Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Passover Begins Friday-Care Managers Can Support Clients Spiritual Needs

April 11, 2022

Passover begins Friday and brings many Jews will celebrate with a seder

where their spiritual beliefs will be celebrated with food, family, and ritual.

As we age joining in spiritual rituals means more and more to us. Ritual

religious holidays like Passover fill all faiths, but especially elders faiths and both spiritual and emotional needs.

A Care Manager needs to learn how to offer elders support and inclusion during  holidays like Passover or any religious holiday.

Spiritual rituals mean more as we age

Care management is first and foremost a holistic interaction between

a caring professional and an older adult. Holistic care works

with the senior beyond just the necessary formal services. Care

managers should work with the seniors and their families to know their religious needs if any. Getting to know the person includes understanding the physical, social, emotional, and spiritual needs and how you can help them get included in the celebration.

 

Even though Passover begins Friday the average care manager does not see themselves as doing therapy with their clients or encouraging religion. But the work of Carl Jung or Viktor Frankl may be more than is useful. For most care managers , it is helpful to follow a few rules:

1. Listen to the client. Understand the client’s perception of the religious phenomenon as the person describes it and how you can help them celebrate Passover or any religious holiday if they wish.

2. Listen to his or her the perceptions of the client’s faith tradition and

spiritual beliefs and how much and how they want to be included in family celebrations or religious services so you can help them do this, through contacting the family, the spiritual place of worship, so they can attend and have transportation or  arrange some form of celebration if homebound

Passover begins Friday

3. Consult with the Rabbi from the Temple near them, who can help interpret any

beliefs or rituals or symbols that cannot be fully understood from the description of the client and if the temple has transportation for elders to services if the client wishes to attend.

Read Rev.James Ellor’s, Ph.D., LCSW, DCSW, Baylor University’s excellent chapter on Spirituality and the Geriatric Care Manager.

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Filed Under: Aging, Aging and Spirituality, Black Aging Family, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black entrepreneurs, Black Geriatric Care Manager, Black RN, Black Travel Nurses, Black Travel RN, Elders & Spiritual Holidays, Emotional Quality of Life, FREE WEBINAR, geriatric care management emergency proceduress, geriatric social worker, Holiday Rituals in Aging Family, nurse advocate, nurse care manager, Passover, Quality of Life for elders, Spiritual Holday celebraton, Spiritual Quality of Life, Spirituality Tagged With: aging family, aging life care manager, aging parent care, aging parent crisis, black american social workers, Black Entrepreneurs, Black geriatric care managers, Black Nurse Entrepreneurs, care manager, case manager, geriatric care manager, Gifts for Easter 0r Passover, Handbook of Geriatric Care Management 4th edition, nurse advocate, nurse care manager, Passover, spiritual assessment, spiritual quality of life, Spirituality & care management, spirituality and geriatric care management, spirituality in aging

What are 8 Spiritual Quality Of Life Activities for Elders During the Holidays ?

December 6, 2021

Spirituality Helps Elder Quality of Life Skyrocket  With on Holidays

Spirituality helps elders’ quality of life. As you age, spirituality can matter more. Now that we are entering a season of high spiritual celebrations like Christmas, Hanukkah, Orthodox Christmas, Feast day – Our

Lady of Guadalupe- this is the most important season to involve elders who wish to be in spiritual communities. Religious communities offer socialization thus the quality of life to so many elders and can return joy to their lives.So you must learn how to find an elder’s holiday joy.

 

Religion Comes in a Filing Cabinet

The idea that spirituality helps elders’ quality of life was taught to me by Leonie Nowitz, a geriatric care manager who has a deep interest in spirituality and writes about it often, once told me to look at spirituality as a question  ” What is this all about”. As we age this question becomes primal, as we face death coming at a rapid pace. We wonder- do I go to heaven, to hell, or just energy or dust. Will I meet angels- my wife in heaven.?

Ms. Nowitz said that when you define religion, look at it as a filing cabinet with each drawer is a religion with it’s an answer to spirituality  ” “What Is this all About”. There is one for Jews, Protestants, Hindu’s Muslims, Quakers, The Environment- all religions and belief systems.

 

How to Find An Elder’s Holiday Joy

Learning how to find an elder’s holiday joy, is a key skill for care managers. One assessment care managers can do is a Quality of Life assessment to find out how and where joy can be found again.  If spirituality is something that would increase an elders’ quality of life, here are some activities that you may suggest to an older client or their family, especially on holidays when places of worship have their most spectacular music, smells, and bells, and pageantry.

