Cathy Cress

Expert in Aging Life and Geriatric Care Management

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US COVID Double Jeporady- Race& Aging

February 1, 2022

To Celebrate Black History Month let’s explore the recent revelation from COVID of the Double Jeopardy of COVID Race and Aging

There is a US  double Jeporady- Race and Aging showing up in our 3-year-old pandemic. Black people and older adults are the two groups most affected by COVID-19. History is not just about the good things that transpired but the negative events that occur like COVID and what it has revealed about the health of both Elders &Black Americans.

This double jeopardy, as a race- and age-informed analysis, demonstrates how Black race and old age are associated with practices and policies that shape key life circumstances (e.g., racial residential segregation, family and household composition) and resources in ways that embody elevated risk for COVID-19.
In a cross-sectional study of adults tested for COVID -19 in a large midwestern academic health system, COVID-19 positivity was associated with the Black race. Among patients with COVID-19, both race and poverty were associated with a higher risk of hospitalization, but only poverty was associated with a higher risk of intensive care unit admission.

Racial Capitalism

Double Jeopardy -Race& Aging

Racial capitalism is a fundamental cause of the racial and socioeconomic inequities within the novel coronavirus pandemic (COVID-19) in the United States.
The Double Jeopardy -Race, and aging show up in the overrepresentation of Black death reported in Detroit, Michigan is a case study for this argument. Racism and capitalism mutually create harmful social conditions that fundamentally shape COVID-19 disease inequities. These disease inequities  (a) shape multiple diseases that interact with COVID-19 to influence poor health outcomes; (b) affect disease outcomes through increasing multiple risk factors for poor, people of color, including racial residential segregation, homelessness, and medical bias; (c) shape access to flexible resources, such as medical knowledge and freedom, which can be used to minimize both risks and the consequences of disease; and (d) replicate historical patterns of inequities within pandemics, despite newer intervening mechanisms thought to ameliorate health consequences. I would also add that the majority of paid caregivers are people of color and contract it because they work with COVID patients- .  Interventions should address social inequality to achieve health equity across pandemics.

How Do We Change the Roots of This Double Jeopardy of Race & Aging?

So we hope that these health revelations will spur our government to address the roots of this double jeopardy-Race and Aging, something we have failed to address, these historical patterns of inequity for poor people of color and all people of color not just over pandemics but our entire caste system when elders and people of color are at the bottom, as Martin Luther King said, along with the untouchables

 

Filed Under: Aging, Aging Life Care, aging life care manager, Black, Black Aging Family, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black entrepreneurs, Black Geriatric Care Manager, Black geriatric care managers, Black History Month, Black RN, Black Travel Nurses, Black Travel RN, Blog, Care Infastructure, Care Infrastructure, Coronavirus safety elders, coronavirus shut down, COVID -19 Safety, Covid 19, COVID Agency Safety Plan, COVID Homecare aide exposure, COVID impact homecare, COVID-19 & Care Management, Covid-19 and GCM SERVICES, COVID-19 Black Death Rate, COVID-19 GCM Safety Procedure, Double Jeporady Race and Aging, Families, Geriatric Care Manager, geriatric social worker, nurse advocate, nurse care manager Tagged With: aging family, aging life care manager, aging parent care, aging parent crisis, Black, black aging family, black american geriatric care managers, black american social workers, black americans, Black History Month, care manager, covid -19 geriatric care manager, COVID Double Jeporady, COVID exposure of caregivers, COVID GCM Procedures, Double Jeporady Race & Aging, geriatric care manager, nurse advocate, nurse care manager, Race and Aging

Omicron Gone Nuclear-Are you Marketing Your Agencies COVID-19 Safety ?

January 3, 2022

 

How Do You Market the Safety Of Your Agency with Omicron Cases Exploding Nationally?

