Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Need a Midlife Family Meeting for Aging Parent Disaster Plan

August 21, 2023

 MidLife Sibling Meeting Needed for Global Warming

A midlife sibling meeting needs to be convened after the catastrophic global warming nightmare of Hurricane Dora unleashed on Maui, where 1000 people missing many probably older residents who could not get out quickly creating a midlife sibling nightmare.  The identified dead are all elders. Scores more victims will be identified in the weeks and months to come. While the final list of fatalities will almost surely represent a broader cross-section of ages, the deaths underscore that elderly people are at greater risk in fast-moving blazes.

I was in Los Angeles during Hurricane Hilary when the hurricane struck along with a 5.0 earthquake. It was the first in 84 years because the global warming nightmare of the week is the Pacific Ocean is now warm enough to produce big hurricanes. My daughter and family whom I had a housesat for, took off for Maui finding out Maui was on fire, and went to the big island all this catastrophe in one week. I had to scramble to find flashlights etc. and call her in Hawaii. I ended up being an example of this post.

According to the US Fire Administration people over the age of 65 face the greatest relative risk of dying in a fire: 2.6 times higher than that of the general population. Research from the National Institute of Standards and Technology and the Fire Administration ties this trend among the elderly to greater frailty and difficulty escaping.

This back-to-back global warming nightmare smacks the climate change catastrophes right in our faces.  On  Dora’s and Hilary’s heels, we will have more hurricanes with hurricane season upon us, that insanely could be on both coasts, with global warming making them monster storms, with the huge elderly death toll. This should terrify adult children enough to take emergency action to protect their parents.

Emergency Diaster plan

 

Midlife Family Meeting of Siblings Need Emergency Disaster Plan

Midlife Family Meeting

This recent confluence of hurricane deaths and hurricanes looming in this global warming nightmare should be a deafening roar in the ear of midlife siblings convene a midlife sibling meeting to create a disaster plan family protecting any aging family members-, no matter where your elderly parents live or what level of care. You need that disaster plan because older people are more likely to die in catastrophes than any other population

So before another hurricane, tornado, earthquake, flood, or any disaster hits, you need to have a  midlife sibling meeting to come up with a disaster plan for aging family members.

What would be the agenda of that midlife sibling disaster family meeting?

If your loved ones are in a FACILITY- do not trust the facility to handle the situation.

Remember Hurricane Irma where above -Florida Nursing home residents are sitting in flooded water. Avoid this

Emergency Disaster Plan Have Midlife Family Meeting

1)Get a copy of the facility’s disaster and evacuation plan. Compare it to state regulations. If it does not include calling the family before the disaster, consider moving your loved one or make sure that is changed.

2)Appoint a sibling to be in charge of reading the disaster evacuation plan and be the contact person.

3)Call your state facility licensing body and find out the state regulations to see if they match the facilities- CCRC, Assisted Living, or Nursing Home

4) Have a telephonic family meeting before the disaster if possible

5) make sure the state requires backup generators for heat and air conditioning- a flaw in Florida’s regulations in Irma

If the loved one is LIVING AT HOME alone or with an adult child have midlife family meeting

Midlife Family Meeting

1) Create a disaster plan for the older person. This would map out what each sibling and family member needs to do

2) Create a disaster team. This would include every adult sibling all over the country, family nearby, caregivers, and neighbors.

4) Include someone on the team who can carry heavy objects like wheelchairs.

5) Name a substitute caregiver if the regular one can’t get there.

6) Make an evacuation plan for your aging family member’s house. Where is the nearest Red Cross shelter 

7) What disaster supplies do you have on hand? Get a list from your local Red Cross 

8)Find out how many people do you need to make the move to safety or a shelter?

9) Put all of the above in writing.

10) Share a copy of your disaster plan with everyone. E-mail copies to everyone on the family disaster team including all adult siblings, neighbors, and friends.

