Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Sign Up for My Free January Webinar on Dysfunctional Aging Family

January 14, 2021

5 Vital Clinical Tools to Help Aging Dysfunctional Families-Post Horrid Holidays- 

  Thursday, January 21, 2021

              2:00 3:20 Pacific Standard Time

  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 only 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

Filed Under: abusive aging parents, adult child physical abuse, Adult children, adult emotional abuse, Aging, Aging Alcohol Abuse, Aging Family, aging family and COVID, 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, Borderline narcissistic family, Caregiver Burn Out, Clinical Tools Dysfunctional families, Concierge aging clients, Dysfunctional aging family, Dysfunctional Family & Holidays, Dysfunctional Family System, elder mediator, Families, Filial Crisis, GCM Webinar, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, Holiday Meltdown in Aging Family, Holiday Sibling Rivalry, Move Management, narcissistic client, Narcissistic Personality, nurse care manager, POST HOLIDAY SEASON, Post holidays aging dysfunctional family, Sibling Strife Christmas, Sibling Strife Holidays, Siblings, Stepmonster, Symptoms Dysfunctional Family, Webinar, Webinar ALCA GCM Tagged With: aging dysfunctional family, aging life care manager, aging parent care, aging parent crisis, boundaries dysfunctional families, care manager, Clinical Tools Dysfunctional Holiday, dysfunctional family roles, geriatric care manager, help with dysfunctional family, nurse care manager, Tools with Dysfunctional families

Take This Test -Can You Take A Dysfunctional Family Case Over the Holidays ?

December 18, 2020

Do You Have the Clinical Skills to Give Hope to  The  Dysfunctional  Family Calling Desperately On the Holidays –

What does it Take?

    1. Do you know the right caseload mix so you have the intense time to handle these very heavy care families?
    1. Do you have 5 years of geriatric care management practice, a master’s degree to understand and work with them??
    2. Do you have care managers who can work with these complex aging dysfunctional families?
    3. Do you have the business model to realign your caseload for many of these time-intensive cases?
    4. Do you know aging family dynamics or do you have a staff member who does?

    5. Can you increase your staff to do this?
    6. Do You Know How to do a two call intake and complimentary consultation?
    7. Do You know how to make the sale to dysfunctional aging clients?
    8. Are you ready to be fired and have account receivable problems that come with these cases?
    9.  Do you know how to answer the challenge the dysfunctional, needy demanding adult children face and the client’s needs at the same time?
    10. Do you know how to hold an impromptu family Dysfunctional meeting with adult children, over the hectic holiday to plan care for aging parents?
    11. Can you work with narcissistic entitled older clients who are very demanding?
    12. Can you  emotionally handle the demeaning, blaming attitude of narcissistic old and new monied clients
  1. SIGN UP FOR MY WEBINAR To Find Out Clinical Tools to

  2. Work With These 

  3. Families 

  4.  

      Sign Up for My January Webinar  

     Working with Aging Dysfunctional Families- January and February-Long Day’s Journey into Night- 

                 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:family-charis1-226x300.jpg 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 the 5 Clinical Tools – you need – to solve these problems with your clients   Learn Six Steps Professional Must Take to Work with These Difficult Families    

     

     

     

    Find out more in the YouTube for My YouTube, Channel  Geriatric Care 1

    t
  1.  

Filed Under: Aging, Aging Family, Aging Life Care, aging life care manager, Blog, care manager, case manager, Clinical Tools Dysfunctional families, Concierge Senior, Dysfunctional Aging Familu, Dysfunctional aging family, Dysfunctional Family & Holidays, elder care manager, estranged siblings, Families, Filial Crisis, FREE WEBINAR, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, Holiday Meltdown in Aging Family, Holiday Rituals in Aging Family, Long Distance Care, Narcissistic Personality, nurse advocate, nurse care manager, Quality of Life for elders, sibling rivalry, Sibling Strife Christmas, Sibling Strife Holidays, Siblings, Spoiled Holiday Rituals, Therapist Specializing in Aging, Webinar Tagged With: aging dysfunctional family, aging family, aging life care manager, aging parent, aging parent care, care management, care manager, case manager, dysfunctional family, geriatric care manager, nurse care manager

What Types Concierge Clients Can Afford Paid Care Besides Donald Trump On the Holidays?

