Cut Off Archives ⋆ Cathy Cress

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.

7 Tips For Feuding Midlife Siblings on Mother’s Day

April 26, 2020

Share ZOOM Without Daggers

Celebrations like Mother’s Day, (today) Hanukah, Christmas, and Father’s Day- (coming up)– any holiday— can be a nightmare with adult siblings and the dysfunctional family. They have to show up, yet they prepare for the daggers – either wielded by them or a fellow sibling.

Here are 7 tips to suggest adult sibling’s clients follow on holidays like Mother’s Day.:

1) It is a holiday event, not a family meeting. If you want to talk about personal issues, make a date to get together with your angry sister/brother.

2) Remember that it is Mother’s Day and not all about you. Keep a positive attitude for the sake of your aging parent if they are there, your own kids your nieces and nephews, and your adult siblings.

4) Call ahead as a team effort to arrange a time limit if using zoom for everyone to talk like 5 minutes. Call every family member. Do not exclude. Again to build a team effort.

5) Call ahead and arrange to split the bill a gift you send – ahead of time- again team effort and no embarrassing credit card bargaining afterward that only brings on more fights.

6) Keep your alcohol in check on the zoom call. You can’t control anyone else but you can control and even change yourself. We all say things we may regret with lots of nervous drinking.

7)If you are a professional working with midlife siblings caring for elders check out Care Managers Working With The Aging families and the Chapter about Siblings

4 Reasons Dysfunctional Family Fuels Mayhem on Holiday

December 5, 2019

The normal family is the hand grenade compared to the nuclear bomb of the dysfunctional family

When both are faced with a filial crisis of aging parents being dependent and the adult child needs to take over they cower or explode.

How Do You Know a Dysfunctional Family

1. They lack the ability to resolve conflicts

They have frequent psycho-social blockages that prevent the family from growing emotionally. They fail miserably at moving through all family stages and orchestrating family rituals.

2. They Cannot make Life transitions

Most life transitions in the family, like birth, adolescence, and marriage have been very difficult to make, marked by a lack of support from the parents. Every holiday might have been drunkenly ruined. The parental figures are usually not in charge, nurturing or able to establish establishes clear rules. They have never created an excel spreadsheet on tasks to do to orchestrate a holiday. Like a disease spreading down generations, they never knew how themselves, as their parents wrecked the holidays too.

3. There are murky roles in the family

The chief role of the parent characterized by a lack of leadership of the family and the ability to nurture the children. Mom rarely became the high priestess on Hanukkah or Christmas, the family members generally do not believe the parent is there for them and can be depended upon. The dysfunctional family is colored by bloody strained relationships and unresolved conflicts and drunken ruined Christmas memories

4. They inspire great literature

The family is the inspiration for great literature. O’Neil’s wrenching plays A Long Day’s Journey into Night” portrays the most miserable of dysfunctional families. Alcohol, secrets that have been kept by all for generations splatter the pages of this great play like it does in all the ruined holidays’ children of dysfunctional families recall with horror. Prince of Tides a tale of a southern dysfunctional family gives us a timelier glimpse of a family whose center can never hold together and whose blood oozes all over everyone from one generation to the next. Award-winning plays and films, like Tracey Letts August in Osage County about a ruined ritual funeral from hell when Julia Roberts tries to beat up drug-addled, drunk presiding mother Meryl Streep.

Rituals Bring Out the Worst in this family

When Mom does not make the very small things she was able to pull off like the Latkes or the Christmas cookies she always made every Hanukkah and Christmas, someone has got to be the cook and resentments skyrocket – tempers flare – and the torch just might never get passed.

The family is again thrown into crisis. That means someone just has to take over and the dysfunctional family has no model or spreadsheet on pulling off holidays and caring for a parent who did not care for them.

Learn more about how to work with the dysfunctional family in Handbook of Geriatric Care Management 4th edition

Adult Sibling Rivalry at Thanksgiving- Where To Get Help?

November 21, 2019

Siblings are The Biggest Source Of Stress Between Human Being

At family rituals, like Thanksgiving next week, adult sibyoutube.com/watchlings often are often brought back together. If you are one- will it be a happy feast?

As Gail Sheehy says in her book, Passages in Caregiving, we think that siblings will automatically support each other when aging parents fall apart. Sheehy quotes sociologists, Karl Pillemer and J. Jill Suitor, in a study they did conclude that siblings are inherent rivals and the biggest source of stress between human beings.

If you are a midlife sibling, perhaps you have a brother or sister to whom you hardly speak. Maybe you are about to see your siblings at the coming Thanksgiving feast and anticipate largely ignoring him or her or doing chitchat as you seethe the inside. If you fit this description, you are in the same lurching boat as uncounted baby boomer siblings all over the world.

Childhood Wound Ripped Open

That wound from childhood may still ache enough to keep you on the furrowed path your family followed when you were young. Now, however, you and adult siblings, nearing or at retirement age, may need to come together again to be part of a niece or nephew’s wedding or christening, help plan a parent’s anniversary dinner or, most important, oversee the increasing care of elderly family members.

Best Thanksgiving Siblings War Film

I suggest you watch Pieces of April, a fabulous Thanksgiving film ( lead Katy Holmes debuts in a standout performance) where the film’s dysfunctional family revolves around adult sibling rivalry. The film is also, in the end. around a catastrophic illness of the aging parent, where the siblings need to resolve their differences.

If you recognize this problem in your own family, seek counseling before coming the holidays engulfs you. Contact the Aging Life Care Association or the American Association of Marriage and Family Therapists or to find help before a parental crisis.

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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