Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Sign Up for My Webinar on Death Doulas and End of Life

January 11, 2023

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Add Death Doula &Death and Dying to Your Care Management Agency

Deliver a Good End of Life-

Add Death and Dying to Your Care Management Agency

Serve Your Client until Death Do You Part

This webinar is free

Join me on January  24 and 2 PM and learn why End of Life Services Are a perfect new service for care managers

Find Out More 

Sign up for my free webinar on Death Doulas

Death Doula – What is that?-In this 1 ½ -hour webinar you will learn “What is Death Doula and how Care managers can work with them.

Sign up for my webinar on Death Doulas and End of Life.  In A Washington Post, this week a Post article said that Death Doulas have become a nationwide death-positive, national movement mirroring the traditional ritual in Mexico that many Americans also celebrate, the Day of the Dead. That ritual holiday celebrates death as a positive part of life by remembering those who have died, honoring them with flowers ( marigolds), and “commemorating death as another element of life.

We live in a culture that is afraid of death- where death, like birth, was hidden in institutions, like nursing homes and hospitals for decades so that families never had to experience it. This hiding away from the entrance and exit of life is one reason why we fear death. Death-like birth used to occur at home, where families could see and feel the dying person, hold them, and smell them, so those fears were not there. Now like a birth, that can happen at home death can too at home with the help of a  geriatric care manager and a Death Doula who like a midwife of birth –  is a midwife of death. This a reason you should sign up for my webinar on Deliver of Good End of Life.

Sign up for my free webinar in Death Doulas and  End of Life and learn from an interview with Patti Urban ALCA care manager and Death Doula

What is a death doula? 

what exactly does a death doula do?

Do Death Doula work with Hospice, Care Managers, or just families

Is there a Charge

How can I contact a Death Doula

How can a care manager be trained as a Death Doula?

 

Patti, a Certified Dementia Practitioner, Senior Advisor, and End of Life Doula, is the owner of Aging Care Planning Solutions, a geriatric care management and end-of-life planning practice.  She is the former Executive Director of Shoreline of Clinton, a memory care assisted living community, and the former owner of Comfort Keepers, a home care company serving seniors, both located in Connecticut.  She is the founder of the Shoreline Area Senior Network, a local networking and educational group for professionals serving the senior community along the Connecticut Shoreline.  Currently, she is a member of the Advisory Council of the Agency on Aging of South Central Connecticut and is a former Board Member of the Shoreline Eldercare Alliance, Association of Women Business Leaders, Orchard House Adults Day Center, Shoreline Chamber of Commerce, and National Speakers Association Connecticut Chapter.

She resides in Connecticut and is the mother of three daughters and one son, all adopted from China.  She can be reached at 845-641-8123, pattiurban@agingcarePS.com, and www.agingcarePS.com.

Sign Up for my free Webinar

Sign up for my webinar on Death Doulas

We will Also Cover Serve Your Client until Death Do You Part

  • Transition the patient/family through the five stages of death
  • Help clients be active participants in their care
  • Give the family/caregiver tools to manage care
  • Provide family center care to  family caregivers and family
  • Choose the right support services through all stages of death
  • Introduce Hospice and Palliative care and work with their team
  • Use ALCA End-of-Life Benefits During COVID
  • Use  COVID -19  Family Coaching for GCM

Sign Up 

If you really want to add End of Life to your care management business sign up for this webinar now

Filed Under: 5 stages of death, 5 Stages of Dying, 5 stages of End of Life, Acute Stage of Dying, Aging deaths, Aging Family, aging life business, Aging Life Care, aging life care manager, ALCA Role Death and Dying, Atul Gawande, black care manager, black concieirge nurse, black concierge care manager, black concierge RN, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black Geriatric Care Manager, Black RN, black RN care manager, black social worker, black travel nurse, Black Travel Nurses, Black Travel RN, Blog, Concierge aging clients, Concierge Care Manager, Death & Dying, Death and Dying Care Management, death and dying care manager, End of Life, End of Life Care manager, End of Life Cultural Assessment, Five Stages of Death, FREE WEBINAR, GCM role Death and Dying, GCM workinh with hospice, geriatric care management emergency proceduress, Geriatric Care Manager, Good end of life, Good hospice, nurse advocate, Palliative Care, Quality of Life in Death, Quality of Life in Dying, Recovery phase of death, US Medicalization of Death Tagged With: 5 stages of death, Acceptance Phase of Death, adding end of life services, aging family, aging life care manager, aging parent care, aging parent crisis, Aging SNF deaths, Benefits of Care Managers To Hospice, care manager, case manager, chronic phase of death, COVID-19 Deaths, COVID-19 deaths SNF's, death and dying, Death Doula, Death Douls at end of life, Deaths in Nursing Homes, disputes at end of life, end of life care, end of life care manager, End of Life Diagnosis, families fretting at end of life, family meeting end of life, Free Webinar geriatric care management, Free webinar on end of life, GCM in Death and Dying, geriatric assessment for end of life, Hospice, Hospice at end of life, Hospice Care, hospice for elderly parent, nurse advocate, nurse care manager