November 1, 2020

 Types of aging families who can afford care management

Families who can afford geriatric care management and home care  long term can do so because they have the financial resources, which are usually over a million dollars in assets.. Part of this is drawn from Claudia Fine and Nick Newcombe excellent chapter ” Entitlement in the Aging Family”, Care Managers Working With the Aging Family, Jones and Bartlett) 

Narcissistic-Entitled Families:

Entitlement in these families usually develops from a specific kind of “not good enough parenting” in which the parents themselves have struggled with personality disorders, most typically, in this type of family, narcissistic borderline personality  ( example President Trump)They struggled with a borderline personality that went undiagnosed or was formally diagnosed and untreated. The narcissistic or borderline parent essentially does not experience the child/children as separate and discreet from themselves and, moreover, uses the child/children to serve parental needs.  This parent-child relationship is characterized by severe boundary issues in which seduction and abandonment are ever-present dynamics and where emotional unpredictability and instability are constant.  ( Fine and Newcombe- Entitlement in the Aging Family, Care Managers Working With the Aging Family)

 

 Rich and Famous-Entitled Families:

These families are identified by the parents’ socioeconomic, financial and political prominence.  ( example President Reagan)They are families in which all basic needs, services, resources and creature comforts are obtained via income, assets, abundant discretionary cash flow and/or come from the political position, station or power.  Once again, the entitlement of the family is passed from the parent to the child who in turn brings these behaviors and actions to the caregiving milieu and care management relationship.  In this category, the entitlement arises out of a family that is accustomed to purchasing everything.  They look to paid others to meet their needs (as opposed to families who must themselves find and orchestrate ways to meet basic and complex needs themselves or with the help of the extra-familial system).  Often these families have household staff, i.e., nannies, butlers, drivers, private pilots, cooks, and maids.  They may have available to the business and family lawyers and accountants, as well as, teams of medical professionals and concierge physicians.  Consequently, in almost all situations they are uninvolved in processes, especially those that are difficult, stressful and time-consuming.  ( Fine and Newcombe- Entitlement in the Aging Family, Care Managers Working With the Aging Family)

 

Well-heeled seniors,affluentseniors.jpg

According to the New York Times, may be middle-class retirees who buy shoes from Payless but have a defined pension can afford care at home when they need it and private care management. They rode the post-war economy, held jobs long term and through that defined pension (no 401K) face a very healthy financial picture in aging.  They worked for city, county, state government are teachers, truck drivers, social workers or were union members in all trades. They had a career at Xerox, IBM, Campbell Soup and big Fortune 500 companies.

 

Professionals- Physician, Attorneys, CPAs

This group made a very healthy living during the late 20th Century, probably had a defined pension and have very lucrative investments that allow them to afford home care and care management. They usually come from nearly iStock_000063346301_Medium-1.jpgnormal families and have been well parented although you will find a mixture of dysfunctional aging families. Their adult children tend to be supportive of their parents, although again you will find a mixture of dysfunctional families in this category.

If you are in any of these families, how will you spend the coming holidays with them- and will you spend the future COVID-ridden Holidays with them. If you are a geriatric care manager or geriatric therapist, what will you advise your clients do during this star crossed holiday on ice.?

SIGN UP FOR MY NEW FREE WEBINAR

 

8 Ways to Tame the Turmoil of the Holidays & Twindemic in the Aging Family

 Learn how!