Spiritual Quality of Life Activities During Holidays

  1. If an older person appears isolated and is unable to attend their place of worship, especially on holidays, because of not driving or disability, and they wish to still join a congregation, contact the head of the religious group and ask if members could transport him or if they have a van service or arrange for members to transport them to services. If they cannot get out ask if the spiritual leader or congregation members would make home visits.
  2. If an older person is not now a part of a religious group but what once was and has some interest in returning, holidays are the best times to reconnect. Contact the head of the religious group and ask him/her to make a home visit and the care manager follow up with transportation arrangements to holiday services if yes.
  3. If an older client has had a recent close relative or friend die and wishes to return to a spiritual group she knew before, connect them, with the congregation they are familiar with for solace or grieving.
  4. If an older person moves to a new area and is part of a religious group connect them to the same religion and place of worship in the new town and arrange transportation  to holiday services and a new member to greet them
  5. If an older person has dementia if possible reconnect him or her with his spiritual background through familiar prayer, music, etc.  
  6. If an elder has dementia and can attend services without being disruptive, arrange for a caregiver to take them as they can still be drawn in  by the ” Smells and Bells’
  7. If you have a homebound client who wishes to return to a religious group, reconnect them by arranging, in their,  holiday spiritual music, religious icons (a rosary or image, for example), readings from a sacred text about their own religion on Hannakka or Christmas, watching a service on television, listening to one on the radio or via computer.
  8. Decorate their room with holiday decoration that represents their own religious holiday like a Menorah, Christmas tree, a nativity scene, etc.

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Filed Under: Aging, Aging Family, Aging Life Care, aging life care manager, Blog, care manager, case manager, Dementia Activities, Dementia and Spirituality, elder care manager, Families, Geriatric Care Manager, geriatric care manager, geriatric social worker, nurse advocate, nurse care manager, Quality of Life, Spiritual Quality of Life Tagged With: aging life care manager, assessing for quality of life, care manager, case manager, demential and spirituality, geriatric care manager, nurse care manager, spirital assessment, spiritual assessment, spiritual supports in aging, spirituality in aging

How Can Someone with Dementia Have a Better Quality of Life on a Holiday ?

April 2, 2021

 

Reminiscence and Story Telling

 

This Easter holiday is the perfect occasion to engage elders with dementia. The role of storytelling and reminiscence is very important for elders, as they look back on their life and holidays bring strong long-term memories. It gives them a chance to socialize as they tell their story. It also means someone usually listens or documents. That magically gives the elder social interaction and connectedness. So many Easter rituals can prompt stories for elders with some level of dementia. The ritual of dying easter eggs, finding easter baskets on Easter morning, dressing up for the local Easter Parade, eating ritual foods at Easter dinner or at Easter Brunch. Whether the older person is actually participating or watching, these rituals can prompt stories from their long-term memory.

 

Elders sharing stories means passing on history.

This gives the older person a chance to give the larger picture of their life and family history to children and grandchildren or extended family, who may have not heard all the details of their grandparents or parents’ life before- what they cooked, what they did on holidays like Easter. So the quality of the older person of both the older person and the aging family is increased through oral history and reminiscence

The aging professional can suggest family or friends just sitting down and prompting a story or oral history using  technology like your phone

Even elders with Alzheimer’s can find new joy with Reminiscence

When an elderly person develops Alzheimer’s or other forms of dementia, the short-term memory is frequently affected but long-term memories can remain as intact and vivid as they have always been during the course of the patient’s life. As a result, a family can use a practice called reminiscence therapy to help combat the frustration, confusion, and depression that can often accompany dementia and even bring joy to the older person

What is reminiscence therapy?

 Reminiscence therapy is like a therapy session where the elderly person will spend time recalling memories of his or her life, perhaps telling stories about things that happened and events the person can recall.

Sometimes senior experts or family members can use photos, familiar objects, or other such things to help jog the memory of the patient. Some therapists and family members can a scrapbook of a person’s life, including photos, letters, and other such personal memorabilia. This becomes a visual biography of the patient’s life and helps the older person remember who he or she is.

How does this quality of life therapy help? Almost all elderly men and women can start feeling discouraged and frustrated with their memory issues. Reminiscence can give peace and acceptance of the current situation by helping the person remember that he or she has had a good and full life. It also prompts communication skills of elderly people who otherwise may not feel very compelled to open up and share anything with anyone else.

Dementia and Reminiscence of Easter

So this Easter holiday try reminiscence. People with dementia can receive a richer quality of life when people actually listen to them. They feel as their thoughts and feelings actually matter. For anyone who has an elderly loved one suffering from dementia, this benefit alone can make reminiscence therapy a form of joy for a very confused elder. So when you dye Easter eggs, create easter baskets, do an Easter egg hunt, serve an Easter brunch or dinner, get them involved, let them watch, allow them to help if possible, serve them ritual food or to taste it and ask when how they experienced these rituals, when they were young. If you have old albums of pictures from their childhood of them at Easter, look and the photos with them. Then listen.

