Cut-Off Archives ⋆ Cathy Cress

I’ll be Home For Christmas in Spite of COVID if my Sibling’s Not there

December 6, 2020

Holiday Films Can Be About Ruptured Relationships

For many of us, the road home for the holidays is rutty especially this year with rampant COVID. For some, the path has gaping potholes. It can remind us of childhood conflicts between siblings that ruptured our relationship. Adult children who would still gather with elderly parents and siblings may be glad we all should not travel on the holiday this year due to the pandemic, as they avoid the awful holiday with an estranged sibling.

A great film to watch for nasty sibling rivalry with the comic brilliance of Vince Vaughn and Paul Giamatti is Fred Claus. Fred neglected by Mrs. Claus by favorite son St Nick, who takes all his presents, turns to life as a repo man to get even. It sounds like a dumb film and is a little dumb but has a stellar cast in Kathy Bates, Miranda Richardson, Kevin Spacey, and Rachel Weisz.

Adult Sibling Rivalry Usually Starts in Childhood

Serious sibling rivalry happens when the damage was done by a sister or brother years ago, leaving a never healing gash in our mind. In fact, that old wound from a sibling may still fester and ooze enough to lead us to say we believe we don’t want to see the family on the holidays.

We feel we hate our siblings for many different reasons. The chief complaint that lurks in our mind is that Mom or Dad favored them over us. She got the new prom dress for her high school celebration, and a few years later we ended up with her hand-me-down. Dad sent him to a great four-year college, and we were sent to a community college near home. She was the baby so got to grow up with late curfews and loose rules, when Mom and Dad were unbearably strict with the rest of us. He was the oldest and Mom needed him to take care of the bunch of us, so she let him boss us around. He was the stepsibling who moved in and took over half our room.

Sibling Rivalry Can Stop Adult Children FRom Helping Aging Parents Stay Safe From COVID

That can all come back again if adult children do travel back for the holidays, against all CDC and State warnings. Just traveling back could give the adult child or worse, the elderly parent, the unwanted gift, like lethal coal in their stocking, COVID. But if the siblings do journey all back to the family celebration, they all can open Pandora’s box of the past, picking favorite siblings or parental slights. Whatever happened in their childhood, can flashback like holiday PTSD. If the aging parents are struggling they may look for a GCM, so make sure that skill is on your website and be very sure you have skills in working with sibling rivalry. My book Care Managers Working with The Aging Family has a chapter in it with tools to work with adult siblings.

Siblings Need TO Work Together to Keep Aging Parents Safe From Pandemic

This is a time when adult parents need adult siblings to work together as a team to ensure aging parents’ safety during COVID. This means not even going home to risk COVID. Adult children staying home also means one sibling setting up a virtual family

meeting to create a family plan to increase aging parents quality of life while sheltering in place alone with rising loneliness and isolation, It means making sure they have and are using all safety precautions against getting the virus and having a family plan if they are hospitalized, then discharged to recover or even to recovering with no hospitalizations if hospitals are full and turn patients away. . A geriatric care manager can offer that to the family.

Start a Coaching COVID Service for AGING Families

So pre Holiday, add Coaching Adult Children and marketing this skill to Help their older relatives with COVID risks and use your knowledge of helping adult sibling strife to help them help their

parents as a family team

The 2 Deadliest US Sites of COVID-19 Nursing Homes & Prisons

May 2, 2020

PRISON INMATES AND NURSING HOME PATIENTS NOT 6FT APART – 6 FEET UNDER

70% of inmates in federal prisons have COVID-19. In Kansas, the Lansing Correctional Facility had a riot of inmates over COVID-19 lack of care or protection It took the rebellion to get the coronavirus testing PPE and care. The Bureau of Prisons in Kansas confirmed finally that 79 staff have coronavirus and 88 prisons and prisoners dead.

