Cathy Cress

Expert in Aging Life and Geriatric Care Management

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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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Virtual Quality Of Life Activities for Elders During the Coronavirus

March 21, 2020

Loneliness & Isolation a Plague Among Elders Especially When Isolated by Coronavirus

Geriatric care managers who work with isolated or depressed clients can use quality of life to bring back joy  especially during the coronavirus pandemic

Care Manager Nina Herndon, the national expert of elder quality of life, cites in her chapter on Quality of Life, in Handbook of Geriatric Care Management a quote from the aging visionary Bill Thomas MD  in his book,  “What Are Old People For”.

Thomas says this is the plague of so many elders, who suffer loneliness, isolation, helplessness, and boredom because their environment is empty of companionship, intimacy, self-direction, and meaningful activity. Care Managers can fill this void with quality of life now virtually during the coronavirus.

Virtual Humminbird Quality of Life Program

In response to the Coronavirus Nina’s Herndon’s GCM Sage Eldercare has developed a packaged Humminbird Program that already thrived into one that can be used virtually.

Hummingbird Virtual and Phone Programming

The Hummingbird Project is implementing virtual and remote activity sessions to mitigate the negative impact of social isolation on older adults, especially for those with a behavioral expression of unmet needs who are struggling.

They are eager to use our creativity to help support your client and/or loved ones and enhance the quality of life during this difficult time! As such, we are offering reduced rate options and easy to initiate services for remote activity sessions.

Sessions can be conducted in a number of unique and creative ways: 

  • Virtual Video Conferencing: Using Zoom, Facetime, etc. we can offer popular activities such as guided virtual museum tours, intellectual stimulation, live musical concerts, art lessons, and more. Let’s bring Hummingbird magic into the home of isolated seniors across the nation! 

  • Phone Programming: We are pleased to provide the same quality of life activities usually presented in person. This might include legacy projects, oral history projects, lifelong learning, gratitude, spiritual devotion, verbal brain games, storytelling, and much more. 

  • Mail Order Activity Kits: Kit activities come with detailed instructions and engaging materials, so your client or loved one can feel confident as they begin exploring new experiences at the time and pace that works for them. 

  • Social Isolation Activity Plans: We recommend the creation of a social isolation activity plan for each person, which will include a schedule of activities, ideas, and ways to stay connected based on the individual’s life story and interests. We can create and send you this, and you or a family member can then implement it as needed. 

  • Joyful Moments: Quality of life activities like those you’ll find in Joyful Moments therapeutic activity cards help reconnect older adults to what brings them purpose, joy, and meaning in life. You’ll find step-by-step instructions and suggested adaptations for activities that cover all seven domains of quality of life: Physical, Spiritual, Intellectual, Creative, Vocational, Emotional and Environmental. Available online for $24.95 + shipping. Includes a 30-minute complimentary consultation and free tips and tricks handout on how to get started! Click here to order today!

  • They look forward to being of service during this time of crisis when compassion, therapeutic support, engagement, and joy are needed more than ever! To initiate services, please contact Tiffany Paige Ramirez at tpaigeramirez@sageeldercare.com or 916-990-7944.
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Get More information about how to set up a Quality of Life Program check out My Geriatric Care Management Operations Manual that includes step by step  procedures on how to set up a Quality of Life Program 

   

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Filed Under: aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Blog, Coronavirus emergency plan, coronavirus quality of life virtual program, Dr. Bill Thomas, elder care manager, Emotional Quality of Life, geriatric social worker, Intellectual Quality of Life, Long Term Care Coverage, nurse advocate, nurse care manager, Quality of Life, Quality of Life for elders, Quality of Life Virtual Program, Quality of Life Virtually, Senior Loneliness Tagged With: aging life care manager, aging parent crisis, care manager, case manager, coronavirus, coronavirus and seniors, Coronavirus virtual quality of Life, geraitric care manager, geriatric care manager, Handbook of Geriatric Care Management third edition, Humminbird Program, increasing quality of life, Intellectual quality of life, isolation and quality of life, Nina Herndon, nurse advocate, nurse care manager

10 Intellectual Quality Of Life Activities for Elders

January 10, 2020

Loneliness & Isolation a Plague Among Elders 

Geriatric care managers who work with isolated or depressed clients who can use quality of life to bring back joy.

Care Manager Nina Herndon, the national expert of elder quality of life, cites in her chapter on Quality of Life, in Handbook of Geriatric Care Management a quote from the aging visionary Bill Thomas MD  in his book,  “What Are Old People For”  .Thomas says this is the plague of so many elders, who suffer loneliness, isolation, helplessness, and boredom because their environment is empty of companionship, intimacy, self-direction, and meaningful activity. Care Managers can fill this void with quality of life. One way to do this is:

Intellectual Quality of Life activities that engage older person  mentally

  • Hobbies
  • Learning
  • Brain aerobics
  • any form of creativity

Here are 10 other  ideas for seniors who live at home, or in Assisted Living

For seniors who are independent.