  • How to sell services to the desperate Aging Family during the holiday surge
  • How to give hope to frantic children who call when their aging parent struggling with Loneliness and isolation on the holidays
  • How to help the Aging Family make holiday visits remotely or safely in person
  • How to counsel the Aging Family to track aging decline &Twindemic risk in loved ones
  • How to work with both dysfunctional and long-distance families who call during the holidays
  • How to use GCM tools to contain Holiday chaos
  • How to use financial forecasting to prepare for business growth during the holidays

Sidestep the Many Care Managers Who Do not know how to work with Dysfunctional family or do COVID Coaching of Aging Families so the client chooses you

THIS FREE WEBINAR IS Thursday, December 3, 2020, FROM 2 PM – 3:30 PM PST

Sign Up Now

 

 

 Blog: https://www.cathycress.com/blog/

Facebook page: https://www.facebook.com/pages/category/Gerontologist/Cathy-Cress-MSW-633836950007072/

Twitter: https://twitter.com/cathyjocress

Email: cressgcm@got.net

 

  

 

 

 

 

 

 

Filed Under: Aging, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Aging therapist, ALCA & Skilled Nursing Facility, Blog, Concierge aging clients, Concierge Client, concierge clients, Concierge Senior, COVID & HOLIDAY SEASON, Covid 19 Webinar, Covid Holiday Remote Visit, COVID Webinar, Covid-19 and GCM SERVICES, COVID-19 Webinar, elder care manager, Families, Geriatric Assessment, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, high end clients, Holiday Meltdown in Aging Family, Holiday Rituals in Aging Family, Holiday season, Holiday Sibling Rivalry, Holidays, HolidaySeason and COVID, home care, Long Distance Care, Long distance caregiver, Narcissistic Personality, nurse advocate, nurse care manager, Remote Thanksgiving Family Visit, Webinar Tagged With: Aging Concierge client, aging family, aging life care manager, aging parent care, aging parent crisis, care manager, case manager, Certified Senior Advisors, Concierge Care Manager, Covid, COVID & Holiday Season, COVID VIRTUAL CHRISTMAS VISIT, COVID VIRTUAL HANN, COVID VIRTUAL THANKSGIVING VISIT, Covid-19 Telehealth, COVIF VIRTUAL THANKSGIVING VISIT, Entitled, Entitled Family, geriatric care manager, Holiday COVID Celebration, Narcissistic Personality, nurse advocates, nurse care manager, Rich and Famous, Virtual COVID Holiday Celebration, well heeled seniors

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.

Filed Under: 4th of july, 7 touches marketing, adult child physical abuse, Adult children, adult emotional abuse, ADULT SIBling, Aging, Aging Alcohol Abuse, Aging Community & Covid-19, Aging deaths, Aging Family, aging family crisis, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Aging therapist, ALCA & Skilled Nursing Facility, ALCA Beneifits, ALCA business Loans, ALCA Cobtract, ALCA COVID-19 Crisis, ALCA Disaster Plan, ALCA Ethical Dilemma, ALCA Financial literacy, ALCA Products for COVID_19, ALCA sales, Alcohol Abuse and Aging, Angela Jolie, Aretha Franklin, Assisted Living, Assisted Living & Geriatric Care Managers, Assisted Living Crisis, Assisted Living sales, bankruptcy, Barack Obama, Benefits, Benefits of ALCA to Hospice, Benefits of Care Management, Benefits of Care Management to Hospice, Benefits of Geriatric Care Management, Benefits vs Features, Benifits & Assisted Living, Bill Clinton, billing, Billing 85%, billing 85% of GCM hours, Blog, borderline client, Borderline narcissistic family, borderline-narcissistic families, brand, branding, branding ALCA business, Branding GCM Business, cardiac care manager, care management market sizing, Care Management Products, care management start-up, care manager, Care Plan, caregiver, caregiver assessment, Caregiver Burn Out, caregiver burnout, caregiver mental health, CAREGIVER RESOUCES, case manager, Cash Clow, cash flow, cash glow, Choice to Move Elder, CIRCLE OF CARE, client database, Close The Sale, competition survey, Concierge aging clients, Concierge caregivers, Concierge Client, concierge clients, Concierge Senior, Conservator, Contract signed, coronavirus, Coronavirus emergency plan, coronavirus marketing, coronavirus quality of life virtual program, coronavirus shut down, Covid 19, Covid-19, Covid-19 Death Nursing Homes, Covid-19 Nursing Home, Cut Off, Cut-Off, database, Death and Dying Care Management, death and dying care manager, Dementia Activities, 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What GCM Benefits to Offer Wealth Management- Trust Departments ?