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Filed Under: Adult children, Aging, Aging Family, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Dementia, Dementia & Holidays, Easter, Easter and Reminiscence, Easter Rituals, Emotional Quality of Life, Families, GCM Working With Aging Family, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, Good Death, Holiday Rituals in Aging Family, nurse advocate, nurse care manager, Quality of Life on Easter Holiday, Quality of Life with Dementia, Reminiscence Therapy, Spiritual Quality of Life Tagged With: aging family, aging parent, aging parent care, aging technology, ancrestory.com, assessing for quality of life, care plan, care plan interventions, family caregivers, Family Caregivers using technology, flip video, genealogy, geriatric care management, geriatric care manager, geritaric care manager, grandfather, grandmothers, grandparents, increasing quality of life, LCSW, oral history, oral history and quality of life, oral history and You Tube, parent care, Quality of Life, quality of life assessment, reminicence and elder, Reminiscence and 4th of Jul;y, Reminiscence and Dementia, Reminiscence on the Holidays, storytelling and elders, technology for caregivers, You Tube, You Tube and storytelling

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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What are 8 Spiritual Quality Of Life Activities for Elders for theHoliday Season?

December 20, 2019

Spirituality Helps Elder Quality of Life Skyrocket  With on Holidays

Spirituality can matter more as you age. Now that we are entering a season of high spiritual celebrations like Christmas, Hanukkah, Orthodox Christmas, Feast day – Our Lady of Guadalupe-black-family-in-church.jpg this is the most important season to involve elders who wish to in spiritual communities. Religious communities offer socialization thus the quality of life to so many elders and can return joy their lives.

 

Religion Comes in a Filing Cabinet

Leonie Nowitz, a geriatric care manager who has a deep interest in spirituality and writes about it often, once told me to look at spirituality as a question  ” What is this all about”. As we age this question becomes primal, as we face death coming at a rapid pace. We wonder- do I go to heaven, to hell, or just energy or dust. Will I meet angels- my wife in heaven.?

Ms. Nowitz said that when you define religion, look at it as a filing cabinet with each drawer is a religion with it’s an answer to spirituality  ” “What Is this all About”. There is one for Jews, Protestants, Hindu’s Muslims, Quakers, The Environment- all religions and belief systems.

 

How to Find An Elder’s Holiday Joy

One assessment care managers can do is a Quality of Life assessment to find out where joy can be found again. If spirituality is something that would increase an elders’ quality of life, here are some activities that you may suggest to an older client or their family, especially on holidays when places of worship have their most spectacular music, smells, and bells and pageantry.

Spiritual Quality of Life Activities During Holidays

  1. If an older person appears isolated and is unable to attend their place a worship, especially on holidays, because of not driving or disability, and they wish to still join a congregation, contact the head of the religious group and ask if members could transport him or if they have a van service or arrange for members to transport them to services. If they cannot get out ask if the spiritual leader or congregation members would make home visits.
  2. If an older person is not now a part of a religious group but what once was and has some interest in returning, holidays are the best times to reconnect. Contact the head of the religious group and ask him/her to make a home visit and the care manager follow-up with transportation arrangements to holiday services if yes.
  3. If an older client has had a recent close relative or friend die and wishes to return to a spiritual group she knew before, connect them, with the congregation they are familiar with for solace or grieving.
  4. If an older person moves to a new area and is part of a religious group connect them to the same religion and place of worship in the new town and arrange transportation  to holiday services and a new member to greet them
  5. If an older person has dementia if possible reconnect him or her with his spiritual background through familiar prayer, music, etc.  
  6. If an elder has dementia and can attend services without being disruptive, arrange for a caregiver to take them as they can still be drawn in  by the ” Smells and Bells’
  7. If you have a homebound client who wishes to return to a religious group, reconnect them by arranging, in their,  holiday spiritual music, religious icons (a rosary or image, for example), readings from a sacred text about their own religion on Hannakka or Christmas , watching a service on television, listening to one on the radio or via computer.
  8. Decorate their room with holiday decoration that represents their own religious holiday like a Menorah, Christmas tree, a nativity scene, etc.

Reach Cathy in Social Media

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YouTube channel:https://www.youtube.com/channel/UCaoHdozwS0RvKD

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YouTube channel:  Website: https://cathycress.com/

 

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 Family, Aging Life Care, aging life care manager, Blog, care manager, case manager, Dementia Activities, Dementia and Spirituality, elder care manager, Families, Geriatric Care Manager, geriatric care manager, geriatric social worker, nurse advocate, nurse care manager, Quality of Life, Spiritual Quality of Life Tagged With: aging life care manager, assessing for quality of life, care manager, case manager, demential and spirituality, geriatric care manager, nurse care manager, spirital assessment, spiritual assessment, spiritual supports in aging, spirituality in aging

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