Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Rural Living Elders Greatest Risk to Perish in Massive Western Fires

September 17, 2020

ELDERLY 2XMORE LIKELY TO DIE IN 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.

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 are 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, the rate of hospitalizations rises, 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.

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.

SANTA CRUZ COUNTY FIRES TURNED REDWOODS INTO INFERNOS 

In my county, Santa Cruz, wildfires in our Santa Cruz mountain forest burnt down 25 % of our county in the past month. Among the many senior facilities damaged was Brookdale Senior Living which was evacuated due to smoke damage and inhalation by residents, along with the Kaiser facility. Both had to send patients to the Bay area, where 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.

TRUMP ANSWER CA MANAGE FOREST- YET FEDS CONTROL 57%- CA 3%

President Trump claimed when he came to California a few days ago that the problem with wildfires was forest management. Governor Newsome agreed but pointed out that 57% of California forests are managed by the federal government and 3% by the state of California. When it was pointed out in that state meeting that the problems with the forest were rooted in climate change, Trump’s answer was, it will get colder, you’ll see..

Trump has rolled back regulations, like auto emissions that prevented climate change- now ravaging our forests .“As a historic figure, he is one of the most culpable men in America contributing to the suffering and death that is now occurring through climate-related tragedy,” Jerry Brown, the former California governor who made climate change his signature issue, said in an interview on Sunday

It seems that it is only getting hotter, harder to breathe more dangerous for all Western residents

but radically  more so for elders, who are number 1 in health problems, number 1 risk in COVID and breathing 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, Blog, COVID-19 & Wildfire, Disaster, Disaster 2020, ELDER FIRE RIsk, Elderly Disaster Plan, FIRES, GCM Disaster Plan, Home care disaster plan, Home Care Emergency Coronavirus Plan, Nursing Home disaster plan, Paradise Fire, Rural Elder Fire Risk, Santa Cruz Fires, Trump Administration, Trump's lack a federal response, Trust Departments, WESTERN FIRES, Wildfire Tornados Tagged With: aging parent care, aging parent crisis, Breathing Problems in fires, California wildfires, care manager, case manager, crisis with aging parents, Elder risk in fires, Long Term Facilities Risk Fires, nurse advocate, nurse care manager, preparing for a disaster, Rural Aging & Wildfires, 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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Can You Market Care Management During a COVID-19 Shut Down?

April 6, 2020

Marketing geriatric care management in the midst of coronavirus is like a ventilator for your business. The damage has been done to your small business through the coronavirus closing order. However, you can both help keep it on life support and give it time to recover until you can open again.

What Do you need?

First of all, to market while closed, you need social media in the form of a newsletter through email marketing programs like Survey Monkey or Constant Contact. What you are creating is a call to action. That action is to  say “use our GCM agency during and after the coronavirus because we have a great service to solve eldercare problems now and in the future for you.” To do this you you need a marketing strategy campaign 

with 7 touches so that your customer or potential customer ” hears your “Call to Action.” These touches can come in a variety of ways but the only ones you can use in the COVID-19 epidemic is a newsletter and an email marketing program because 1-1 marketing has vanished.

Ideas For E-Mail Marketing During COVID-19

Here are some ideas of what you can include in an email marketing

marketing campaign using a newsletter format in Constant Contact  or Survey Monkey 

  • Local information about home food delivery from local grocery stores used by seniors or designated shoppers as elders should not even get out and shop 
  • A list with links of religious services for upcoming holidays- Easter, Passover. that can be accessed by Radio TV and social media for all those with” Stay at Home “orders
  • Quality of Life activities that your agency or another agency like the Hummingbird Program  offered virtually for seniors who are even more isolated, lonely and depressed during the pandemic
  • Offer A Home From the Hospital or Move Management product/service if you have one to help families deal with discharge from hospitals after COVID -19 and not end up back in the hospital and or can move to a safer place to recover like their long distance relative.

A list of great reasons that a client or customer should work with an ALCA or Geriatric Care Manager during the Coronavirus pandemic. ALCA members get this in a flyer “Why Work With An ALCA Member During A Crisis “.The Aging Life Care Association has huge resources for dealing with coronavirus impact on geriatric care management. This makes joining ALCA now a great idea in this lethal pandemic and its deadly effect.