What is the best way to show the Covid -19 safety protocols of your GCM or homecare agency with new Omicron surge exploding COVID cases once again?  You must overcome adult children’s hesitation to use homecare and GCM services. Why hesitation? Although about 62% of all Americans are now vaccinated -while— more than 87 percent of adults 65 and older — have been fully vaccinated, yet terrifying the public and adult children who care for aging loved one’s needing care at home —as  COVID exploding again with the highly contagious omicron variant accounting for an estimated 58.6% of sequenced U.S. virus cases in the week ending Dec. 25, as the Centers for Disease Control and Prevention’s Nowcast model showed, was up from an estimated 22.5% a week earlier ., 22% self identify as anti-vaxers,  So aging families remain very nervous about your agency coming into a senior home.

During this new COVID-19 Omicron surge what families look for in your agency is your Covid 19 safety of staff- the care providers, care managers, and office staff’s vaccination rate, your safety protocols, PPE equipment use, and evidence that you work with your local department of health, state and CDC to stay compliant.

DO YOU CREATE A COVID -19 SAFETY MARKETING PLAN?

Hygienic shield offering COVID-19 Saftey from omicron

A key element that goes into that marketing plan would be an e-newsletter, with a marketing campaign on your covid-19 safety  sent out in formats like Constant Contact   Survey Monkey  other choices

This will boost the clients you can serve, as the Omicron surge has made adult children and elderly clients are nervous to have visitors come to their homes, exposing elders

States and individual health systems have historically addressed vaccination requirements for diseases such as influenza and hepatitis B. You must follow your state’s COVID regulations.  Today, more than 2,500 hospitals, or 40 percent of all U.S. hospitals, have announced COVID vaccination requirements for their workforce. They span all 50 states, the District of Columbia, and Puerto Rico.  Potential clients need to know your care staff and care managers you use are incentivized to get vaccinated. 

newsletter to market COVID -19  safety 

Other Ideas to Add to your e-newsletter about COVID

Warning about Omincron surge 

Include Videos in your e-newsletter like this terrific e-newsletter that Lifespan, a care management agency in Santa Cruz, Ca. uses introducing their staff products and services during COVID. 

  • Tell a story with the COVID safety you want to show future clients and their adult children
  • Use your i phone to record your video

  • marketing Covid -19 safety of your agency

  • If you are a care manager, include a list of great reasons that a client or customer should work with an ALCA or Geriatric Care Manager during the Coronavirus pandemic. ALCA members get this in a flyer “Why Work With An ALCA Member During A Crisis “.The Aging Life Care Association has huge resources for dealing with coronavirus impact on geriatric care management. This makes joining ALCA now a great idea in this lethal pandemic and its deadly effect.

      • 5 steps to create an e-newsletter with the right copy, to get out the word about you

         

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

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        CressGCMWebinar -Thursday, January 6 2022 2:00-3:30 Pacific Time

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      •  Give frantic adult children hope when they desperately call after the holiday

          

        and learn how to come to the rescue of concierge dysfunctional families who face a need for care                                                                                 during the omicron surge.

         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 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

