Cathy Cress

Expert in Aging Life and Geriatric Care Management

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What Good Life to The Very End Can a Care Manager Bring ?

January 18, 2023

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Bringing Good Life to The Very  End

What Good Life to the very end can you bring -in the terminal phase of life -? Here is a wonderful example 

 Bill died at the home of his son after he had accepted that he was to die of liver failure and stopped all lifesaving treatment, like dialysis at the hospital and entering hospice. The decision was made that he would die at his son’s home with 24 care from his Care Management agency Livhome and his ongoing care manager Mary Brennan.

After his coming to terms with his death, Bill and his family, sons,  grandchildren, and great grandkids were able to say their goodbyes and offer the unconditional love that they had been fearful to express before his acceptance of death. A feeling of light & joy permeated his room, a family room overlooking the garden, where his hospital bed was set up. Great-grandchildren brought pictures and marveled at “grandpa grandpa “ high up in a hospital bed.

The  Good Life to The Very End -Joy of Hearing

His son put headphones with a mike on and William could hear and speak, as he had not in years.  It was like the wonderful film and concept  Alive Inside.  Hearing was a gift that gave him such joy in his last weeks of life.

The Good Life to the Very End- Let Family Just be Family

The family could just be family because they had care providers to care for bill. His 24-hour caregivers were gifted loving care providers from a GCM agency  Livhome. The 24-hour shifts included a nurse of 18 years from Central America and a man finishing his Ph.D. from the Congo. They cared for him with great warmth, so his family could just be family, relaxing in their love and surrounding him, as if in a circle, that swirled with 4 generations, going every which way while he watched, really loved, and melted into his last stage. His sons, grandchildren great grandchildren, and nephew ate meals, chitchatted, and welcomed each new family member coming in to see William, as he remained in the center in his hospital bed, the fulcrum of the gathering.

The Good Life to the End of a Great Care Manager620-amy-goyer-juggles-work-and-caregiving-mobile-technology.imgcache.rev1382542973676.web.jpg

The geriatric care manager, GCM Mary Brennan, from Livhome, a seasoned powerful and so kind LCSW, adjusted here and there, with care providers, and family needs. Bill’s needs followed the guidance of hospice, who were slowly increasing the pain meds, and supporting his health and medical care needs in death. The geriatric care management agency worked as a partner supplying 24 care and support for the family.

Bill was able to have again, a magical care provider from Livhome, who had been with him for almost two years and was so at the end.

You are only as strong as your weakest link- those are the care providers. These people were the raft that floated Bill up while the family, offered love and hospice provided medical and end-of-life support. Together they buoyed Bill into his last stage of dying, knowing that his family was the fabric of every step he took toward forward towards death. They gave him that good life till the very end.

If you want to add an End of Life service and other services, plus all the forms necessary, go to my website,  and check out GCM Manual 

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Deliver a Good End of Life 9 Steps to Death &Dying

Jan 24, 2023 02:00 PM Pacific Time (US and Canada)

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Deliver a Good End of Life 9 Steps to Death &Dying

Jan 24, 2023, 02:00 PM Pacific Time (US and Canada)

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Good Life to The Very  End

 

Serve Your Client until Death Do You Part
Join me on January 24 2023 and learn why End of Life Services re a perfect new se

 

 

 

Learn to guide the patient/family through the five stages of death. Understand how to help clients be active participants in their care. Give the family caregivers tools to manage care. Find out how to provide family-centered care to caregivers and families. Learn to choose the right support services for the client through all stages of death.
Introduce Hospice and Palliative care to the client earlier and work with their team.
Find out how to Use COVID -19 family coaching for GCM. Discover the role of Death Doula at end of life.

Time

Jan 24, 2023, 02:00 PM Pacific Time (US and Canada)

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, Advanced Directives, Aging, Aging deaths, aging family crisis, aging life care manager, Benefits of ALCA to Hospice, Black Aging Family, black care manager, black concieirge nurse, black concierge care manager, black concierge RN, Black Entrepreneur, Black Entrepreneur RB, Black Entrepreneur RN, Black entrepreneurs, Black Geriatric Care Manager, Black geriatric care managers, Black RN, black RN care manager, black social worker, black travel nurse, Black Travel Nurses, Black Travel RN, care manager, care manager operations manual, Death & Dying, Death and Dying, Death and Dying Care Management, death and dying care manager, Dementia & Holidays, End of Life, End of life documents, entrepreneur business, entrepreneur care manager, entrepreneur RN, Geriatric care manager & Hospice, Good Death, Hospice, Hospice Care, nurse advocate, nurse care manager, Palliative Care, Private Duty Home Care Tagged With: aging family, aging life care manager, ALCA in End Of Life, Alive Inside, Being Mortal, care manager, case manager, Dying at Home, end of life care manager, GCM in Death and Dying, geriatric care manager, Good Life to the Very end, Hospice, Hospice at Home, Joy in End of Life, nurse advocate, nurse care manager, terminal phase of death, Terminal Stage of Death

How Does Atul Gawande View Quality of Life in Dying ?