11) Get everyone’s agreement especially midlife siblings and the older person. Be a unified disaster team.

12 ) Call a geriatric care manager to manage the plan or help you create it with your elderly parents, if you live long distance. They can do the heavy lifting, can help moderate a family meeting- can research state laws, be there in a disaster immediately, and create and implement a disaster plan for your parent, that you approve and can be part of.

Professionals check out the chapter “ Preparing for Emergencies” in my Handbook of Geriatric Care Management  fourth edition,

Professionals Check out my book Care Managers Working With the Aging Family, Jones, and Bartlett, with its chapter on Family Meetings and the Aging Family by Rita Ghatak, director of Stanford’s Aging Program. 

Filed Under: Aging, Aging Family, Aging Life Care, aging life care manager, care manager, caregiver, case manager, elder care manager, Elderly Disaster Plan, Emergency Plan, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Jose, nurse advocate, nurse care manager, Nursing Home disaster plan, Siblings Tagged With: aging family, aging life care manager, aging parent care, aging parent crisis, care manager, case manager, disaster plan, disaster supplies, E Book on Family Meetings, Hurricane Dorian', Hurricane Harvey, Hurricane Irma, Hurricane Katrina, New Orleans opens flood gates, older adults in a dsiaster, Red Cross, sibling, sibling disaster family meeting, sibling family meeting

Rural Living Elders Greatest Risk to Perish in Massive Hawaii Fires

August 14, 2023

RURAL LIVING ELDERS AT GREAT RISK IN FIRES _ELDERLY 2XMORE LIKELY TO DIE IN FIRES

Rural Living elders are at great risk of fires. The U.S. Fire Administration estimates that older adults are more than twice as likely than the general population to die in fires. One-quarter of the Paradise residents, in the devastating fire that burnt down an entire California town in 2018, through PG&E Malfeasance had a disability which is double the statewide statistic. One geriatric care manager who lives there lost his home and practice trying to rescue a local older client.

Rural Living elders at great risk in fires

 

Rural Living elders at great risk in fires showed up again in the present Hawaii fire. The devastating Hawaii fire that just destroyed the entire town of Lahaina on Maui where over 90 people have now been found dead and this number is growing fast and 1000 are missing. This fire is rated above the Campfire which destroyed the town of Paradise in 2018. Many of those suspected dead in Lahaina are thought to be older people who could not escape quickly enough as it was a fire that was swept by Hurricane Dora’s 80-mile-an-hour winds spread the fire so fast that many many just could not escape. Lionel Montalvo, retired fire chief in Lahaina, said that many dead elderly would be found 

Decades of research confirm that the physical limitations that accompany advanced age make it much more difficult to escape disaster, but so do the social isolation and stubbornness that experts say is common among the elderly.

BREATHING PROBLEMS FOR SENIORS UBER RISK IN FIRES

The elderly are at the greatest risk for fire-related breathing problems according to the CDC.So if they just live in fire-prone areas and do not lose their home the very air they breathe can make them ill or actually kill them. Wildfire smoke can in the worst cases be deadly, especially among older people. Studies have shown that when waves of smoke hit, and patients experience respiratory problems, heart attacks, and strokes.

In 23 counties, older Californians overwhelmingly choose to live in fire-prone areas. Including in San Luis Obispo County, where 82% do live in rural areas.

Rural Living elders are at great risk of fires. That means nearly 2 million older Californians live in areas where wildfire is a formidable threat. It is not only the elderly who are losing homes in these rural Forest fires but those in facilities.

According to NPR in San Francisco, there are more than 10,000 long-term care facilities in California, from six-bed assisted living homes to large nursing centers.

Their analysis found that 35% of these facilities are in risky areas. With as many as 105,000 residents to safeguard if fire comes, these care home operators must now consider how to evacuate during a pandemic, a more complicated and difficult task.

California is aging faster than the rest of the country. In 10 years, the state projects the number of people over 65 will grow to 8.6 million.