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Filed Under: 3rd party targets, aging family and COVID, aging family crisis, aging life business, Aging Life Care, aging life care manager, Aging therapist, ALCA COVID-19 Crisis, ALCA Disaster Plan, ALCA Products for COVID_19, Black Entrepreneur RB, Black Entrepreneur RN, Black RN, Black Travel RN, Blog, branding, branding ALCA business, Care Management Products, coronavirus, Coronavirus Coaching, Coronavirus emergency plan, coronavirus marketing, coronavirus quality of life virtual program, Coronavirus safety elders, coronavirus shut down, CORONAVIRUS Stay at Home Plan, COVID -19 Safety, Covid 19, Covid 19 Webinar, Covid Safety Video, COVID Saftey, COVID Webinar, Covid-19, COVID-19 & Care Management, COVID-19 & Delta Variant, Covid-19 and GCM SERVICES, Covid-19 Death, Covid-19 GCM Products, COVID-19 GCM Safety Procedure, COVID-19 Safety, COVID-19 Webinar, Create newsletter data base, Delta Variant Safety, e-newsletter, email newsletter, Family Caregiver, Fear of Omicron, FREE MARKETING WEBINAR, FREE WEBINAR, GCM Webinar, Geriatric Care Management Business, geriatric care manager, Geriatric Care Manager, geriatric care manager start up, Geriatric Care Managers value, geriatric social worker, INFECTION CONTROL & COVID-19, inquiry, inquiry call, inquiry COVID-19, Lifespan Care Management for Elders, Marketing aging life care, marketing ALCA /GCM, marketing care management, Marketing copy, Marketing GCM Pre-Post Covid, marketing geriatric care management, Marketing Home Care, marketing newsletter, marketing pitch, Marketing Plan for COVID, Marketing Tools 2021, nurse advocate, nurse care manager, Omicron varient, postioning, quality of life -COVID-19, Social Media for eldercare, social media marketing, social media marketing campaign, Telehealth with ALCA, Therapist Specializing in Aging Tagged With: aging family, aging life and geraitric care manager, aging life care manager, aging parent care, aging parent crisis, care manager, case manager, COVID-19 intake, COVID-19 PRODUCTS, Covid-19 Telehealth, COVID-19 Telehealth product, COVID-19 Webinar, nurse advocate, nurse care manager

How to Sell Adult Children Care Management Products To Sooth Caregiver Pain

October 6, 2021

Concierge Adult Children Call you When They are in Caregiver Pain

When Adult Children call you they  are  looking for a product to sooth  their caregiver pain. They see you as as a nurse practitioner or doctor who can prescribe the right painkiller to stop their caregiver anxiety, burnout, strain. They do not see Geriatric Care Managr as a pain killer because it is not a profession known like nurse practioner or doctors. They think you will have a specific care management  product to sooth their caregiver  pain.

Family caregivers have a pain -point from a particular parental crisis 

-like their Mom  cannot climb steps and needs to move , their Dad has dementia and is wandering. Their aunt is going in the hospital and need care afterwards- but the child lives long distance, their mother in law has fallen and need 24 hour care provider and they do not know how to find one, their loved want cannot drive anymore and need non medical care to help her remain at home. You need a menu of products that will offer  multiple choices for  each of the -each of the varied pain points the adult child  who calls suffers.Like when you shop in the detergent isle of your grocery store. You do not need all detergents but the one you choose & need , like enviormental friendly beacuse you are living in a drought and water your garden with grey water from your washer.

Concierge Client’s Who Can Afford You Need VIP Pain Products

Concierge customers are sadly the only customer who can afford you because Medicare does not cover long term care and, in an age of income disparity, 75% of all wealth is held in the hands of the upper 10%. They will choose you -the geriatric care manager over your competition

if you have a menu of  pain-point  products and Four Seasons services to deliver those products- rivals do not have.

Products make sense to a high-end customer who is brand /product oriented in purchasing anything that reflects who they are. Think Gucci purses, Rolex or Montblanc watches Dior dresses.

All  care management customers in upper 10% relate to products not peace of mind

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Why Sell VIP Pain-Point Products rather than Geriatric Care Management
Why VIP GCM Clients prefer GCM Products
How to Develop a 4 Season Menu of Products

VIP Products to Add to your Menu of Services

VIP services to Add to your Products

 