Do You Do Cultural Assessment With an End Of Life Client?

February 13, 2021

 

 

 Each Culture Has Different Customs and Beliefs in End of LifeiStock_000063346301_Medium-1.jpg

There may be cultural differences in end-of-life decision making as a result of underlying cultural values with disclosure of a terminal illness and very critically -use of life-sustaining medical treatment. With the widespread availability of advanced medical technology in the United States, people are encouraged to do everything possible to seek a cure for a life-threatening medical condition or sustain life. However, there are many other cultures for whom quality of life is more important than the length of life.

Other Cultures Do Not Follow US Medical Model ChiCheng_hmpgHdr.jpg

There are some societies, such as Japan, where a terminal illness may not be disclosed to a patient and it is culturally inappropriate to discuss impending or imminent death. For instance, among some Chinese, it is considered bad luck to discuss death because such talk may cause death to occur. Sometimes the ethnic elder is not expected to make healthcare decisions and the responsibility may be based on a traditional family hierarchy. For instance, in many Filipino families, there may be a designated decision-maker who is not the patient (e.g., the oldest son or a daughter or son who is a health professional) and who articulates the wishes of the elder or family.

Some Cultures Follow Religious  Customs and Beliefs in Death & Dying

Other end-of-life decisions are based on religious tenets. In many Catholic immigrant communities, there may be strong resistance to an advance directive because the document would signify a “loss of hope” or be interpreted as suicide, which is against church doctrine. These beliefs may also influence the use of hospice services.

 

Deliver a Good End of Life- Add Death and Dying to Your Care Management Agency

Serve Your Client until Death Do You Part

 

Join me Thursday March 11 and learn why End of Life Services Are a perfect new service for care managers

 

In this 1 ½ -hour webinar you will learn how to

 1.Transition the patient/family through the five stages of death

2.Help clients be active participants in their care

3.Give the family/caregiver tools to manage care

4. Provide family center care to caregiver and family

5. Choose the right support services through all stages of death

6.Introduce Hospice and Palliative care and work with their team

7. Use ALCA End of Life Benefits During COVID

8.Use  COVID -19  Family Coaching for GCM

Sign Up

If you really want to add End of Life to your care management business sign up for this webinar now

 

 

 

 

 

 

 

 

 

Filed Under: Advanced Directives, advanced directives& COVID-19, Aging, Aging Life Care, aging life care manager, ALCA Role Death and Dying, Benefits of ALCA to Hospice, Cultural Assessment, Cultural Assessment Death, Cultural Beliefs in Death, Death & Dying, Death and Dying, Death and Dying Care Management, death and dying care manager, End of Life, End of Life Care manager, End of Life Cultural Assessment, End of life documents, Families, FREE WEBINAR, GCM role Death and Dying, Geriatric Care Management Business, Geriatric Care Manager, Geriatric Care Manager Cultural Assessment, geriatric social worker, Good Death, Hospice, Hospice Care, nurse advocate, nurse care manager, Palliative Care, Palliative care manager, SNF death COVID-19, US Medicalization of Death Tagged With: 5 stages of death, Acceptance Phase of Death, adding end of life services, Aging Life Care Association, care manager cultural assessment, chronic phase of death, COVID-19 Deaths, cultural assessment, Cultural Beliefs in Death, Cultural Customs in Death, cultural diversity, death and dying in COVID-19, geriatric care manager, Hospice at end of life, Palliative Care at end of life, US medicaization of Death

Can a Geriatric Care Manager or Social Worker Be a Midwife for a Good Death ?