March 17, 2020

Finding Wealthy Clients Through Trust Departments

How do you find long-term clients from the top 10% financially- who can afford geriatric care management and home care and then offer sustainable financial growth to your Aging Life or GCM company?

Some of the hardest clients to find are the probably upper 5%  who have their money managed by a Trust Department of a bank.

How Do You Locate Trust Departments to Market to?

Not all banks have Trust Departments and you want to find banks near you who do. Plus the trust department of a bank usually is not in every bank but in one central bank in a larger city, serving all the branches. For example, I live in small Santa Cruz, California and Northern Trust, and Wells Fargo Trust are all located in San Francisco or Palo Alto.

Once you locate the central trust department then you have to make an appointment and sell yourself to meet with the trust officers. Your sales pitch needs to be uber good enough to allow the trust officer to refer you on to the trust clients, who often have 5 million or more in assets.

 You offer to the trust officer must include superior professional  Gold Standard Concierge Service to Client and Family- Care that the wealth manager and entitled client demand.

But your most compelling sales message to a trust department or any 3rd party is not that you have something wonderful to sell –it is ” I understand what your clients  need  and what will benefit both your wealthy clients and what will benefit you.”

You sell GCM or ALCA to wealth managers through the VIP benefits you bring them through the Benefit”SO” method

You offer high-end services from your resource databases like private drivers, private chefs, car services, exclusive golf clubs and recreation that cater to entitled older clients, and upscale trust clients –Benefit So– the wealth manager will be assured you know what his high-end clients prefer for services

You explain that you are skilled in working with difficult entitled clients who can be narcissistic, demanding and unreasonable- Benefit- So the wealth manager can do what they do best= manage money and you can solve the dysfunctional family issues that wealthy difficult families are plagued with when agreeing on the best care needs for their parents.

Regularly monitor the status of an older client and report back to the financial advisors when a change in care needs or level of care is needed  Benefit so the wealth manager can work with her clients financial needs and you, the professional care manager can assess and inform her about the health and psychosocial needs so  aging problems not become a crisis and are solved preventatively

Organize community resources for clients so have the highest quality VIP health care and quality of life  Benefit so the wealth  manager can suggest the most gold standard and highest quality services in the community to meet her clients needs as he ages

Make clients feel engaged with your health and social services concierge who works with them individually and understand their exclusive needs -Benefit So the entitled trust client feel that they have a 1-1 concierge who will serve them individually  in finding the best, VIP care, they feel they deserve

  Free Webinar-Sales and Marketing to Find the VIP Concierge Client

March 31, 2020 -2PM -3:30 PM PST

Concierge Clients are the only way a GCM or ALCA care manager can make a profit and have their business thrive. Find out who are they, how you find them, design GCM Products they will purchase, and create a marketing plan and gold standard services to have them sign your contract and use your services long term

Learn

Who They Are- 4 Types of Concierge Clients

How to Locate them in your service area

How to create a strategic marketing plan to sell to them

How to Develop Gold Standard GCM Products and Services

 

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Filed Under: Aging, aging family crisis, Aging Life Care, aging life care manager, Blog, case manager, Concierge Senior, elder abuse, elder care manager, Fiscal Elder Abuse, Geriatric Care Manager, geriatric care manager, geriatric social worker, Marketing aging life care, marketing care management, marketing to concierge clients, marketing to the top 10$, Narcissistic Personality, nurse advocate, nurse care manager, Webinar Tagged With: aging family, aging life care manager, aging parent care, aging parent crisis, Benefits, benefits of ALCA, Benefits Of Geriatric Care Managers, benefits to 3rd parties, care manager, dysfunctional aging family, Entitled Family, marketing to wealth manager, Narcissism, Narcissistic Personality, nurse advocate, nurse care manager, reaching top 10% elder, Wealth Management Banks, wealthy clients

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