Older residents in nursing homes cannot rebel like prisoners. Many can’t even walk. The Atlantic Magazine just published an article, We are Killing Elders Now. The writer states “In at least six states, these fatalities account for half of all COVID-19 deaths, and according to the World Health Organization, half of all coronavirus fatalities in Europe have been traced to nursing homes too. Some of this mortality is linked to long-term-care facilities that are shoddily run or that violate health standards. But most of them are doing the best they can with what they have. And they don’t have much”.

KAISER FOUNDATION NURSING HOME STAFFING AND USE OF PPE NOT REQUIRED IN MOST STATES

Kaiser reports -Staff Screening. It is more common for states to recommend rather than require daily screening of staff for illness in NFs (24 states recommend, 16 states + DC require)

Use of PPE. More states recommend (23 states) than require (7 states + DC) staff to use PPE

Two States that require testing for coronavirus of ALL residents of nursing homes are Maryland where 556 have died as of the Washington Post article. and Tennessee

THE FEDS HAVE NO CMS FEDERAL GUIDELINES OR REPORTING

We have no federal guidelines for safety testing according to an article by the Kaiser Foundation

It is now estimated that 16,000 deaths have occurred in nursing homes and that is without the federal government revealing any numbers and not making available any testing. But the numbers are probably huge- if we could just do testing.

CMS announced it would have a meeting of a “panel” of experts “ sometime at the end of May”. After probably 20,000 older people died and the feds did nothing this shows their sense of urgency about this pandemic’s national “elder cleansing”.

WHAT CONNECTS PRISONS AND NURSING HOMES – CONCENTRATION CAMPS

So, what is the connection between the viral spread of COVID-19 in nursing homes and prisons- 6 feet ? Prisoners and residents, in nursing homes, and prisons cannot social distance. Jails and prisons have human beings crammed together with no choice. Nursing homes have 2 beds or if you are on Medicaid three to a room. Neither group has a choice to social distance. They are ” concentrated” as in concentration camps or death camps.

Do SOMETHING – HELP NURSING HOMES PREVENT MORE CARNAGE

So, as someone who has spent her career in aging, I am calling out to everyone, especially professional in aging – do something. Since the feds appear to be doing little- call your congressman, write a letter to the editor.

BE KIND LIKE RACHEL MADDOW REPORTS LA JEWISH HOME LA WAS

Rachel Maddow suggests calling your local nursing homes and see what they need. Be kind like the LA Jewish Home was to a smaller nursing home LA Brier Oaks. They wanted to test their residents and had no tests and the larger LA Jewish Home had tests and shared them with the smaller as a good neighbor. What they found was ravaging but it also showed caring and generosity. Care and be generous and show the helpless elders in nursing homes in your town you are opposed to -nursing home being prisons or concentration camps.

Ten Warning Signs of a Dysfunctional Family- Warning Sign Number Three

October 31, 2019

What is scarier than Halloween?

Happy Halloween –Kids and adults have fun being scary on Halloween. The Dysfunctional Aging Family is really scary. What is the third sign that you as an aging professional or geriatric care manager are working with an aging family- Cut off

Distancing & cut off- are pulling away and having nothing to do with family or an individual in your family.

You find adult children who have not spoken to parents or siblings for years.

Angela Jolie’s Cut-off With Her Dad

The celebrity feud and cut off between actress Angela Jolie and her Dad actor John Voigt is a well-publicized example of this.

What prompted reconciliation? Helping grandchildren- is one goal that professionals working with aging families can follow. Among the reasons, according to the press, that Jolie- Pit reconciled with her Dad was her children’s need for a grandparent . She learned that your children just have a very different version of a relationship with your parents than you do.

Assessing the Aging Family for Cut-off

When you assess the aging family as a professional you look at several signs for dysfunction. Has the family been stable over time? Is there a history of emotional cut-offs or distance on the part of one or more family members? Is there a pattern of divorce, remarriage, or other disruptions in relationships that change the balance within the family system if you look at a family and they have a history of fragility rather than stability, that a red flag that they are a dysfunctional aging family.

If there a history of emotional cut-offs or distance on the part of one or more family member or a pattern of divorce, remarriage, or other disruptions in relationships that change the balance within the family system- you are working with a difficult aging family

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