RURAL LIVING ELDERS AT GREAT RISK IN FIRES SANTA CRUZ COUNTY FIRES TURNED REDWOODS INTO INFERNOS

In Santa Cruz, California, where my home and my home office are located wildfires in our Santa Cruz mountain forest burnt down 25 % of our county in 2020.  Of the two most damaged areas in the county was Bonnydoon, a rural area overlooking the Pacific which is very beautiful and rural. Among the many senior facilities damaged was Brookdale Senior Living which was evacuated due to smoke damage and inhalation by residents. They had to send patients to the Bay area, and in the Brookdale case, frail confused elders were sleeping on cots close to each other, risking COVID-19 and exacerbating their confusion, according to one daughter who moved her mother to her home in Santa Cruz permanently.

ELDERS COLLIDE WITH CLIMATE CHANGE

“There is absolutely a colliding of the events of both population aging and climate change,” said the University of South Florida gerontologist Kathryn Hyer. The elderly population represents 1/5 of our population and growing. Climate disasters as we can see from one climate catastrophe after another this year -like the Maui fire explode in power and frequency. According to the EPA, these colliding statistics are a formula for a disaster in a disaster.

Climate change is having a significant impact on wildfires according to the National Oceanic &Atmospheric Administration 

Rural Living elders a great risk of fires and it is only getting hotter, harder to breathe more dangerous for all worldwide US residents reflected in the heat wave in Arizona and Texas with a high-risk population of aging individuals but radically  more so for elders, who are number 1 in health problems and live at home or in facilities in the middle of these mammoth forests, turned into infernos of death

 

 

Filed Under: Aging Families and Disaster, aging family crisis, Aging Life Care, ALCA Disaster Plan, Assisted Living Crisis, Black Entrepreneur RB, Black Entrepreneur RN, Black Geriatric Care Manager, Black geriatric care managers, Black RN, black social worker, black travel nurse, Black Travel Nurses, Blog, Climate change catastropes, Climate Change Fires, COVID-19 & Wildfire, Disaster, Disaster 2020, ELDER FIRE RIsk, Elderly Disaster Plan, Fire Risk to Elders Climate Change, FIRES, GCM Disaster Plan, Hawaii Fires, Hawaii wildfires, Home care disaster plan, Home Care Emergency Coronavirus Plan, Maui wildfire Elder deaths, Maui Wildfires, Nursing Home disaster plan, Paradise Fire, Rural Elder Fire Risk, Rural Elders and Climate Change Risk, Rural Elders Risk Fire Death, Santa Cruz Fires, Trump Administration, WESTERN FIRES, Wildfire risk and elders, Wildfire Tornados Tagged With: aging life care manager, aging parent care, aging parent crisis, Bonniedoon fire, Breathing Problems in fires, California wildfires, care manager, case manager, crisis with aging parents, Elder risk in fires, Hawaii Fires, Lahaina fire, Long Term Facilities Risk Fires, nurse advocate, nurse care manager, preparing for a disaster, Rural Aging & Wildfires, Rural Elders at Risk 4 Fire, Rural Fires in West, Rural Risks in Wildfires, Santa Cruz Wildfires, Trump response Ca Wildfires, Western fires & Elders, wildfires in west

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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Why is Rachel Maddow Telling Aging Professionals About Nursing Homes Death Instead of the Feds????

April 27, 2020

Nursing Homes Turning into Death Camps

I have been learning that nursing homes are turning into death camps from Rachel Maddow not the federal government or aging community. I watch her every night as she is someone who reports the news fairly, focuses on facts and science,not what politicians and the president says. She reports what politicians actually do to avoid what the Trump camp calls fake news. This enrages me as why aren’t I hearing this from the aging community?

