Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Dysfunctional Aging Families Can Wreak Havoc at End of Life

February 18, 2021

What do Feuding families do at the end of life?

 

When a family member is facing death and dying dysfunctional families have flawed conversations. Often they do not communicate at all or engage in destructive banter. They see one another as enemies. They demonize one another.

Feuding families are what I call dysfunctional families. They blame each other instead of locking arms in a crisis.

They sabotage resolution.

They actively compound already difficult decisions with intractable, interpersonal conflict. They create problems independent of the underlying issues.

Facing Fractured Communication

What are some of the struggles that these aging dysfunctional families with fractured communication can face?

Aging parents who lack the capacity to make decisions have no advance directives, DPOA and a

health-care proxy, and adult siblings, who must make end of life decisions, can’t agree

Withdrawal of life support with no designated health care agent and adult children and/or spouse disagree

Pain management adult children and/or and spouse disagree.

Answer to Fractured Family at End of Life – Mediation.

Mediation is a tool that can be a good resource for dysfunctional families at the end of life. It can help with these difficult families face the death of a parent without fracturing the entire family. It can allow an older person to die without pain inflicted by their own family.

 

Deliver a Good End of Life- Add Death and Dying to Your Care Management Agency

 

Serve Your Client Until Death Do You Part

 

Join me Thursday, March 11, and learn why End of Life Services Are a perfect new service for care managers

 

 

In this 1 ½ -hour webinar you will learn how to

 

 

1.Transition the patient/family through the five stages of death

2.Help clients be active participants in their care

3.Give the family/caregiver tools to manage care

4. Provide family center care to caregiver and family

5. Choose the right support services through all stages of death

6.Introduce Hospice and Palliative care and work with their team

7. Use ALCA End of Life Benefits During COVID

8.Use  COVID -19  Family Coaching for GCM

Sign Up 

If you really want to add End of Life to your care management business sign up for this webinar now

Filed Under: Advanced Directives, Advanced Directives and Covid-19, Aging, aging life care manager, Benefits of ALCA to Hospice, Death and Dying, Death and Dying Care Management, Dysfunctional aging family, Dysfunctional Family Mediation, End of Life, End of Life Care manager, End of life documents, estranged elder parents and adult kids, estranged siblings, Families, FREE WEBINAR, GCM COACHING SKILLS, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Good Death, Hospice Care, mediation, Mediation End of Life, nurse advocate, nurse care manager Tagged With: adult sibling, aging family, aging parent care, aging parent crisis, care planning, caregiver burnout, conservator, death, dysfunctional aging family, dysfunctional family, dysfuntional family, elder care crisis, end of life, end of life family meeting, estranged siblings, families fretting at end of life, fretting at end of life, geraitric assessment, geriatric care management, geriatric care manager, geriatric care managers, mediation, mediator, My Geriatric Care Management Operations Manual, no advanced directive, no DPOA, no health care proxy, withdraw of life support

Needy Adult Children and Narcissism signs of the Aging Dysfunctional Family-

January 20, 2021

7th Sign of the dysfunctional Family -Narcissism

– One or more adult siblings has an “it’s all about me” attitude. It could be the aging parent or a midlife sibling. With aging parents, all siblings may have resented this self-absorption all their lives and have a love/hate relationship with older Moms or dads. With siblings, the other brothers and sister resent this, especially with parent care.  The self-absorbed sibling either does not participate in solving sibling or aging family troubles but just makes them worse.

Devalued Child Entitled but Servile Adult.

As a kid, the adult child of a narcissist parent was devalued in the parent’s eyes so that the now aging parent can feel superior and powerful in the world. These children mature into adults who are emotionally impoverished, inflexible, and needy.

As a geriatric care manager, the adult child presents as entitled. As clients, these adult children fear that unless they make inflexible demands, they will receive nothing. “ Get my mother into a concierge wing of a hospital by tomorrow”

An adult child of a narcissistic aging parent will present as nasty, aggressive, and devaluing of the service provider. Or they could be essentially insatiable and easily injured by the helping professional. The adult children of narcissistic entitled families are also often angry and frustrated at having to give care to a parent or parents whom they experienced as ungiving, demanding, intrusive, overpowering, and needy. They are members of an ultra dysfunctional aging family.

