Long Term Care Coverage Archives ⋆ Cathy Cress

10 Alarm Bells to Give ” Just Shopping” Long Distance Callers Before Holiday

December 24, 2020

You will be Showered With Calls Over the Holidays

Long-distance family members from nearly normal or dysfunctional families will call you frantically from now on.

Why?

It’s almost Christmas, Hanukkah and Thanksgiving just passed but they could not see their older parents because of the COVID Risk.

They are having to manage their over 65 Mom and Dad’s Shelter in place from afar plus oversee their own families risk plus their own COVID laden holiday. These long-distance family caregivers were already reaching

burnout from constant pre-COVID travel and caring on top of their own work-life demands.

They are reaching implosion so they are going to call you.

Test to Give the Burnt Out Caregiver Calls FOR Information Before the Holidays

If they call for information before the holiday and are not ready to move forward, you can proactively offer them questions from this list of alarm bells that they can answer now or they can monitor during now and New Year holiday that could trigger engaging your services after they compare notes on a post-holiday call with you.

Below is a list of red flags. If they see any red signals on Thanksgiving, Hanukkah,

remotely or in-person if they take the very dangerous risk of travel on Christmas-encourage them that is the time to do something about it by hiring you as a care manager. You can question them with this a checklist of worrisome signs that signal the need for a local geriatric care manager,

Alarm Bells List – Dealing with Long Distance Aging Relatives Before or During the Holidays

Unpaid bills if long-distance family members monitor bill pay from afar
Missed appointments with their physicians that long-distance care provider monitor with their doctors
Clutter reported by neighbors, friends local senior agencies a home that was once always neat
Weight loss reported by the aging parents Dr’s or local visitors
Memory loss, change in short-term memory when they zoom, call facetime, etc.
Poor grooming for a person who was once meticulously, observed by local visitors friends senior agencies food delivery who visit.
Reports of getting lost
Reports of wandering
Refusing to go to holiday religious services with friends or church transportation to holiday religious services
refusing any suggestion or conversely agreeing to everything with-out consideration
Mood swings, getting angry when normally easy going
Refusing to go to medical providers
Not taking care of activities of daily living: cooking, bathing, dressing, housekeeping, etc.
Entering contests, credit card maxed out on shopping channels
Set up a meeting when the holidays end. You have helped them proactively, begin to engage your services.

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

What Do Long Distance Care Families Need for Parent’s Sheltering in Place 4 COVID ?

August 15, 2020

Long-Distance Care Providers need a safety net for themselves.

Adult Children who live at a distance from older family members need someone to cover the tasks to help their loved ones when needed. During COVID -19 when all elders should shelter in place because they are the most vulnerable to the novel, deadly virus long-distance care providers really need help.

COVID -19 means it is best for people over 65 to have little contact with others. But not all the supplies can be ordered online. In fact with the Post office delivery slowing down, everyone who lives long distance, may wait a long time for delivery of needed items for COVID safety, especially if they live in a rural area,. These family caregivers may need someone to actually shop and pick meds at the last minute when needed food or meds do not arrive by mail. Having another person to accompany the elder on walks with a mask and safe distancing or a drive breaks up the tedium that can arise from the loneliness and isolation of sheltering in place.

Safety Net for Double Disasters

If there is an emergency on top of the pandemic- Long-distance care providers need someone to respond as they live far away. During this summer with double disasters like wildfires now in Colorado, hurricanes blowing up the east coast they need an emergency plan on top of the COVID threat. A surrogate must be ready to help the older loved one right away and get them out of harm’s way fast and check if it is even safe to go to a shelter. What they need is an emergency safety net.

Call a Care Manager

If family at a distance does not have a friend or neighbor who can do this, they should consider the perfect emergency and daily safety net in a geriatric care manager. The Aging Life Care Association has an online search tool to find a professional by ZIP code. It also includes a list of questions to ask when you look to hire someone.

GCM can Provide & Supervise Caregivers’s For Covid Related Tasks

If the family caregivers chooses, the care manager will arrange for well screened aide, practicing covid saftey, to do all the shopping, take the elder out in the neighborhood for a walk or a car ride, prepare

meals, engage in social connections, and do all the cleaning and disinfecting need daily with the coronavirus threat . The GCM will visit aging parents on a regular basis to check on the health status of the elder in general and in relationship to Covid-19 exposure plus confer with their care providers along with texts calling and email them for supervision. Most of all they will regularly confer with with the family caregiver to get keep them up to date.

