Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Trump’s COVID Mixed Messages Push-Up-Deaths So No CLear Path for AGING Families

September 6, 2020

The World Health Chief warned that in a Pandemic mixed messages coming from national leaders give their people no clear path to follow to keep themselves safe from COVID. This is esspecially true of aging family members who are trying to protect the most vulnerable to coronavirus-  older people.

 

In US Federal Government and US Scientist Point to two Different to paths to” Safety”

In the US Federal officials, like the TRUMP administration offers a murky path to stay safe -while top scientists like the CDC and Dr. Fauci offer science-based recommendations. It is like a signpost is a tsunami zone with two different directions to higher ground. State governors who have been left in charge of protecting American citizens, rather than the federal governments and all have different messages. Some states are closed down, while others do not allow masks in spite of the massive spread of the virus. People do not know what to do, as the Feds, the states, the counties, and cities all have different guidelines and laws about how to stay protected from the worst pandemic since 1918.

President Woodrow Wilson Pointed the Wrong Direction is 1918 Pandemic

It is not new. President Wilson lied to the American public about the 1918 pandemic as he had declared war with Germany and wanted the US war machine to go full throttle. So soldiers in camps in the US died by the thousands and sailed to Europe spreading the 1918 plague, while Wilson never uttered a word, except to say it was like the common cold. He contracted COVID in France, trying to negotiate the Treaty of Versailles, subsequently had a stroke kept secret,(stroke being a side effect of COVID we now know ) and his wife effectively ran the county.

Science is being Maligned and Sidelined in COVID-19

What happens these when confusing messages are given by so many leaders who are not scientists but politicians with their own agenda? Scientists like Dr. Fauci are both maligned and sidelined. .The CDC once the most prestigious health agency in the world is forced to give false scientific information by the TRUMP administration.

 One terrifying result is COVID cases are soaring in the US As of  September 3, we had 6.1 M cases and 189 K deaths.  Younger people and even older residents are celebrating summer and now Labor Day with no masks no social distancing as if there was no COVID. We now celebrate Labor day with people gathering with no masks, college opening with the spread of the virus, and children used as guinea pigs in some states mandated to return the schools that have no federal money to make their classrooms safe 

Aging families, who want to keep their loved ones safe need aging professionals to offer clear paths to safety. Can you be that navigator to safety?

5 Steps to Successfully Market Your GCM COVID 19 Telehealth Coaching  Service

 

If you have designed COVID -19 services yourself or attended my last webinar to learn how to coach COVID-19 services or coaching ( If you missed it click on this link to watch  )

TAKE THE NEXT STEP MARKET

Learn to market COVID COACHING  and sign up new clients for your Aging COVID-19 coaching services for, both long-distance and local- adult children, based on science step and sound public health policies. Help family care providers faced with a pandemic, support aging love ones through a COVID Hospitalization, and recovering at home.

FILL THE GAP LEFT BY FEDS.   

Be able to sell care management COVID services that fill the gap created by the federal government, state, county, cities and CDC‘s mixed messaging has created, leaving family caregivers confused frustrated, with no clear path to safety from the raging pandemic,

 

Gain new customers and help aging families stay safe from COVID using care management’s most potent tool – navigation- through the potholed path to safety from the deadly coronavirus they have right now.

 

You will learn

  • How to create an e-newsletter with the right copy, to get out the word about your COVID 19 services

 

  • How  to use social media to alert aging family caregivers to the clear path your GCM agency provides to safety from the accelerating virus in the US

  • Be able to set up a Zoom webinar to teach local aging agencies and caregivers about your COVID coaching services and other local resources to assist caregivers in the community

 

  • Get local media coverage of your COVID -19 Coaching Services with radio and TV coverage plus pick local newspapers where adds may pay off to sell your COVID Products

 

  • How to generate word of mouth customers for your COVID -19 service using your continuum of care in your community

Sign Up 

 

 

 

 

       REGISTER NOW

Filed Under: Blog, COVID-19 & Care Management, Covid-19 GCM Products, Covid-19 mixed messaging, COVID-19 Webinar, Death and Dying Care Management, GCM COACHING SKILLS, GCM COVID 19 Crisis, GCM products in COVID-19, geriatric care manager, geriatric social worker, Long Distance Care & COVID-19, Marketing aging life care, marketing geriatric care management, mask wearing covid-19, Palliative care manager, Telehealth COVID-19products, Telehealth with ALCA, Telehealth with GCM, telemedicine, Webinar, Webinar ALCA GCM Tagged With: aging family crisis, aging life and geriatric care management, Aging Life Care Association, Aging Life Or GCM Products, COVID-19 Deaths, COVID-19 PRODUCTS, COVID-19 SERVICES, Covid-19 Telehealth, COVID-19 Telehealth product, COVID-19 Webinar, marketing during COVID-19

Trump’s Mixed Messages About COVID Increasing Deaths and leaving No straight Path for AGING Families

August 3, 2020

Mixed Messaging Lethal in a Pandemic

 The Chief of the world Health Organization had warned that mixed messages coming from national leaders give their people no clear path to follow to keep themselves safe from COVID. This is especially true of aging family members who are trying to protect the most vulnerable to coronavirus-  older people.