  1. For seniors who wish to travel again but need support to arrange a trip-Work with a senior travel agency to have the elder plan a trip that the elder would love to take but never did. Arrange for senior to take a class on planning travel and to  plan the trip Help them go online
  2. Games checkers dominos, puzzles, simple card games with a deck of cards with whales on them if they like the sea or more complicated games like bridge.
  3. Help the client join a local  book club with the kind of literature he likes to read (non-fiction- fiction – romance? )
  4. Help the client join a book club at the local library.
  5. Help the client join a Lifelong Learning  Osher group near you with intellectual activities if they enjoy book groups, Current Events, Cosmology, Shakespeare – whatever they love to learn or learn again.
  6. Introduce elders to your local community college or local college or theater company musicals and get tickets plus arrange transportation.
  7. . Identify what music they like and arrange to take them to local concerts, arrange to watch and listen on television or TV, if they have an I Phone Make a playlist of their favorite music, get them Alexa to just tell Alexa what music they want to hear, or join a choir if they used to do that and arrange transportation
  8. Attend a senior computer class or arrange for a 1-1 services with someone who can easily work with seniors and computers.
  9. Suggest joining in a games group at their local senior center or joining local games meet up- an example where I live https://www.meetup.com/Santa-Cruz-Board-and-Parlor-Games/
  10. Order Joyful Moments,  Geriatric Care Manager, Nina Herndon’s Quality of Life activity kit book, to get more ideas                         
Get More information about how to set up a Quality of Life Program check out My Geriatric Care Management Operations Manual that includes step by step  procedures on how to set up a Quality of Life Program 

   

 

 

Filed Under: aging life business, Aging Life Care Assocaition, aging life care manager, Blog, Dr. Bill Thomas, Intellectual Quality of Life, Quality of Life, Quality of Life for elders Tagged With: aging life care manager, care manager, case manager, geriatric care manager, increasing quality of life, Intellectual quality of life, isolation and quality of life, Nina Herdon, nurse advocate, nurse care manager, Quality of Life and Asssited Living

How Can Geriatric Care Managers Help Stem the Rising Tide of Crisis in US Assisted Living Facilities?

March 29, 2019

Assisted Living has faced a metastasizing crisis for the past 20 years. Geriatric Care Managers can help. This calamity in care has been dramatically documented in Pro Publica’s Elderly at Risk and Haphazardly Protected  

In 2013 CANR ( California Advocates for Nursing Homes Residents ) released a report  “ Residential Care in California,” Unsafe, Unregulated and Unaccountable Among other staggering findings, they documented infrequent and inadequate state inspections to ensure safe or good care CANR also found that weak penalties for poor or dangerous care- left zero incentive to the facilities to improve care. They kept delivering the same sometimes life-threatening care to elders.

A 2019 American Society on Aging report, cited the perfect storm that brought this accelerating crisis toAssisted Living residents. Americans desire to age in place and not die in a nursing home coupled with a huge increase in private sector expansion in Assisted Living all over the US were both a big factor. These two causes were amplified, according to ASA, by facilities not being covered by Medicare, thus not having the federal oversight and requirements of the feds.

Among the major complaints that families  themselves face is poor or no medications management, patients not being encouraged to participate in activities or not enough activities or both, residents not being bathed as often as is needed, and animosity between families and staff members for family members showing up unannounced or being micromanagersChiCheng_hmpgHdr.jpg

How can geriatric care management help this crisis?

  1. GCM can monitor the care of an older person frequently (every week, every other week-) compensating for the long intervals between state inspectors visits already cited as a problem. This is especially helpful for long distance care providers.
  2. GCM can monitor personal care like bathing grooming getting to necessary Dr.s appointments and work with facility and family to make sure this happens.
  3. Geriatric care managers will do a one to one assessment of the care of the older person in the Assisted Living then find a solution to any problems they find and implement it making sure that problems are solved before a crisis
  4. If they find poor care of patients in the Assisted living they are mandated reporters and will immediately report the abusive problems to Adult Protective Services.
  5. Geriatric Care Management can set up or monitor medications.
  6. Geriatric Care managers will do a Quality of Life assessment for elders who are not engaging in activities and find what activity within the Assisted Living or in the community if the facility has a poor activity program. They can engage the older person by hiring a Concierge Companion to engage the older person in the activity.

If you want to implement a Concierge Companion service/ product in your care management practice check out my GCM Operations Manual with step by step  Concierge Companion procedures and marketing, in addition to 13 other innovative geriatric care management products/services.

Filed Under: aging family crisis, Aging Life Care, aging life care manager, Assisted Living, Assisted Living & Geriatric Care Managers, Assisted Living Crisis, Benefits, Benifits & Assisted Living, Blog, Care Management Products, care manager, case manager, elder abuse, elder care manager, geriatric care manager, Geriatric Care Managers & Assited Living, geriatric social worker, Intellectual Quality of Life, Marketing aging life care, marketing ALCA /GCM, Marketing to Assisted Living, nurse advocate, nurse care manager, Quality of Life for elders Tagged With: aging family, aging life care manager, Benefits Of Geriatric Care Managers, care manager, case manager, geraitric assessment, Geraitric Care Managers & Assisted Living, geriatric care manager, Marketing to Assisted Living, Monitoring Assisted Living Care, nurse advocate, nurse care manager, Quality of Life and Asssited Living

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:
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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

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