deaths May Be 50% of All Deaths in Pandemic

These infection control rationals were before COVID-19. Now, in the midst of this black plague of the 21st Century, it is thought, according to the Washington Post that nursing homes may account for 50% of death BEFORE infection control is further diluted by CMS.

Cities& States Reduce COVID-19 Risk in Nursing Homes -Feds Increase Them

In contrast to the blighted policy idea of the Federal government, Detroit, as a city, has tested every nursing home and in addition, is testing all staff and providing them with PPE.San Francisco is also now testing every resident of a nursing home. States like Maryland and Wisconsin and testing all nursing homes.

The Kaiser Family Foundation reports that at the end of the pandemic we may find out half of the deaths in the pandemic were from residents of nursing homes. In light of all of this carnage and potential destruction of the elder population in the US- why then are  CMS and Trump loosening infection control? Is this throwing salt into the would of frail elders, madness, an attempt to delete people on social security, incompetence at CMS or CMS following the bedeviled destructive policy of the Trump administration? We need answers but will we as a country get them in time?

Filed Under: aging life care manager, Aging therapist, ALCA & Skilled Nursing Facility, ALCA COVID-19 Crisis, Blog, CMS & Nursing Home Policy, coronavirus, coronavirus shut down, Covid 19, COVID-19 & Care Management, Covid-19 Death Nursing Homes, Covid-19 Nursing Home, death and dying care manager, geriatric care manager, INFECTION CONTROL & COVID-19, infection control SNF, Nursing Home Deaths, Pandemic, Trump Administration Tagged With: aging life care manager, care manager, coronavirus, Covid-19, COVID-19 & INFECTION CONTROL, COVID-19 deaths SNF's, Federal Response To Covid-19, geriatric care managers, geriatric social worker, nurse advocate

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