 

In US Federal Government and US Scientist Point to two Different to Safety

In the US Federal officials, like the TRUMP administration offers one path to stay safe -while top scientists like the CDC and Dr. Fauci offer another. It is like a signpost is a tsunami zone with two different directions to higher ground. State governors who have been left in charge of protecting American citizens, rather than the federal governments and all have different messages. Some states are closed down, while others do not allow masks in spite of the massive spread of the virus. People do not know what to do, as the Feds, the states, the counties, and cities all have different guidelines and laws about how to stay protected from the worst pandemic since 1918.

President Woodrow Wilson Pointed the Wrong Direction is 1918 Pandemic

It is not new. President Wilson lied to the American public about the 1918 pandemic as he had declared war with Germany and wanted the US war machine to go full throttle. So soldiers in camps in the US died by the thousands and sailed to Europe spreading the 1918 plague, while Wilson never uttered a word about except to say it was like the common cold.

Science is being Maligned and Sidelined in COVID-19

What happens these when confusing messages are given by so many leaders who are not scientists but politicians with their own agenda? Scientists like Dr. Fauci are both maligned and sidelined. .The CDC once the most prestigious health agency in the world is forced to give false scientific information by the TRUMP administration.

 One terrifying result is COVID cases are soaring in the US As of  September 3, we had 6.1 M cases and 189 K deaths.  Younger people and even older residents are celebrating summer with no masks no social distancing as if there was no COVID. We now face Labor day with people gathering with no masks, college opening with the spread of the virus, and children used as guinea pigs in some states mandated to return the schools that have no federal money to make their classrooms safe 

Aging families, who want to keep their loved ones safe need aging professionals to offer clear paths to safety. Can you be that navigator to safety?

 

 

 

 

       REGISTER NOW 

 

Filed Under: Blog, COVID-19 & Care Management, Covid-19 GCM Products, Covid-19 mixed messaging, COVID-19 Webinar, Death and Dying Care Management, GCM COACHING SKILLS, GCM COVID 19 Crisis, GCM products in COVID-19, Geriatric Care Management Business, geriatric care manager, geriatric social worker, Long Distance Care & COVID-19, Marketing aging life care, marketing geriatric care management, mask wearing covid-19, Palliative care manager, Telehealth COVID-19products, Telehealth with ALCA, Telehealth with GCM, telemedicine, Webinar, Webinar ALCA GCM Tagged With: aging family crisis, aging life and geriatric care management, Aging Life Care Association, Aging Life Or GCM Products, COVID-19 Deaths, COVID-19 PRODUCTS, COVID-19 SERVICES, Covid-19 Telehealth, COVID-19 Telehealth product, COVID-19 Webinar, marketing during COVID-19

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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Can You Give a Good Death without” Rage, Rage Against the Dying of the Light”?

April 9, 2020

slide-worried-manjpg.jpg

Dylan’s Thomas warns us in his poem

 

Do not go gentle into that good night,
Old age should burn and rave at close of day;
Rage, rage against the dying of the light.

 

But today a care manager or geriatric social worker can help an older client go gentle into that good night, they do not have to burn and rage at the close of their day because you will be giving them as Atul Gawande suggest – a good death – not a cold terrifying dying of the light.

 

The terminal phase of any life-threatening illness is the time between diagnosis and the final decline when no cure or extension of life is in the offing. The individual confronts progressive decline and deterioration. Death is imminent. The care manager has a role.

The focus of doctors and patients now changes from attempting to cure the illness or prolong life to trying to provide relief from pain and to comfort the sufferer. Religious concerns such as what happens after someone passes away or how to handle the suffering at the end of life or how to give comfort to family members are the focus during this time as well as trying to tie up any loose ends.

https://www.forbes.com/sites/johnkoetsier/2020/04/02/elder-tech-how-to-keep-seniors-connected-safe-happy-in-the-coronavirus-era/#3443c2dc66cf

Care Manager tasks:

Make referral to hospice if family has not  already reached out

Partner with hospice and work under them

 

Monitor anticipatory grief needs

 

Communicate that this is the end (and time to say goodbye)

 

Assess spiritual needs and contact the appropriate religious spiritual counselors to provide comfort and healing.

 

Encourage family members to say The Four Things That Matter Most   “Please forgive me”, “I forgive you”, “Thank you”, and “I love you”.

 

Assess the need for paid caregivers to help the family or help family members share round the clock care among family and friends

 

Support the family members in their need to

grieve and have respite by continuing to assess for overload and burn out with a caregiver assessment tool  

Prepare family for active phase of dying which can be loud and disturbing to someone who is not aware of what will occur

 

 

Gwendolyn LAZO Harris MA, CT, Seniors at Home, San Francisco and Diane LeVan MA both highly expert care managers, created a seminal chapter “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, End of Life Care manager, Families, Geriatric Care Manager, geriatric care manager, geriatric social worker, nurse advocate, nurse care manager, Palliative care manager Tagged With: aging life care manager, Atul Gawande nurse care manager eldercare manager, care manager, case manager, death and dying, eldercare manager, end of life care, geriatric care manager, hopsice, Palliative Care, terminal phase of dying

What is the Care Manager’s Role with Hospice?

