Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Care Managers in End-of-Lift- What is their Role?

January 19, 2023

 

Care managers at end-of-life

Care managers at end-of-life don’t just meet dying patients and their bereft children in the emergency room.

Care Managers at end-of-life can bring in Death Doulas to help the family caregivers follow through with what hospice has taught them as caregivers of their loved ones. Or they themselves can be certified as Death Doulas  to help the families through the caregiver journey for a job they never were trained for whole they grieve at the same time

Care Managers play a big role in end-of-life issues. They are their navigators through all five stages of dying, many times long before palliative care or hospice is called. Often GCM’s can help the family and client to bring in hospice or palliative care.

 The final passage through life can be emotionally charged.  If the family is following a long labyrinth to the end, the blind alleys may be blocked by cultural, religious, and moral beliefs. Care managers can find an opening through this maze.  Money, family dynamics, and fear of dying can all explode a fraught crisis of care in dying. When important end-of-life decisions need to be made, the stress of the responsibility and the seriousness of the situation can break a wave of distress fear, and anxiety over the “whole family system” of the dying elder. The geriatric care manager specializes in this whole family syst

 Care Managers  in end-of-life often help facilitate throbbing discussions and facilitate family members coming together t

Care managers at end-of-life

Sign Up for our new Webinar Deliver a Good End of Life 9 Steps to Death &Dying

Care managers AT end-of-life

Hospice trains the family of the dying person to be the caregivers only once, but their primary focus is the dying person. Death doulas are an adjunct to the medically trained professionals in hospices. They reinforce hospice training. ( For example  fear family has of giving morphine in a needle  in spite of training )Death Doulas give emotional support to the patient and family of the dying person and sources respite, support groups, and help with caregiver burnout for the family, among other caregiver issues at death, They are an alternative to the medicalization of death in the US, described by Atul Gawande. Care Managers at end of life can work well with Death Doulas. We will feature an interview with Patty urban a Death Doulas and a geriatric care manager and member of ALCA

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Learn About Death Doulas

Upcoming Free Webinar

Deliver a Good End of Life 9 Steps to Death &Dying

Jan 24, 2023, 02:00 PM Pacific Time (US and Canada)

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We will feature an interview with Patty Urban a Death Doulas and a geriatric care manager and member of ALCA

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Death Doula

Learn

What is a death doula?

what exactly does a death doula do?

Do Death Doula work with Hospice, Care Managers, or just families

Is there a Charge

How can I contact a Death Doula

How can a care manager be trained as a Death Doula

Patti Urban, a Certified Dementia Practitioner, Senior Advisor, and End of Life Doula, is the owner of Aging Care Planning Solutions, a geriatric care management and end-of-life planning practice.

Description

Deliver a Good End of Life- Atul Gawande

9 Steps to Add Death and Dying to Your Care Management Agency

 

Serve Your Client until Death Do You Part
Join me on January 24 2023 and learn why End of Life Services re a perfect new service for care managers

Care managers at end-of-life

Learn to guide the patient/family through the five stages of death. Understand how to help clients be active participants in their care. Give the family caregivers tools to manage care. Find out how to provide family-centered care to caregivers and families. Learn to choose the right support services for the client through all stages of death.
Introduce Hospice and Palliative care to the client earlier and work with their team and a Death Doula for non-medical support
Discover the role of Death Doula at end of life.

  • Serve Your Client Until Death Do You Part

     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 care4. Provide family center care to caregivers and family5. Choose the right support services through all stages of death6. Introduce Hospice and Palliative care and work with their team
  • 7. Understand the Role of the Death Doula

Time

Jan 24, 2023, 02:00 PM Pacific Time (US and Canada)

SIGN-UP 

 

 

Gwendolyn LAZO Harris MA, CT, Seniors at Home, San Francisco and Diane LeVan MA both highly expert care managers, created a seminal chapter on  End of Life Care Manager in my book Care Manager’s Working With the Aging Family  

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, care manager, case manager, Death and Dying Care Management, death and dying care manager, elder care manager, Families, Geriatric Care Management Business, geriatric care manager, Geriatric Care Manager, geriatric social worker, ife care manager, nurse care manager Tagged With: aging life and geraitric care manager, Care managers in end-of-life, death and dying, end of life care manager, geriatric care manager, Hospice Care, hospice for elderly parent

What Is a Care Manager’s Role in the Hospital during COVID in End of Life

February 2, 2021

Care managers cannot meet dying  COVID-19 patients and their bereft children in the emergency room or Hospital. They are not allowed in due to COVID restrictions. However, care Managers play a big role in end of life issues, while family remains in the community and the client is isolated from them in the hospital.

Procedures for the family when loved one in the hospital.

