Cathy Cress

Expert in Aging Life and Geriatric Care Management

  • Home
  • Products
    • Speakers Bureau Package
    • GCM Manual New 5th Edition
    • VIP Care Management White Paper
    • Books
    • Geriatric Care Management – 4th Edition
    • Mom Loves You Best
    • Care Managers
  • Online Classes
    • GCM Operations Manual Online Course
    • Geriatric Care Management Business Online Course
    • CEUs for Individual Modules
  • Webinars
    • Upcoming Webinars
    • Past Webinars
  • Recommendations
  • About
  • Blog
    • Aging
    • Geriatric Care Manager
    • Siblings
    • Webinar
  • Contact

Video of GCM Role in 5 Stages of Death

March 5, 2021

photo.JPG

 A Care Manager Can Navigate to a Good Death

Create an end-of-life care management service that provides a service in the 5 stages of death. Every stage of dying can be part of a good death, including the difficult point called the chronic phase if a care manager is a navigator for the dying person and their family.

The chronic stage of death is the time of loss

The Chronic stage is the time between the diagnosis and the result of treatment. During the phase, the dying person tries to cope with the demands of daily life while also going through necessary medical treatment, “often having to struggle with the sometimes brutal side effects of their treatment”.Chronic illness may also involve repeated episodes of deterioration in which the patient confronts and adjusts to these losses. Examples of these losses include cognitive function, sexuality, toileting, the ability to ambulate, eat and dress, and the indignity of losing all your hair. The focus of life for both the family and the patient needs to be redefined, shifting from hope for a cure to coping with the illness

Geriatric care manager tasks:

  1. Assist family to determine the type of long-term care which may  be safest and healthiest for the loved one: institutional: hospital chronic care or nursing home care, in-home nursing care or family care and make arrangements
  2. Co-ordinate help from community organizations through the continuum of care
  3. Assist client and family connect with support groups in death and dying
  4. Assist in learning management of disease skills such as from health care staff, videos, manuals, or brochures.
  5. Monitor anticipatory grief needs
  6. Learn about the disease in order to help the patient make good decisions about his/her care and to help family members monitor their expectations
  7. Monitor caregiver burden: encourage family caregivers to take time for selves, take breaks, get rest get to medical appointments, for grief needs
  8. Assess client’s non-medical needs: transportation, physician’s appointments, household tasks, personal care  if hospice  involved- medical if not involved
  9. Assess family caregiver for overload, burnout, educational supports, home care supplement or family replacement care

 Free Webinar to Deliver a Good End of Life-

Add Death and Dying to Your Care Management Agency

 

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  free 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

 

 

Gwendolyn LAZO Harris MA, CT, 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: Acute Stage of Dying, Aging, Aging Life Care, aging life care manager, Blog, care manager, case manager, Death and Dying, Death and Dying Care Management, death and dying care manager, elder care manager, End of Life, End of Life Care manager, Families, Five Stages of Death, GCM role Death and Dying, GCM Start -Up, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, Good Death, Hospice Care, nurse advocate, nurse care manager, Palliative Care, Palliative care manager Tagged With: 5 stages of death, acute phase of dying, adding end of life services, aging family crisis, aging life care manager, anticipatory grief, chemo hair loss, chronic phase of death, death and dying, eldercare manager, end of life care manager, geriatic care manager, geriatric care manager, hospice care manager hospice, nurse advocate, nurse care manager

What are the Ten Steps The Care Manager Takes in The Acute Phase of Death ?

March 3, 2021

photo.JPG

 

What Does a Care Manager Do In Acute Stage of Death?

What does a care manager do after a terminal diagnosis has been given by a physician and the older person and their aging family have moved on to the ” Acute Phase”?

 The acute phase of death and dying begins at the time of diagnosis. The person has heard their terminal diagnosis from a doctor or other medical staff person and is then forced to try and understand their situation. Many people can’t absorb or understand their diagnosis the first time they hear it.

 Most People Who Are Threatened With Dying Are Immobilized – in Shock

Shock is often the first reaction to this acute phase of death. People are immobilized and temporarily shut down. This makes concentration and listening next to impossible. They may also want to avoid acknowledging the illness. People need time to process such news.slide-worried-manjpg.jpg

The care manager can help clients cope with shock by encouraging them to talk things out. Unless a decision needs to be made immediately, decision-making should be postponed until there has been some time to talk things through.  If the family caregiver’s inability to perform family tasks interferes with timely medical treatment, then the care manager needs to intervene. They can organize another family to share care or help hire private duty home health care if this is affordable. The care manager can also do a mixture of both.

 

Ultimately decisions must be made regarding his or her medical care and available treatment options. Once treatment begins, the reality of the illness becomes a part of the family’s life, and adjustments and accommodations need to be made. At this point, the family is hopeful that a cure can be found.