Join Me in My Latest  Free Webinar on Marketing Geriatric Care Management

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Learn in this webinar
Why You Must Sell to top 10% when GCM and Long Term Care are Not Covered by Medicare

  • Why Sell VIP Products rather than Geriatric Care Management
  • Why VIP GCM Clients prefer GCM Products
  • How to Develop a 4 Season Menu of Products
  • How to deliver 4 Seasons Service With VIP Products
  • VIP Products to Add to your Menu of Services
  • COVID-19 Assurances You Must add to Your Products
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Filed Under: 7 touches marketing, Aging Life Care, Aging Life Care Assocaition, ALCA COVID-19 Crisis, ALCA sales, Blog, coronavirus marketing, coronavirus shut down, GCM COVID 19 Crisis, GCM Start-Up, marketing ALCA /GCM, marketing care management, marketing to long distance adult children, nurse advocate, nurse care manager, Sales in geriatric care management, Senior Isolation, Senior Loneliness, Social Media, Social Media for Care managers, Social Media for eldercare, social media marketing, social media marketing campaign, START UP, Trust Departments, VIP marketing, VIPS markeing Tagged With: aging life care manager, ALCA marketing, care manager, coronavirus, Coronavirus disaster plan, Covid-19, e-mail newsletter, Free webinar marketing, geriatric care manager, marketing during COVID-19, marketing GCM, marketing newsletter, nurse advocate, nurse care manager, pandemic, social media, social media marketing, strategic marketing plan

How Can Geriatric Care Managers Can Contract With Wealth Management Dept. of Banks ?

March 18, 2020

Wealth management banks are increasingly using geriatric care managers to serve their clients. 

How do you open the door to Trust Departments, to serve their wealthy clients? Bank of America’s U.S. Trust and Merrill Lynch, Wells Fargo Private Bank, Morgan Stanley, and Northern Trust and some of these trust departments turned wealth managers that use or partner with care managers.               

They serve Concierge clients with assets over and above a million dollars and want to work with geriatric care managers to lighten their own load. A care manager can handle the health care and psychosocial while they handle their area of expertise, financial management of the client’s assets.

When you market to wealth managers, you have to show them the benefits of using a geriatric care manager.

Show them the BENEFIT of your GCM Service to the wealth manager including  you as a geriatric care manager will:

 

  • Do In-depth assessment initial of aging clients health and psychosocial status
  • Assess the client’s level of competency to make financial decisions.
  • Collaborate to create a long-term care plan for clients who wish to stay at home and TO needs to plan accordingly for the cost of care.
  • Collaborate to create a long-term care plan for clients who wish to move or need to move to a higher level of care
  • access community resources for their parent’s care.
  • Monitor the status of an older client and report back to the family and financial
  • Advise when a higher level of care is needed
  • Monitor weekly so problems not become a crisis and are solved preventatively
  • Organize community resources for clients so have the highest quality of healthcare and quality of life
  • Make clients feel engaged with a health and social services concierge who will help the trust offer guide them to the BEST care.
  • Make sure the  wealth manager knows a professional geriatric care manager is:
  •  visiting/monitoring
  •  Advocating for the  clients 
  • sending  a monthly report on the client’s health/social situation
  •  Emailing reports and updates on client
  • delivering prevention rather than crisis management
  • Managing clients with mental health problems
  • Managing adult siblings who disrupt older clients care through sibling fights
  • Managing dysfunctional families
  • Facilitating  family meetings to come to an agreement about care for elder with dysfunctional families
  • Find out more about contracting with VIP third parties and clients

  • 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                             

    How to Locate them in your service area

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    How to Develop Gold Standard GCM Products and Services

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Filed Under: Aging, Aging Family, aging life business, Aging Life Care, Aging Life Care Assocaition, aging life care manager, Aging therapist, ALCA sales, Benefits of Geriatric Care Management, Blog, care management start-up, care manager, case manager, Concierge aging clients, concierge clients, Concierge Senior, elder care manager, Families, FREE MARKETING WEBINAR, FREE WEBINAR, GCM Start -Up, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Marketing aging life care, marketing ALCA /GCM, marketing care management, Marketing plan, marketing to upper 10%, marketing to wealth managers, nurse advocate, nurse care manager, Sales in geriatric care management, Trust Departments, Trust Officer, Wealth Management Departments, Wealth Managers, Webinar Tagged With: aging family, aging life care manager, aging parent care, care manager, case manager, Concierge Care management, eldercare manager, geriatric care manager, nurse advocate, nurse care manager, Wealth Management Banks

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