The eighth sign of dysfunctional aging family- needy adult children 

 Baby boomers must evolve beyond the needy child he or she has been, for that fiscal, emotional, and social support, to the adult who supports his parent. Adult Children of aging parents in the 21st century not only confront the delay of their own needs when their parent’s aging and reliance call them but confront their own future and very much more immediate loss of the central figure in their lives, their own parents.

Some don’t- especially in the dysfunctional family.

These adults feel starved for parental affection they never received and often seek affection from professionals and other people in their lives to compensate for the care they didn’t receive as children.

Sign Up For My Webinar One More Day to Sign Up

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 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

 

 

Find out more in the YouTube for My YouTube, Channel  Geriatric Care 1

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Filed Under: Adult children, Aging, aging family crisis, aging family system, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Aging therapist, Blog, Clinical Tools Dysfunctional family, Dysfunctional aging family, Dysfunctional Family Inquiry, Dysfunctional Family System, elder fiscal abuse, Entited Family, Families, FREE WEBINAR, GCM Clinical Tools, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, nurse advocate, nurse care manager Tagged With: aging dysfunctional family, aging family, aging life care manager, care manager, Clinical Tool dysfunctional family, dysfunctional, Entitled aging client, free webinar, geriatric care managers, nurse advocate, nurse care manager, parent care crisis, Tools with Dysfunctional families

Warning Sign #2 You are Working With an Aging Dysfunctional Family

January 18, 2021

Dysfunctional Families and Anger – physical anger, emotional abuse, financial abuse

Fiscal and emotional abuse are the red blinking second signs of the dysfunctional aging family. Anger occurs normally in all families. However, in dysfunctional families, anger may take the form of repeated physical or

emotional abuse. This happens not only in one generation but passed on to the next and perhaps all subsequent generations. Adult children are often getting even with their aging parents for being neglectful, perhaps physically abusive parents when these angry adult children were kids.

Fiscal abuse is a ” sleeper” form of abuse,  yet a pernicious aging family problem. Adult children committed a whopping 40% of the abuse. Other family members were the next big thief’s investigated. The coming holidays create jaw-clenching stress on adult children who visit and finally see their parents decline. This means they need to care for them, which they have no idea how to do. Part of that comes from- they were never cared for as kids themselves. The holidays can be saved for a dysfunctional family, by care managers. Care managers can help them avoid abuse and support them to get the care they need for their aging parents who neglected them as children. 

Financial Advisors Can be Thieves Too

President Obama’s administration attempted to protect investors, who are often people trying to plan their retirement. The so-called fiduciary rule would have required financial advisers working with retirement accounts to put the interests of their clients ahead of their own—

The Trump administration, aiding and abetting in this theft, “blocked this rule and continues to block many retiring and aging client interests – putting them second and financial advisors interest (or ) profit first. This rule was supposed to go into effect on January 1, 2018, but was blocked again by the Trump Administration.

The securities industry received an early Christmas present from Trump’s outgoing Administration when the White House hastily cleared the way for the Department of Labor to lower the standard of care of investment advice fiduciaries, and this represents a dramatic and unprecedented reversal of the intent of Congress in enacting ERISA. The Public Investors Advocate Bar Association stated that “Workers and retirees deserve far better. They deserve to have their retirement savings protected, and they should be able to rely on those they have gone to for investment advice.”

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 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

 

Find out more in the YouTube for My YouTube, Channel  Geriatric Care 1

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Find out more in my YouTube channel Geriatric Care 1

 

 

 

 

Filed Under: adult child physical abuse, Adult children, adult emotional abuse, Aging, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Aging therapist, care manager, Dysfunctional aging family, Dysfunctional Family & Holidays, elder abuse, elder care manager, elder fiscal abuse, fiscal abuse, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Holiday Meltdown in Aging Family, Holiday Rituals in Aging Family, Long Distance Care, nurse advocate, nurse care manager, Thanksgiving, Thanksgiving Parent crisis, Therapist Specializing in Aging Tagged With: aging dysfunctional family, aging family Christmas, aging family crisis, aging family Hanakkah, aging family Thanksgiving, aging life and geraitric care manager, Aging Life Care Association, elder, elder abuse by family members, elder fiscal abuse, therapists aging families

Ten Warning Signs That You Are Working With in a Dysfunctional Family

January 16, 2021

Warning Signs of Aging Dysfunctional Family – Contentiouness, Anger, and Cut Off

Do you know the 10  clinical manifestations that you are working with the dysfunctional family, the most challenging job of an aging professional. What you have to know is family system theory and be clinically skilled in entering this treacherous family system – to get care for an older person

1. Contentiousness – Old fights erupt; the siblings and parent get into arguments with one another about an old issue

2. Anger – Siblings and family members express physical anger, emotional abuse, financial abuse

 

 

3. Distancing & cut off – Some siblings or parents have nothing to do with family and may not speak to parents or siblings for long periods of time.