June 24, 2017

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Atul Gawande’s breakthrough book, Being Mortal tells us the ultimate goal, after all, is not a good death but a good life to the very end. Elizabeth Kubla- Ross tells us the death is really in parts called five stages.

A Care Manager or Geriatric Social worker can be a midwife through these five stages to a good death, reaching towards joining the ultimate midwife team, hospice.

The Acceptance phase of death occurs when people finally are able to cope with the mental, social, physical, religious and financial effects of their disease, a heavy load  In the disease process and acceptance process, this is the period of time after a medical procedure such as chemotherapy, radiation or surgery. The client’s response to treatment is being monitored. Recovery does not always mean remission, but instead, it is the ability to accept and deal with the struggles of their illness. 

A Story About the acceptance phase Mr. Murphy

William accepted his coming death while in the hospital. He had 4 physicians’ who were treating him aggressively for renal failure with dialysis. He was 93 and refused to sign a DNR. The doctors discovered what they thought might be a tumor. However, they were afraid the biopsy procedure would be too radical for his age. So they kept up the dialysis.

The care manager appealed to the nurses for help when the physicians would not intervene. A nun appeared – it was a Catholic hospital- and said, ” the nurses called me to go around this problem.  Talk to the head Dr. about ordering palliative care.” The Care Manager did.

Sure enough, after the care manager talked to him that physician ordered palliative care. Then one by one one the 4 physicians came to Bill’s bedside and talked softly, asking him to accept that he may have cancer and the biopsy could not be done. The last, a gentle urologist, held his hand and talked of letting go and accepting he would die. He agreed to stop the dialysis.

Bill accepted his death reluctantly wanted to live to watch his 3 great grandchildren grow. The urologist ordered palliative care and Bill changed the DNR with the help of his son. Hospice met with the family and all agreed to move William to the son’s home with 24-hour care and hospice to die. 

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, care manager, case manager, Death and Dying Care Management, death and dying care manager, elder care manager, End of Life Care manager, Geriatric Care Management Business, geriatric care manager, Geriatric Care Manager, geriatric social worker, nurse advocate, nurse care manager, Palliative care manager Tagged With: Acceptance Phase of Death, aing life care manager, Atul Gawande, care manager, case manager, geriatric care manager, Hospice, nurse care manager, palliative care manager, recovery phase of death

How Care Manager Helps with The Acceptance Phase of Death

February 27, 2016

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The Acceptance phase of death and dying  occurs when people finally are able to cope with the mental, social, physical, religious and financial effects of their disease, a heavy load  In the disease process and acceptance process, this is the period of time after a medical procedure such as chemotherapy, radiation or surgery. The client’s response to treatment is being monitored. Recovery does not always mean remission, but instead it is the ability to accept and deal with the struggles of their illness. 

A Story About the acceptance phase Mr. Murphy

William accepted his coming death while in the hospital. He had 4 physicians’ who were treating him aggressively for renal failure with dialysis. He was 93 and refused to sign a DNR. The doctors discovered what they thought might be a tumor. However, they were afraid the biopsy procedure would be too radical for his age. So they kept up the dialysis.

The care manager appealed to the nurses for help when the physicians would not intervene. A nun appeared – it was a Catholic hospital- and said, ” the nurses called me to go around this problem.  Talk to the head Dr. about ordering palliative care.” The Care manager did.

Sure enough, after the care manager talked to him that physician ordered palliative care. Then one by one one the 4 physicians came to Bill’s bedside and talked softly, asking him to accept that he may have cancer and the biopsy could not be done. The last, a gentle urologist, held his hand and talked of letting go and accepting he would die. He agreed to stop the dialysis.

 

Bill accepted his death reluctantly wanted to live to watch his 3 great grandchildren grow. The urologist ordered palliative care and Bill changed the DNR with the help of his son. Hospice met with the family and all agreed to move William to the son’s home with 24-hour care and hospice to die. 

 

 

If you want to add an End of Life service and other services, plus all the forms necessary, go to my web site Cathy Cress. Com and check out GCM Operation Manual  with a new service Death and Dying

 

Filed Under: Aging Tagged With: Acceptance Phase of Death, geriatric care manager, Hospice, recovery phase of death

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