February 15, 2020

iStock_000003595079_Medium.jpg

What is a Geriatric Care Manager’s Role in Hospice?

The geriatric care manager serves older adults before they find they are dying. GCM’s work with chronic care clients, some times for years, who eventually succumb to their illness. They also work with clients who come to them facing the end of life issues.

 The process of acceptance and adjustment to terminal illness has five phases:

 

·      before the diagnosis,

 

·      the acute phase ­

 

·      the chronic phase

 

·      the recovery phase

 

·       the terminal phase 

 A care manager is a GPS for both the client and family through the

5 stages, bringing in critical services like palliative care and hospice

caregiver respite and quality of life the whole continuum of care for supporting the end of life- at the right phase at the right time –

Benefits You (as a GCM) will Bring to Hospice

  • You (as a geriatric care manager) will bring the client to Hospice much earlier in the 5 stages of death and dying than one month before death

 

  • You will do a Quality of Death assessment to find out the patient’s wishes for a good death

 

  • You will make sure all the critical paperwork is needed is gathered and organized, including:
  • Insurance
  • Legal
  • Financial
  • Healthcare
  • End of life

Interventions vary according to the phase. The GCM may already have served the client and they are now facing a terminal diagnosis. But a geriatric care manager may be brought in when the family is negotiating through any one of these phases, their work begins with making a determination of what phase the client is in and what services are appropriate for that client at that stage. They are also the best professionals to bring in the quality of life to every phase so that the client can have not only a good death but a good life to the very end.

Benefits You Bring To the Family Friends and Hospice

  • You will monitor the client/care receiver’s and family caregiver’s health and psychosocial status and the paid caregiver’s care plan, to improve the quality of care and life for the client and caregiver So That Hospice can direct all it’s attention to the client and assured family
  • caregivers needs are being met

Shot of a wife consoling her husband during a counseling session with a therapist

  • You will accompany the client to all medical appointments and make sure that the 10 minutes cover all questions, that the physician’s orders are recorded and followed, and that all meds are picked up and set up properly So What –Hospice does not provide this  and ensures the client gets to all appointment relieves the family of another task and everyone is getting all the correct information from the physician

 

  • You will make sure that the family has an online personal health record or a notebook if they wish So What -The family has a way to keep track of information from many professional involved and passes on the correct information to everyone in the family and they can feel more in control in an emotionally chaotic time

 

  • You will do a caregiver assessment and suggest interventions from the local continuum of care, including support groups, counseling, respite care, and private duty home care So What –You are insuring a whole family approach and  the family caregivers are getting the support and respite they need in this frightening time for their loved one

 

  • You will coordinate family meetings to facilitate issues like shock, grief, and shutting down So What- You are a container, allowing the family caregiver to deposit their tremulous at timesdesperate feelings in a safe place so they can get help from you and be calmer for the dying loved one
  • You will coordinate health literacy information and training of disease skills for family So What- You will create a forum for the family caregivers to express their grief, fear  and even hopes and demystifying all the unknown medical terminology to make the family feel more literate and self-assured in approaching the medical staff to get the information they need

 

  • You will monitor anticipatory grief in family and friends and bring in resources

    So What- You will create a forum for the family caregivers to express their grief fear even hope and find the help they need to so on with the journey to death

 

  • You will review all new medication with family caregivers and care staff- So What-you will unravel the confusing litany of pharmaceutical terminology  and make sure the family and friends both understand  what med does what, how to set up meds  and remind the meds when hospice is not present

Join me in my new FREE Webinar
Learn to Sell Benefits not Features to Third Parties  to Grow Your Care Management Bottom Line

When: February,20th 2020
2PM-3:30 PM PST
Learn
 

What is a benefit vs features and how to find benefits for each 3rd party you market to?

What specific problems you solve for hospice, wealth managers, elder law attorneys, and concierge physicians  

What specific problems to solve for upscale Assisted Living, accountants, financial planners, MD’s  

Step by Step how to set up meetings with 3rd parties to make the sale

SIGN UP


Find out more by watching my youtube playlist on Death and Dying on my channel Geriatric Care 1

Follow Cathy @ cathycress.com

Filed Under: Aging, Aging Life Care, aging life care manager, 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, Blog, care manager, case manager, Death and Dying Care Management, death and dying care manager, elder care manager, Families, Geriatric Care Manager, geriatric care manager, geriatric social worker, nurse advocate, nurse care manager, Palliative care manager Tagged With: aging family, aging life care manager, aging parent crisis, Benefits, benefits of ALCA, Benefits of Care Managers To Hospice, Benefits Of Geriatric Care Managers, care manager, case manager, end of life, end of life care manager, Features and Benefits, Features and Benefits of geriatric care management, five phases of death, free webinar, Free webinar marketing, geriatric care manager, Hospice, nurse advocate, nurse care manager, palliative care manager. Hospice

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