Holiday season 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.

Best Tool for Dysfunctional Family on Holidays- Hope

December 8, 2019

Hope is the Best Tool on the Holidays

During Christmas and Hannaka family caregivers, especially in the dysfunctional family can be drinking or numbing themselves from the pain of caregiving. They will ruin the holiday celebration one way or another. Maybe they are drugging themselves with the telly or abusing prescription drugs. Depression and anxiety ( rife among caregivers) are predictors of increased alcohol use. Social isolation, which is experienced by some caregivers, is also predictive of increased alcohol use.

How do you as a geriatric care manager change the script for these aging dysfunctional families – family caregivers and older members who are supposed to care for but can’t. How does a professional GCM make the characters transform?

It’s actually simple –but loaded with skill- give them hope. You need to and use yourself to give them hope that things will change. It’s the best tool a geriatric care manager toolbox- especially on and after the dreaded holidays.

Use of Self

The use of Self is perhaps the most powerful tool for geriatric care managers. The use of Self provides families with guarded optimism. GCM’s have to offer a vision of the future that is based not only on a desire for hopeful outcomes. This has come from our own clinical knowledge and belief that change to their nasty crippled, family system is indeed possible.

By being direct, empathetic, and nonjudgmental, we become a holding bay for stressed caregivers, creating a place of safety, confidentiality, consistency, and support. Finally, GCM’s offer our clients a model of perseverance. By not giving up on the possibility of positive change and by exploring all options, the GCM enables families to feel that, regardless of the outcome, they have done all that they can to support the older adult.

Be like Judy Garland on the holiday offering hope

Have yourself a merry little Christmas.
Let your heart be light
From now on
our troubles will be out of sight

Give the” Merry Christmas – next year

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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

Thank Your Employees Taking On Call While you Celebrate Thanksgiving Holiday

November 28, 2019

Did You Give a Happy Thanksgiving to Your Staff?

Today is Thanksgiving when we offer thanks to our friends, loved ones, family. But what about your employees this holiday month. How will you thank the very people that power your business and profit and may be on call for you right now?

“Truly, from bosses I liked, anything was great because I appreciated that they thought of me. From “bad” bosses, anything would annoy me. You can’t make up for being a jerk with a token of any kind once a year.”

Ideas for inexpensive but really appreciated gifts for Care Managers and staff– cards to grocery stores or department stores, a gift certificate from Amazon all given with a nice personal handwritten note.

Staff

How To Thank Staff All Year

I just did a blog about your need to bill 85% of your client hours. When a care manager does bill’s 85% write them a handwritten thank-you note being grateful for having the amount of productivity to keep the business thriving. Handwriting is not a lost art. It sends a message that you take the time personally to really care what the employees do for your business.

2. Send a handwritten thank-you note to each staff member during the year to applaud something they did. Saying thanks for something specific may be the ultimate reward. If you do it selectively yet authentically, a thank you note may be pinned above your employee’s desk for years. Create a formal letter recognizing your employee’s achievement. Sign it and use the company’s seal to give the letter something extra. If you really want to do it right, frame it.

3. Name an employee of the month in your newsletter with their picture. Give them a gift to tell them you are grateful for their hard work. Create a formal letter recognizing your employee’s achievement. Sign it and use the company’s seal to give the letter something extra. If you really want to do it right, frame it too.

4. Have an employee holiday party and give gifts to all employees for being such excellent care managers and for billing the 85% you need them to bill so you will all have employment.

5.Plan employee picnics, birthday parties, anniversary parties to thank them publicly throughout the year.

6. B.J Curry- Spitler, one of the first and I might say the greatest care managers, founded Age Concerns in San Diego in 1982. She gave gifts of massages to her care managers. A brilliant gift, a massage recognizes the tough emotional work that care managers do and their need to take care of themselves- which you as their employer are doing.

Give Thanks Throughout the year.

Thank Your Employees Taking On Call While you Celebrate Thanksgiving Holiday

Did You Give a Happy Thanksgiving to Your Staff?

How To Thank Staff All Year

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