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Filed Under: Aging, aging family crisis, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, ALCA Beneifits, Benefits of Geriatric Care Management, Blog, Care Management Products, care management start-up, care manager, case manager, Covid 19, elder care manager, Families, FREE WEBINAR, GCM Start -Up, Geriatric Care Management Business, geriatric care manager, geriatric care manager start up, geriatric social worker, Income inequality, marketing care management, marketing to the top 10$, marketing to upper 10%, nurse advocate, nurse care manager, Selling GCM Business, Universal Precaution, VIP Products, Webinar, Webinar ALCA GCM Tagged With: adult child frustration, Adult Child Pain, adult child parent pain, adult children of concierge parents, aging life care start up, Aging Life Or GCM Products, care management products, caregiver burn out, case manager, Certified Senior Advisors, CMSA, concierge adult child burn out, concierge adult child pain, Covid-19, eldercare manager, family caregiver burnout, Family Caregiver Pain, family caregiver stress, geriatric social worker, Income Inequality, marketing geriatric care, marketing geriatric care management, Medicare & coronavirus, Medicare non coverage LTC, nurse care manager, Pain Point, pandemic, products vs services, VIP Client Products, Vip Client services

Is Biden’s Caregiver Bill Really Infrastructure?

May 11, 2021

House Republicans Denounce Biden Caregiver Infrastructure Plan -Say It Is Not Infrastructure.

House Democrats defended President Joe Biden’s inclusion in his “American Jobs Plan” of $400 billion in support for caregiving, after Republicans criticized the package as stretching the definition of infrastructure and called on the White House to scale it back.

WHY CALL It INFRASTRUCTURE

The word “infrastructure” means something solid, essential, distributed and in the public interest. But as we have all learned in the pandemic year, care infrastructure is just that: UNPAID OR LOWGunnDadJacket.jpg PAID Caregivers are “rocks” and the solid foundation upon which the economy works. Without it, our families, our paychecks, our labor force participation, our workplaces all decline and we all suffer and collectively fall behind.

Like sagging bridges , unpaid women caregivers hold up the care infractstruce. In 2017, AARP found that about 41 million family caregivers in America perform roughly $470 billion worth of unpaid labor a year. Since then, the number of caregivers has increased to 53 million, meaning that more than one out of five Americans are unpaid  caregivers, according to AARP’s latest report.

 

The Care Infrastructure Collapsing

From February 2020 to January 2021  more than 2.3 million left their jobs, and that puts women’s labor force participation rate at 57%, the lowest it’s been since 1988. This was due to a lack ofchannel_caregiver_burnout.jpg childcare and closing of schools due to COVID  when 39% of   women family caregivers leave their job to have more time to care for a loved one.

Caregiving  for an elder reduces paid work hours for middle aged women by about 41 percent. In total, the cost impact of caregiving on the individual female caregiver in terms of lost wages and Social Security benefits equals $324,044. 34% leave because their work does not provide flexible hours. 

 

 

HOW MUCH WOULD IT COST GOVERNMENT IF FREE CAREGIVERS QUIT

Let’s put that free caregiving  into context.At $470 billion in 2013, the value of unpaid caregiving exceeded the value of paid home care and total Medicaid spending in the same year, and nearly matched the value of the sales of the world’s largest company, Wall-Mart ($477 billion). [AARP Public Policy Institute. (2015). Valuing the Invaluable: 2015 Update.]

So in 2013 the US Government would have to come up with $477 billion to replace free caregiving.

Let’s put that  free caregiving  into 2017 context.  AARP notes unpaid caregivers’ economic impact was more than  all out-of-pocket spending on U.S. health care in 2017($470 billion)and the total combined value added to the U.S. economy by the agriculture/forestry and mining sectors ($438 billion) that year.

So caregiving was not free, the US would have to come up with $477 billion in 2017 to replace it.

 

WHAT IF UNPAID CAREGIVERS  Totally COLLAPSED

If all these unpaid family caregivers stopped caring the national caregiving system would collapse, like dangerous American bridges .Then the US government would have to come up with $470 Billion to replace free caregivers or put all  elderly in nursing homes , which are havens for disease spread , which we know from the pandemic making them a holocaust of death. Congregate nursing homes and have become a broken national system since COVID.

So Biden has brilliantly found a way to avoid the $470,00 billion bill and instead create jobs that will keep elders at home cared for  through home health care paid through Medicare.

