Cathy Cress

Expert in Aging Life and Geriatric Care Management

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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

Why Do Adult Children Hate and Love Parents in Aging Dysfunctional Family?

January 11, 2021

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The aging dysfunctional family takes an expert to tackle because violence can break out at any time. In the film version of Tracy Letts  August in Osage County. Julia Roberts (the eldest daughter) attacks Meryl Streep (the pill-popping aging mother) at a ritual family gathering- the elder Dad’s funeral after he commits suicide.

 In the dysfunctional family, there have been symptoms of problems such as alcohol abuse, drug abuse, child abuse, or emotional abuse, like the demeaning mother the character Meryl Streep plays in August in Osage County. These dysfunctions usually create barriers to nurturing and this affects everyone in the family system.

The family system is also marked by ambivalence and all adults and children live in a love-hate relationship with other family members. (Julia Roberts character and all the daughter both love and revile their mother ).

 As systems resist change, it is even more difficult for members of the dysfunctional family to move to make changes when their parent needs care, like Meryl Streep does in August in Osage County. Julia Roberts and none of the daughters will care for their despised mother.

 The nearly normal system is shaken to its core by the parent being dependent. However, a care manager can guide the family members into reorganizing their family roles when the parent can no longer act as head of the family, while acknowledging the shift and changes they need to make both emotionally and practically. 

The members of the dysfunctional family who may have experienced a lack of nurturing by their parent and have no role model of caring. They are angry and resentful at caring for the parent, and thus will find it difficult to provide the practical and emotional care that their aging parent needs. The challenge to the adult child of the dysfunctional family is how to meet the dependency needs of the here and now old-old parent when the parent did not meet them dependency needs as a child.  That is why they need a highly experienced Geriatric Care Manager who can work with dysfunctional aging families.

 The challenge to the care manager is to bring the adult child of the dysfunctional family into the here and now and see their parents for who they are- an aging dependent person, flawed and imperfect, but a human being who needs their love, support and nurturing.

 

 

Sign Up for My Free January Webinar  

             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 on my YouTube Channel:  Geriatric Care 1 

 

 

 

Filed Under: adult child physical abuse, adult emotional abuse, Aging, 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, Dysfunctional Aging Familu, Dysfunctional aging family, Dysfunctional Family & Holidays, Dysfunctional Family Inquiry, Dysfunctional Family System, estranged siblings, Families, fiscal abuse, Fiscal Elder Abuse, GCM Webinar, Geriatric Care Management Business, Geriatric Care Manager, Holiday Rituals in Aging Family, Long Distance Care, nurse advocate, nurse care manager, POST HOLIDAY CALLS, Siblings, Sign Up Dysfunctional Aging Family, Webinar, Webinar ALCA GCM Tagged With: aging dysfunctional family, aging life and geriatric care management, aging life care management, aging life care manager, aging parent, aging parent crisis, care manager, caregiver assessment, case manager, Clinical Tools Dysfunctional Holiday, dysfunctional aging family, geriatric care manager, Holidays with midlife siblings, nurse care manager, Tools with Dysfunctional families, Violence Dysfunctional Family, Working With Dysfunctional family

Please Elvis – We had a Blue Christmas

December 26, 2020

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A Blue Christmas or Hannakka is what the dysfunctional family always has. Elvis gets them. He sings it for this joyless broken-hearted –yet furious- family. They have a blue holiday filled with memories of ruined, -maybe drunken- giftless pain while most holiday songs warble their celebration should be white.


And when those blue snowflakes start falling
That’s when those blue memories start calling
You’ll be doin’ all right with your Christmas of white
But I’ll have a blue, blue, blue, blue Christmas

             You can’t be Elvis but here are some more steps a geriatric care manager can transform these families after they call on the holiday.

 

 

           

                        Identify intergenerational roles and conflicts: The GCM must ” get” existing power dynamics within the family, redefine responsibilities to move to generational maturity, and realign roles and tasks for each family member.

 

The GCM should encourage a new two-way nurturing relationship between the adult child and the aging parent that never existed. At the same time, the GCM must enable the adult child as a caregiver to set limits that are appropriate to a mature relationship  (a very hard redo) The GCM shapeshifts the adult child to identify and remove himself or herself from triangulated, fused, or other destructive family patterns that blue, blue Christmas

 

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

 

 

Filed Under: abusive aging parents, Aging, Aging Families and Disaster, Aging Family, aging family crisis, aging family system, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Aging therapist, Blog, borderline client, Borderline narcissistic family, Cut Off, Dysfunctional aging family, Dysfunctional Family & Holidays, Dysfunctional Family System, entitled family, estranged elder parents and adult kids, estranged siblings, Families, fiscal abuse, Fiscal Elder Abuse, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, intergenerational conflict, nurse advocate, nurse care manager Tagged With: adult child, aging family dynamics, Blue Christmas, boundary in aging families, Clinical Tools for Aging Family, destructive family pattern, Dysfuctional Family system, dysfunctional family roles, fusion, geriatric care manager, older parents refusing care, triangulated aging family system, Triangulation

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.

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Ten Warning Signs of Aging Dysfunctional Family- Warning Sign Number Two

October 30, 2019

Dysfunctional FamiliesAnger-physical anger, emotional abuse, financial abuse

Fiscal and emotional abuse is the red blinking second sign 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 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

The so-called fiduciary rule,  which was scheduled to go into effect in April, would have required financial advisers working with retirement accounts to put the interests of their clients ahead of their own—

Brokers are currently allowed to follow a less-stringent “suitability” standard, which lets them recommend options that cost seniors more—and pay them more—even if a cheaper or more appropriate choice is available.

The Trump administration “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 January first, 2018 but was blocked again until 2019″. Formerly representing the U.S. Chamber of Commerce, Eugene Scalia played a major role in convincing an appeals court judicial panel to vacate the Obama Labor Department’s fiduciary rule. He is now  Secretary of Labor and the DOL is working on a replacement rule to be unveiled by the end of the year.

 

 Check out my latest webinar about working with  dysfunctional aging families over the holidays

Sign Up for My Newest Free Webinar 

5 Ways to Tame the Turbulence of Holiday Meltdown in Aging Families

 

THIS FREE WEBINAR IS ON NOVEMBER 21 FROM 2 PM-3 PM 

 Learn how!

  • How to work with both dysfunctional and long-distance families who call during the holidays
  • How to give hope to frantic children who call, after seeing their aging parent struggling with the rituals
  • How to sell services to desperate adult child callers   
  • How to use GCM tools to contain Holiday chaos
  • How to use financial forecasting to prepare for growth during the holidays
  • Sidestep the Many Care Managers Who Do not know how to work with Dysfunctional Aging Families and get the client
  • SIGN UP NOW

 

 

T

 

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

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