 I learned that 17 dead bodies piled up in an NJ Nursing Home a week ago . Three days ago it was reported  by the Kaiser Family Foundation that Nationwide, among the states reporting data, states indicate that cases have occurred at more than 4,000 facilities, and nearly 51,000 cases and over 10,000 deaths have been reported  by in-long-term-care-facilities/

No Fed Requirements To Report Covid-19 Deaths

According to the Kaiser Foundation until recently, there was no federal requirement for nursing homes to report coronavirus outbreaks and COVID-19 deaths. This lead to an information gap for families, residents, and policymakers. After gutting the Obama regulations to improve care in nursing homes in 2017, On April 19, 2020,( many days after Rachel Maddow and the NY Times were reporting the horror(,CMS released guidance that would require nursing homes to report cases of coronavirus directly to the Centers for Disease Control and Prevention (CDC).This move is totally hypocritical after Trump is the one who caused the horror by slashing regs that would have prevented deaths.  This new data is not yet available, but there are a number of states that are already reporting data on long-term care facilities.

When I  saw the carnage of nursing home deaths, yet SNF’s asking feds for immunity I was even further outraged.

 We Need Inquiry Into Federal Response

I blogged about the root of this problem a week ago  We need an inquiry but more than that we need a federal response, which there is none and national coverage which is just starting to occur after the most vulnerable on the planet were locked up in buildings where no one  could visit, filled with the people with the highest risk, and staff going from facility to facility as they need three jobs to keep them afloat and spreading the virus then becoming ill themselves 

TRUMP CUT BACKS IN NURSING HOME STAFFING INFECTION CONTROL

This lack of staffing and cut back in infection control federally mandated by the Trump government. Trump cut back regulation upgrades mandated by the Obama administration

The Obama administration effort, finalized in 2016, requiring all long-term care facilities to develop infection control and prevention plans to detect, report and contain communicable diseases.  

It also covered telemedicine, so required publishing infection control rates weekly in Nursing homes that manage from 1.6 million to 3.8 million infections each year, according to the Centers for Medicare and Medicaid Services. A 2017 analysis by Kaiser Health News found that 74 percent of nursing homes have been cited for lapses in infection control — the most frequent type of health violation.

So, aging professionals, I am going to give you Rachel Maddow’s sage advice,

Sound the alarm- Aging Professionals

Read your local paper for nursing home problems in your area. Now they are only being reported cumulatively by the New York Times and major papers. Send letters to the editor. Write to your governor. Alert your Area Agency on Aging.

Call Your Local Nursing Homes

Call the nursing homes locally and ask what you can do. Besides setting off the alarm can you organize PPE by getting a local club or group of women who sew to help, Even kids have contributed like this child in Boston who sews masks.

Scream to the top of your lungs.

A holocaust is happening and the Trump administration is ignoring the carnage – Rage against the coming of the night for the older people we all love and have devoted our lives to helping.

Filed Under: adult child physical abuse, Aging Community & Covid-19, Aging deaths, aging family crisis, aging life business, Aging Life Care, Aging Life Care Assocaition, ALCA & Skilled Nursing Facility, ALCA COVID-19 Crisis, Blog, coronavirus, coronavirus shut down, Covid 19, Covid-19, Covid-19 Death Nursing Homes, Covid-19 Nursing Home, Death and Dying Care Management, geriatric care manager, infection control in SNS, Nursing Home Deaths, Nursing Home disaster plan, Poor Nursing home staffing, Rachel Maddow Tagged With: aging community, aging life and geriatric care management, aging parent crisis, Aging SNF deaths, COVID-19 Deaths, COVID-19 deaths SNF's, elder abuse in nursing homes, Federal Response To Covid-19, geriatric care manager, nurse advocate, nurse care manager, nursing home deaths, poor nursing home staffing, Rachel Maddow

Concierge Clients Who Can Afford Private Geriatric Care Management No Longer Taking Cruises

April 7, 2020

 

Tens of thousands are dying in the US and worldwide of coronavirus so a cruise ship of any cruise now wreaks of expiring slowly on the ocean with no real hospital and no place to disembark. This is not the product that the upper 10% or anyone would board now. But in better times concierge products like a Viking Cruise as it is understandable to a high-end customer. They buy it –because it has exceptional services and recognizes their entitled station in life. Coronavirus recognizes no status class and kills all equally.