 

 

Care Manager Tasks in Acute Phase:

 

  1. Arrange for private duty home care if needed and approved
  2. Arrange for durable medical equipment, if needed
  3. Coordinate and facilitate family meetings about sharing care if needed   
  4. Visit the older client on a regular basis to monitor their symptoms, care, and support and update medication list and care plan
  5. Send weekly monthly report on the status of the client to all family members making them so they all know the status of the elder’s care and the arc of dying. 
  6. Schedule medical appointments for the client so they can see the various doctors
  7. Drive client to medical appointments to advocate take notes and make list questions to ask to best use those 10 minutes of a typical doctor’s visit    26patient_600-1.jpg
  8. Assist family, in continuing to get questions answered by health care professionals about next steps after a terminal diagnosis 
  9. Provide a “Whole Family Approach” to centrally update all family members and meet their emotional needs around the older person now that a terminal diagnosis- perhaps their worst fear is here 

 

  1. Assist in compiling and organizing documents needed for advance care planning.

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


In the only book on Clinical Geriatric Care Management, Care Manager’ Working With The Aging Family  Gwendolyn LAZO Harris MA, CT,  Diane LeVan MA both highly expert care managers, created a seminal chapter on Palliative Care and End of Life Care Manager 

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, case manager, Death and Dying Care Management, death and dying care manager, elder care manager, End of Life Care manager, Families, Geriatric Care Management Business, geriatric care manager, Geriatric Care Manager, geriatric social worker, nurse advocate, nurse care manager, Palliative care manager, Private Duty Home Care Tagged With: acute phase of dying, Advanced care planning, aging life care manager, aging parent crisis, care manager, case manager, death and dying, geriatric care manager, Hospice, nurse acre manager, nurse advocate, Palliative Care, terminal diagnosis

What Does the Care Manager Do After Terminal Diagnosis?

February 15, 2016

iStock_000003595079_Medium.jpg

 

  • What does a care manager do after a terminal diagnosis has been given by a physician and the older person and their aging family have moved on to the ” Acute Phase” 

  •  The acute phase of death and dying begins at the time of diagnosis. The person has heard their terminal diagnosis from a doctor or other medical staff person and is then forced to try and understand their situation. Many people can’t absorb or understand their diagnosis the first time they hear it.

     

    Shock is often the first reaction. People are immobilized and temporarily shut down. This makes concentration and listening next to impossible. They may also want to avoid acknowledging the illness. People need time to process such news.

    The care manager can help clients cope by encouraging them to talk things out. Unless a decision needs to be made immediately, decision making should be postponed until there has been some time to talk things through.  If the family caregiver’s inability to perform family tasks interferes with timely medical treatment, then the care manager needs to intervene. They can organize other family to share care or help hire private duty home health care if this is affordable. The care manager can also do a mixture of both, order medical equipment, coordinate family meetings and attend doctor’s appointments.

     

    Ultimately decisions must be made regarding his or her medical care and available treatment options. Once treatment begins, the reality of the illness becomes a part of the family’s life, and adjustments and accommodations need to be made. At this point, the family is hopeful that a cure can be found.

  • Join me on my Free webinar February 25th 11 PST.
  • How to Add ” Death and Dying to Your Care Management Services and Deliver End of Life Care”   

Filed Under: Aging Tagged With: acute phase of dying, death and dying, end of life, geriatric care manager, hospice for elderly parent

The Acute Phase of Death -The GCM Role

April 4, 2014

photo.JPG

 

What does a care manager do after a terminal diagnosis has been given by a physician and the older person and their aging family have moved on to the ” Acute Phase” ?

 The acute phase of death and dying  begins at the time of diagnosis. The person has heard their terminal diagnosis from a doctor or other medical staff person and is then forced to try and understand their situation. Many people can’t absorb or understand their diagnosis the first time they hear it.

 

Shock is often the first reaction. People are immobilized and temporarily shut down. This makes concentration and listening next to impossible. They may also want to avoid acknowledging the illness. People need time to process such news.

The care manager can help clients cope by encouraging them to talk things out. Unless a decision needs to be made immediately, decision making should be postponed until there has been some time to talk things through.  If the family caregiver’s inability to perform family tasks interferes with timely medical treatment, then the care manager needs to intervene.They can organize other family to share care or help hire private duty home health care if this is affordable. The care manager can also do a mixture of both.

 

Ultimately decisions must be made regarding his or her medical care and available treatment options. Once treatment begins, the reality of the illness becomes a part of the family’s life, and adjustments and accommodations need to be made. At this point, the family is hopeful that a cure can be found.

 

 

Care manager tasks:

 

  • Arrange for private duty home care if needed and approved
  • Arrange for durable medical equipment, if needed
  • Co-ordinate and facilitate family meetings about sharing care if needed
  • Visit the older client on a regular basis to monitor their symptoms, care and support and  update medication list and care plan
  • Send weekly monthly report on status of client  to all family members making them so they all know the status of the elder’s care and arc of dying.
  • Schedule medical appointments for the client so they can see the various doctors
  • Drive client to medical appointments to advocate take notes and make list questions  to ask to best use those 10 minutes of a typical doctor’s visit
  • Assist family, in continuing to get questions answered by health care professionals about next steps after terminal diagnosis
  • Provide a “Whole Family Approach” to centrally update all family members and meet their emotional needs around the older person now that a terminal diagnosis- perhaps their worst fear is here

 

  • Assist compiling and organize documents needed for advance care planning.
  • Continue to Help Family set up or use a personal health record to store all of important medical information, questions and concerns  in notebook, file folder, USB drive or personal medical record software like Microsoft Health Vault  or Web MD Health Manager .

 

 

 

Filed Under: Aging Tagged With: acute phase of dying, Advanced care planning, death and dying, geriatric care manager, terminal diagnosis

Contact

Use the form on the
Contact page to email Cathy.

Email

Latest trending news

Connect with Cathy

Get Cathy’s “10 Critical Success Steps to a Profitable Aging Life or GCM Business”

  • Home
  • GCM Manual New 5th Edition
  • Books »
  • Services »
  • About
  • Recommendations
  • Blog »
  • Contact

Copyright © 2012–2023 CressGCMConsult & Cathy Cress - Expert in Aging Life and Geriatric Care Management | Developed by wpcustomify