What Will Biden’s Investment  Create- in Jobs and the Economy

Sixty-five percent of the jobs — approximately 1.5 million jobs —resulting from Biden’s investment would be in child care, residential care, and home health care. An additional 225,000 jobs can be created or supported in sectors that support care work, and over 500,000 jobs would be supported in other sectors as direct care workers spend their wages on goods and services. 

Biden’s Plan of investing $77.5 billion per year would support over two million new jobs, at an average cost of $34,496 per supported job. Over 10 years, this translates to 22.5 million new jobs. Annually, a $77.5 billion investment in new jobs translates into $220 billion in new economic activity. 

So find your local representative and tell them to support Biden’s bill if you care about aging or caregivers or women or  shoring up the frayed- fraught care infrastructure.I have done a series of blogs on the bill . Check them out now 

Filed Under: Aging, Aging Life Care, aging life care manager, Biden's Caregiver Infastucure Paln, Blog, care economy, caregiver, caregiver infrastructure, Caregiver Infrastructure bill, Caregiver living wage, Caregiver low salary, caregiver mental health, CAREGIVER RESOUCES, Caregivers collapsing, Covid 19, Covid 19 Webinar, COVID Webinar, Families, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, nurse advocate, nurse care manager, Unpaid caregivers, unpaid family caregivers Tagged With: aging family, aging life care manager, aging parent care, aging parent crisis, Biden's infrastructure- Caregiver Bill, Care Economy, Care infrastructure, care manager, caregiver burden, caregiver burnout, caregiver low wage salary, caregiver stress, case manager, creating caregiver jobs, geriatric care manager, infrastructure Medicare jobs, Medicare non coverage LTC, nurse advocate, nurse care manager, Unpaid caregivers, unpaid family caregivers

Who Benefits from Bidens Caregiver Infrastructure Plan ?

April 19, 2021

Who Benefits from Biden’s Infrastructure Bill addressing Caregivers? Three groups

The first and foremost beneficiaries are paid caregivers who serve older people on Medicaid. The problem is they are not paid enough. These caregivers make an average of about 11.50 an hour or $23,920.00 a year, a figure below the poverty line. The goal for the Biden plan is $15.00  an hour which is $31,200 a year. This is above the federal poverty line of 2021 but only if you have 5 people in your family and will in another phase have to go higher.

Biden’s Program Benefits Caregivers Who are Primarily Women of Colorphoto.JPG

Predomitality women and people of color, these caregivers and their families struggle to survive on their present low salaries. In theory, much of the funding for the Biden Plan would be used to improve low-wage caregiving jobs.

Despite this invaluable work, caring mainly for elders and people with disabilities. 1 in 8 of these direct caregivers’ lives in poverty 

 

Why a Caregiver Infrastructure Bill. 

 

This bill repairs the ravaged road to caring for the huge number of elders who need care now and in the future. Why do we need a superhighway to care? The Elderly will grow to

a vast number while caregivers are in decline, leaving a rutted highway that needs major repair- for boomers, elders, retirees, and future older people in the coming to get the care they need 40 years.

Caregivers are hard to recruit because of the low salaries and the pandemic. COVID infected them as they were front-line workers, had to work three jobs to keep financially afloat, and were not in line to get the first shots. So they often became COVID victims and spread it to their own families. The bill will help the salaries of caregivers, which will help rebuild the potholed path to caring for elders now and in the future. The number of Americans ages 65 and older will more than double over the next 40 years, reaching 80 million in 2040. The number of adults ages 85 and older, the group most often needing help with basic personal care, will nearly quadruple between 2000 and 2040.

Why Unionize?

The bill would raise the salary for care providers who are caring for the poorest elders, themselves on Medicaid. It would also give them a right to collectively bargain nationwide through the SEIU. This is why the union needs to be involved. States can randomly lower the $1500.00 an hour plus a union needs to be in place to raise the minimum wage of $15.00 higher in the future to really gets these critical workers out of poverty.