The care manager was help by

1.creating a communication plan from the outset and figuring out who’s the “medical quarterback” in charge of monitoring a loved one. Typically, this is a specialist, such as a hospitalist, critical care medicine doctor, or intensivis2.

 2.Facilitating family meeting for family while loved one in the hospital

3.Suggesting technology family can use to communicate with loved one and with other family members or friends

4.. Help family understand the part family can play I admissions- preparing a go binder ahead of time etc.,

  1. By designating one person to speak for the whole family- the process to improve family getting information from overloaded hospital staff

6 Preparing family & loved one’s medical team for communication death in the hospital – what care manager can do to assist

7.. Supporting the family member when they are dying while not being present

8.. Bereavement of family post-death- use of hospice

Care Managers are their navigators through all five stages of dying

They many times can introduce palliative care or hospice and often GCM’s can help the family and client to bring in hospice or palliative care long before the average time, which is the last month or 15 days before death.

 The final passage through life can be emotionally charged.  

If the family is following a long labyrinth to the end, the blind alleys may be blocked by cultural, religious, and moral beliefs and now COCID -19 regulations. Care managers can find an opening through this maze.  Money, family dynamics, and fear of dying can all explode a fraught crisis of care in dying. When the important end-of-life decisions need to be made, the stress of the responsibility and the seriousness of the situation can break a wave of distress fear and anxiety over the “whole family system” the dying elder. The geriatric care manager specializes in this whole family system.

 Care Managers can often help facilitate throbbing discussions

They can facilitate family members coming together to work as a functional

unit.  Understanding the differing viewpoints is critical.  Knowing what a parent wants and does not want during the last days and hours of life help define and simplify the role of the family.  It relieves the family of the burden of having the responsibility of making decisions that may not be what their parents want. Turning this around can also avoid family conflicts when adult children may have differing values.

Helping family Legally plan for Death

 Proactive discussions and legal planning building a circle of care can help to reduce some of the potential conflicts. Good legal guidance can also help to pay for care when an adult child wants to finance in-home care. They can point the family to legal guidance to prepare end of life documents, that are so important, especially now with COVID when death can come so quickly but geriatric care managers do much more with clients and families who are facing the end of life

 

 

Free Webinar-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  FREE 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

 

Gwendolyn LAZO Harris MA, CT,Seniors at Home , San Francisco and Diane LeVan MA both highly expert care managers, created a seminal chapter on Palliative Care and End of Life Care Manager in my book Care Manager’s Working With the Aging Family 

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, care manager, case manager, Death and Dying Care Management, death and dying care manager, elder care manager, Families, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, ife care manager, nurse care manager Tagged With: 5 stages of death, adding end of life services, aging family, aging life and geraitric care manager, aging life care manager, aging parent care, aging parent crisis, ALCA COVID benefits, death and dying, death and dying in COVID-19, disputes at end of life, elderly at end of life, end of life care manager, end of life family meeting, Fighting and Feuding at end of life, GCM Family Coaching end of life, geriatric care manager, Hospice at end of life, Hospice Care, hospice for elderly parent, nurse advocate, nurse care manager, Palliative Care at end of life, support services in death, Tools to manage end of life

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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Afraid of Your Competition ??-You Can Learn How to Position Your Business From Them

January 14, 2019

 

Your competitors can show you how to position your business so you stand out from the competition. Positioning is how you make clients in your area choose you over others in the area you serve. Your ALCA or Care management competition survey, ( which should so yearly by getting a mystery shopper). The Trump administration says there are lots of people out there be a mystery shopper since he shut the government down. These mystery shopper calls ( the coast guard or your staff) let you identify and survey other direct GCM competitors like the area agency on aging which may have a GCM arm or for-profits like accountants or elder law attorneys who include geriatric care management in their service mix.

Identify substitute providers like hospitals, often through their home health services.   These can also be part of your competition to take market share from you. Private duty home care agencies offer geriatric care management to their web site. But you have to discover whether they have a certified aging life geriatric care manager as part of their staff. Tracking this down takes having a secret shopper calling all of these agencies and talking to the actual geriatric care manager and asking for their credentials, prices, services, and many more variables.

Professional Patient advocates in your area should also be tracked as possible competitors.

Non-profits often spin off for profit geriatric care management arms to help with the more needy clients they serve. Many religious denominations have geriatric care as a choice so you can learn how they are leveraging their brand. Area Agencies on Aging offer private geriatric care management and can do a good job of leveraging their respect and brand in the community.

Trust departments or wealth management services can have care management to assist with their elderly clients or the adult children in wealth management, who care for their parents.

All these competition surveys will show you marketing/positioning alternatives in your this competitive landscape. They will show how to better brand and shape your branding message- so you are the top choice of customers.

Find out how you can position your own GCM/ALCA  agency, over your competition and be chosen by clients seeking care for loved ones.