Sell Products Clients Need During the Pandemic

Geriatric care managers, rather than tell inquiry clients they do assessment–should offer products they need in this pandemic  – like relocation (moving an older person). Elders who live in dangerous SNF facilities, so vulnerable to COVID-19 

In an article from the LA Times Charlene Harrington a Professor from UCFS states”Families with loved ones in nursing homes should consider pulling them out if it’s at all feasible to care for them at home, said Charlene Harrington, professor emeritus at UC San Francisco’s School of Nursing.

“The risk of exposure is so overwhelming,” said Harrington, who has studied nursing homes since the 1980s. “It’s a terrible concern.”

ALCA suggested that you call all the SNF’s in your area and explain that you specialize in moving elders and can be of help to their clients who are moving out of SNF’s due to family concerns.

GCM Products for the Isolated and Lonely Seniors During Stay at Home Orders

Quality of Life (increasing the joy in an older person’s life who is lonely) can be an important service to offer during the coronavirus pandemic. Seniors who live alone are already isolated, lonely, and depressed and the virus only causes this to explode in their lives.  Quality of Life programs like Sage Eldercare’s Humminbird Program has gone remote and can be purchased for a minimal amount for client’s by families or agencies, nationally. Nina Herndon GCM, Sage owner and innovator, started this program several years ago because she was tired of watching elders she served watching TV 40 hours a day. She has brought it into the digital world to serve coronavirus patients nationally. Nina also wrote the Chapter on how to set up a Quality of Life program in my book  Handbook of Geriatric care Management 4th edition 

Products For Seniors Discharged from Hospitals in Pandemic When SNF’s will NOt Take Them

Home from the Hospital is a GCM product the Safely helps the older client through discharge and the first 3 months to make sure they do not return to the hospital, which now is overrun with coronavirus patients and at capacity.

Home From the Hospital pinpoints exactly what the older person needs for discharge with the hospital and why the family is desperately calling for help. They are calling for help at a piercing decibel level because nursing homes will not take them for fear of COVID 19 infection of their residents 

To do this, offer these products to families third parties, hospitals, and nursing homes in this crucial time. Develop continuously integrated solutions through a product procedure placed in your company operation manual, along with all of your products so you ensure your staff can deliver, step by a step-that high-end product that the Concierge client especially under the huge stress of the coronavirus with vulnerable parents -just purchased and demands.

If you do not have an operation manual, I have all these products in my GCM Operations Manual plus 11 more, with all the procedures in place so you can instantly offer them. I will offer a 20% discount for the GCM manual during the pandemic for Geriatric Care Management Agencies suffering during the coronavirus outbreak. Contact me here 

Filed Under: ALCA Products for COVID_19, Blog, Concierge Client, Concierge Senior, coronavirus, Coronavirus emergency plan, coronavirus quality of life virtual program, coronavirus shut down, Covid 19, Covid-19 Death Nursing Homes, GCM products in COVID-19, Marketing aging life care, marketing care management, nurse advocate, nurse care manager, Nursing Home Deaths, Nursing Home disaster plan, Poor Nursing home staffing, Quality of Life, Quality of Life for elders, Quality of Life Virtual Program, Quality of Life Virtually, Quality of Life with Dementia, Reminiscence Therapy, Senior Isolation, Senior Loneliness, Skilled Nursing Facility, SNF death COVID-19 Tagged With: aging family, aging life care manager, aging parent crisis, care manager, case manager, COVID-19 Deaths, COVID-19 deaths SNF's, geriatric care manager, marketing during COVID-19, nurse advocate, nurse care manager

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