Biden believes Unions Hold up the American Worker

Biden supports unions. They have been decimated over the last three decades. The rejection of the Alabama Amazon union is an example of this.

Not clear yet how the $400 billion would be spent?

Biden’s proposal doesn’t specify how the $400 billion in additional funding would be spent, beyond stating that access to home and community-based care would be expanded and caregivers would receive “a long-overdue raise, stronger benefits and an opportunity to organize or join a union.” The proposal is the second tier of the bill and will be more clearly defined in the next round.

We will look at the next two groups that benefit- senior and aging families -in my blogs in the next few weeks.

JOIN ME FOR MY NEW FREE WEBINAR 

Thursday, May 20th

2 PM- 3:30 PM Pacific Standard Time

Recorded so if you cannot make this will still be sent recording if you do not sign up

 

Successfully Market the safety of your homecare or geriatric care management agency in the Precarious “Semi-Post”- Pandemic Period-When Aging Families Are Still Full of Fear

 

Learn to market the safety of your agency, to overcome hesitation to use homecare as COVID slowly diminishes, vaccination accelerates yet elders are not fully vaccinated, COVID still spikes, variants explode, vaccines are taken off the market, people refuse vaccines, conspiracy theories abound and 8000 American still die each day.

 

Understand how to innovatively sell” trust” in your safe care management services so family caregiver’s & 3rd parties choose you as a safe agency, when family care providers are still hesitant to trust your services because of COVID

 

Learn to Use public relations and marketing to show you are focused on caregiver and care management safety by developed protocols. to  show you do testing, infection control, and procuring the safest personal protective equipment (PPE)

 

 Show you follow the safe new CDC’s leaderships path to safety to overcome the distrust created by the former federal government’s, mixed messaging that left family caregivers confused frustrated, feeling there was no clear path to safety through home care or care management

.

You will learn

 

  • 5 steps to create an e-newsletter with the right copy, to get out the word about your

    safe COVID 19 services

 

  •  

 

  • 10 steps to set up a Zoom webinar to teach local aging agencies and caregivers about your COVID safe services and other local resources to assist caregivers in the community

  • 7 steps to use social media to alert aging family caregivers to the clear path to your

    GCM agency provides safety from the diminishing but still present virus in the US.

 

  • 5 steps to get local media coverage of your COVID -19 safe services, care providers, and general excellent care management and home care products free PR with radio and TV coverage plus pick local newspapers where ads may pay off to sell your COVID Products

 

  • 5 steps to understand how to generate word of mouth customers for your COVID -19 safe services using your continuum of care in your community

  • 10 steps to use the powerful new tool of Video to market your agency’s COVID safety and excellent services as the pandemic diminishes but is still in your community, state, and country

SIGN UP

 

You are invited to a Zoom webinar.
When: May 20, 2021, 02:00 PM Pacific Time (the US and Canada)

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After registering, you will receive a confirmation email containing information about joining the webinar.

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, Caregiver Infrastructure bill, Caregiver living wage, Caregiver low salary, caregiver mental health, Caregivers contracting COVId, coaching caregivers, COVID, Covid 19, COVID19 Deaths Essential worker, Essential Workers deaths, Expanding Medicare to Home Care, Families, FOLLOW THE MONEY, FREE WEBINAR, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Home Based Care, Medicaid Caregivers, nurse advocate, nurse care manager, Unionization for caregivers, Woman of color caregivers Tagged With: aging life geriatric care manager, Biden's infrastructure- Caregiver Bill, Caregiver & COVID, caregiver low wage salary, caregiver shortage, caregivers for the elderly, caregivers live in poverty, covid -19 geriatric care manager, improving caregiver wages, Medicaid caregivers, nurse advocate, nurse care manager, problem recruiting caregivers, recruiting caregiver, SEIU and caregivers, unionization of caregivers, Women of color caregivers

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