Join me in my new FREE Webinar
Learn to Market Like Your Business Depended on it!
When: January 23, 2019
2PM-3PM PST
Learn

How to position your agency so it stands out from your competitors
How to develop or rewrite a strategic marketing plan in 2019 that brings more customers
How to use branding to build positive gut feelings about your agency
How to develop lead generation and tactics through third parties
How to set up leads generation with both a speakers bureau to do co-presentations & join the rubber chicken circuit to reach adult children and targeted audiences:
•
• Sign -Up –

Filed Under: Adult children, ADULT SIBling, Aging, Aging Family, aging family crisis, aging life business, Aging Life Care, aging life care manager, Blog, brand, branding, care management market sizing, care management start-up, care manager, case manager, competition survey, Concierge aging clients, Concierge Client, Concierge Senior, elder care manager, Families, GCM Start -Up, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, Hurricane Irma, Hurricane Maris, ife care manager, inquiry call, Intake, Intellectual Quality of Life, John Mc Cain, Jose, Late Life remarriage, LGTB elders, Long Distance Care, marketing, Marketing 4P's, Marketing aging life care, marketing ALCA /GCM, marketing care management, Marketing plan, marketing to concierge clients, marketing to long distance adult children, marketing to the top 10$, Mission, Narcissistic Personality, Nearly Normal Aging Family, News, nurse advocate, nurse care manager, Nursing home abuse, Nursing Home disaster plan, Oral History, Palliative care manager, patient advocate, Poor Nursing home staffing, positioning, postioning, Private Duty Home Care, Quality of Life, Quality of Life for elders, Quality of Life in Dying, Quality of Life with Dementia, Reminiscence Therapy, Respect, SIBLING, sibling rivalry, sibling sharing care, Siblings, Social Media, Social Media for Care managers, Social Media for eldercare, Speaker's Bureau, Spiritual Quality of Life, Stepmonster, Sweetheart scam, Thanksgiving, Thanksgiving Parent crisis, Third Party Referral, Timeline, Town Hall, Transgender Elders, Trust Officer, Wealth Management Departments, Webinar, Written Geriatric Assessment Tagged With: aging family, aging life care manager, care manager, case manager, competition survey, geriatric care management, geriatric care manager, nurse care manager

What Pink Cadillacs and Presidents Teach Us About Grief

September 3, 2018

We just received a national lesson on the grace of grief. Aretha Franklin and John Mc Cain, via nationally telecast funerals, allowed us to grieve as a nation. Franklin’s fleet of 100 Pink Cadillac filled the streets of Detroit in a tribute to the iconic singer’s legacy of the music track to our lives. McCain asked President’s Obama and Bush who had defeated him in Presidential elections bids to give eulogies at his funeral.

The 2 Presidents and the 100 pink Cadillacs were symbols of grieving like the chalice held up in the Washington National Cathedral funeral or the Greater New Mt. Moriah Baptist Church choir singing Amazing Grace.

 

Both symbols were ethical will ‘s  passed on to our nation –  McCain warning us to return to a bi-partisan democracy that is slipping quickly out of our hands and Franklin demanding respect – for people of all of color in a nation besieged by anti-immigration, white supremacy and the violence of hate.

We need to grieve as a nation.  But we need to move beyond Mc Cain’s and Franklin wishes and warnings in their departing messages.

Obama asked for that next step, quoting, lines from Ernest Hemingway’s For Whom the Bell Tolls, McCain’s favorite book

“Today is only one day in all the days that will ever be. But what will happen in all the other days that ever come can depend on what you do today,” Obama said, then challenging “What other way to honor John McCain’s life of service than to, as best we can, follow his example?”. This was to stand up for what you believe in for some things that are worth risking everything for like his torture as a POW for 5 and a half years.

 

Franklin eulogizers echoed this. Aretha was not a prisoner of war for 5 1/2 years but a prisoner of race. She railed against her bars of bigotry, sexism and the terror of the Klan – overcoming her fears – by demanding respect and spreading it through the national anthem  Respect we have all been singing for years

As President Clinton eulogized her “She lived with courage, not without fear. But overcoming her fears.”

So, we can listen what Mc Cain and Franklin bequeathed us and take the next- step -vote back a democratic government that is slipping away from us with this president, demand our national respect for all being created equal, open our borders, so we are again nation of immigrants not a nation of hate

 

 

Filed Under: Aretha Franklin, Barack Obama, Bill Clinton, Blog, Ethical Will, Euology, George Bush, geriatric care manager, geriatric social worker, Guardian, ife care manager, John Mc Cain, nurse advocate, nurse care manager, Respect Tagged With: aging family, aging life care manager, aging parent crisis, Aretha Franklin, Barack Obama, care manager, case manager, death and dying, Ethical Will, Euology, George Bush, geriatric care manager, John McCain

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