Find Help Now

The Long Distance care provider can have care providers from the care management agency care do all of these tasks, depending upon other back-up and care level of your older loved one. A care manager themselves, will directly monitor your loved one’s health, respond in emergencies like hospital admission, accompany them to a doctor and manage the care management care providers when you are not there and directly report to you. To find care managers go to the Aging Life Care Association

How Do Long Distance Families Cope with Elders Threatened by COVID-19

July 19, 2020

Caring for COVID-19 Risk From a Distance

Long-Distance Family caregivers are trying to get a handle of the new reality COVID 19 has on their lives. as caregivers, at a distance. For many families, the number one concern is the seniors in their family. As a Long-Distance Care provider, finding the balance between safety and well -being for seniors during the COVID 19 pandemic can be a new challenge added to the many overwhelming challenges that long-distance families face daily. Care managers can now overcome the distance with telehealth and Hipaa certified telehealth platforms.

Long-Distance Care Providers Already offer the Most Expensive Care and Now COVID-Care $

They already live far away from their loved one, a national average of 450 miles, and travel an average of 4-7 hours to give care. Long-distance caregivers have the highest annual expenses (about $8,728) compared to co-resident caregivers (about $5,885) or those who care for a loved one nearby.

The experience of a long-distance caregiver is much different from and more complicated than that of a caregiver who lives in the same town. It’s important to know the local resources and services. Long-distance care providers are either not familiar or have vague memories of stores and resources that have changed since they moved away.

Long-Distance Caregivers Suffer Depression, Anxiety and Now Fear of COVID

The crunch of caregiver demands frequently leads to depression, anxiety, and a feeling of helplessness. Caregiver overload is especially common among the long-distance sandwich generation, or those caring for their distant aging parents along with their own children and many times grandchildren. Long-distance caregivers are more likely to report emotional distress (47%) than caregivers either residing with their care recipient (43%) or residing less than one hour away (28%).

Neglecting Everyone in the family

When the long-distance caregiver tends to ailing parents, they feel they are neglecting their own family and work responsibilities. Yet when they tend to their family, spouse, or job, they feel they are neglecting their parents. They live in a double bind.

Keeping seniors safe yet socially connected

For most families, keeping senior loved ones safe coronavirus infection is their number one priority as it is with families that live locally. But Long Distance Families must do this remotely which means forgoing in-person visits and finding other ways to create a connection. These families their number one concern is the safety of the seniors among their families or friends. It is important to find a balance between safety to avoid contracting coronavirus and being able to maintain happiness through social interactions with family and friends.

Seniors and their concerned families want to avoid isolation, depressions, and hospitalization with COVID while sheltering in place.

Like any disaster but especially with this pandemic- you may not be prepared and are desperately seeking a plan.

JOIN ME FOR MY NEW FREE WEBINAR

Create 5 Telehealth Products for COVID 19

WHEN. THURSDAY AUGUST 6

TIME- 2 PM Pacific Standard Time

Care Management businesses are struggling with pandemic close-downs.

Support your business bottom line, clients, and their families.

Create 5 COVID-19 products.

Products from sheltering in place through the hospital, recovery at home, discharge from an SNF, or hospital for local and long-distance elders. Increase your bottom

line as COVID spreads throughout the US and more shutdowns loom

Learn Step by Step How to Consult with Aging Families and Seniors to:

Choose the best Hipaa Compliant Telehealth Products to Remotely Consult with Client

Help a Local Family Help a Loved One Safely Shelter in Place

Help a Long-Distance Family Help a Local Loved One Shelter in Place

Help an Aging Family Help a Loved on Hospitalized for Covid-19

Help an Aging Family Help a Loved one Recover when Discharged from a

Nursing Home

Help an Aging Family Help a loved one Recover when Discharged from a

Hospital

WHEN. THURSDAY AUGUST 6

TIME- 2 PM Pacific Standard Time

REGISTER NOW

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.

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.

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

Contact

Connect with Cathy

Get Cathy’s “10 Critical Success Steps to a Profitable Aging Life or GCM Business”