Warning Signs of Aging Dysfunctional Family – Fusion, Denial, Triangulation, Entitlement

4. Fusion – Siblings and family members, such as the mother and eldest daughter, blend into one another, For example, the daughter’s sounds, acts, and has the same prejudices as the mother. . Think of the media’s portrayal of Lindsay Lohan and her mother.

5. Denial – Adult siblings do not see a decline in a parent, do not face reality, and do not take care of the parent if he or she needs care.

6. Triangulation – Tension between two family members or siblings causes one to enlist a third family member or sibling to avoid change For example, two adult sibling object to the cost of care of an aging parent. They gang up on the third adult sibling who thinks the cost of care is reasonable and justified.

7. Sense of Entitlement – Siblings who are accustomed to purchasing services they need not personally solving their own, children’s sibling or parents’ problems. This lack of engagement leaves them, unprepared and unwilling in getting involved in solving family tribulations.

Warning Signs of Aging Dysfunctional Family – Narcissism, Needy Adult Siblings, Substance Abuse and Cut Off

8. Narcissism – One or more siblings has an “it’s all about me” attitude and

other siblings resent this. The self-absorbed sibling either does not participate

9. Needy Adult Siblings – These adult siblings feel starved for affection and often seek affection from professionals and other people in their lives for compensation for the care they didn’t receive as children.

10 . Substance and Other Abuse – The family and siblings have a history of drug, alcohol, and/or child abuse.

If this fits you you and your aging parent needs care may need to contact a geriatric care manager.

Sign Up for My Free January Webinar  

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

             Thursday, January 21, 2021

F

  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 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

 Find out more in the YouTube for My YouTube, Channel  Geriatric Care 1

 

 

Filed Under: abusive aging parents, adult child physical abuse, Adult children, aging family crisis, aging family system, Aging Life Care, Aging Life Care Assocaition, Aging therapist, Dysfunctional aging family, Dysfunctional Family Inquiry, Dysfunctional Family System, elder abuse, elder care manager, elder fiscal abuse, elder mediator, entitled family, estranged siblings, FREE WEBINAR, GCM COACHING SKILLS, geriatric care manager, geriatric care manager start up, midlife siblings, Siblings Tagged With: adult children of borderline narcissistic VIP families, aging family, blaming familiy members, boundaries dysfunctional families, Clinical Tools Dysfunctional Holiday, cut -off, cut-off sibling, dysfunctional aging family, geriatric care manager, help with dysfunctional family, midlife siblings, Narcissistic Personality, sibling, Substance abuse in the elderly

Sign Up for My Free January Webinar on Dysfunctional Aging Family

January 14, 2021

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

  Thursday, January 21, 2021

              2:00 3:20 Pacific Standard Time

  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 only 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 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

Filed Under: abusive aging parents, adult child physical abuse, Adult children, adult emotional abuse, Aging, Aging Alcohol Abuse, Aging Family, aging family and COVID, aging family crisis, aging family system, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Aging Mother, Aging therapist, Blog, Borderline narcissistic family, Caregiver Burn Out, Clinical Tools Dysfunctional families, Concierge aging clients, Dysfunctional aging family, Dysfunctional Family & Holidays, Dysfunctional Family System, elder mediator, Families, Filial Crisis, GCM Webinar, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, Holiday Meltdown in Aging Family, Holiday Sibling Rivalry, Move Management, narcissistic client, Narcissistic Personality, nurse care manager, POST HOLIDAY SEASON, Post holidays aging dysfunctional family, Sibling Strife Christmas, Sibling Strife Holidays, Siblings, Stepmonster, Symptoms Dysfunctional Family, Webinar, Webinar ALCA GCM Tagged With: aging dysfunctional family, aging life care manager, aging parent care, aging parent crisis, boundaries dysfunctional families, care manager, Clinical Tools Dysfunctional Holiday, dysfunctional family roles, geriatric care manager, help with dysfunctional family, nurse care manager, Tools with Dysfunctional families

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