September 15, 2021

 

   A good life to the very end 

Atul Gawande’s acclaimed book, “Being Mortal“ opened our eyes to the medical way of death. He showed millions of readers how the quality of life and human interaction while dying trump the number of years gained through questionable painful procedures and dying in an institution.

He tells us that “our ultimate, goal, after, is not a good death but a good life to the very end

 

Quality of Life Can Be There to the End of Life

GCM Nina Herndon brings you that same quality of life message- about dying –where an elder can still live the end of life with joy. Her chapter “Supporting Clients’ Quality of Life: Drawing on Community, Informal Networks, and Care Manager Creativity” in the Handbook of Geriatric Care Management 4th edition is a geriatric care management Nina has devoted her career to giving elders a care plan for a happy life and a happy life to the very end.

 Bringing Joy in the here and now of Dying

 Bringing joy in the here and now of dying can be done through using quality of life tools- Spiritual, emotional, intellectual, creative, and physical quality of life. Increasing the spiritual quality of life can mean for a person is dying and wishes to return to a spiritual group she knew before, connecting them to the faith they are familiar with. Even homebound clients can have visits from members of a religious community or a prelate. They can have hymns sung, prayers said or whatever religious ritual their spiritual group follows, like communion, at home. Care providers can be trained to engage them by reading religious texts or playing hymns.

The Power Reminiscence at End of Life

Spirituality can be the environment. I once had a client who was in a nursing home dying of cancer and wanted to go home to die with hospice and 24-hour care. Hisgrandma_holding_rosary_shutterstock_40017103-255x255.jpg spirituality was the environment and he had been a lead volunteer to build a trail in Santa Clara California from Los Gatos up the steep winding highway 17 over the Santa Cruz mountains to the Lexington Reservoir. He had no family so the care manager asked the volunteers he had worked with if they would visit him at his home. They happily agreed and 300 volunteers took shifts, 24 hours a day to sit with him reminisce, tell stories and sing while he died over several weeks. This is what joy that bringing a spiritual quality of life can offer in dying.

Tools for Reminicance at End of Life

Friends emailing short personal videos with good wishes and memories, that a family member can show on a phone or computer- can bring emotional joy at end of life. Sending notes, not of condolences but great memories can be a salve to dying. Volunteering to give respite to family members, if visiting is allowed during COVID or post the pandemic, can give an opportunity to share old memories or look at old photos and give family respite. You may have thought those old photo albums should be dumped but they can bring the joy of reminiscence if shared at end of life or with seniors at any time.

 

 

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Filed Under: Aging, Aging Family, Aging Life Care, aging life care manager, care manager, case manager, Death & Dying, Death and Dying, Death and Dying Care Management, death and dying care manager, End of Life, End of Life Care manager, Families, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Good Death, Hospice, Hospice Care, Hospital care manager, nurse advocate, nurse care manager, Photo Albums& Reminicance, Quality of Life, Quality of Life and Reminicance, Quality of Life for elders, Quality of Life in Death, Quality of Life in Dying Tagged With: aging family, aging life care manager, aging parent crisis, assessing for quality of life, Atul Gawande, Being Mortal, black aging family, black american geriatric care managers, Black Entrepreneurs, Black geriatric care managers, Black Nurse Entrepreneurs, Black start-up geriatric care management, Black travel nurses, care manager, case manager, death and dying, geriatric care manager, Handbook of Geriatric Care Management, nurse care manager, Quality of Life at end of life, quality of life in dying, Reminicence Therapy, Reminiscence at End of Life

How Does Atul Gawande View Quality of Life in Dying ?

February 21, 2021

iStock_000003595079_Medium.jpg

 

   A good life to the very end 

Atul Gawande’s acclaimed book, “Being Mortal“ opened our eyes to the medical way of death. He showed millions of readers how the quality of life and human interaction while dying trump the number of years gained through questionable painful procedures and dying in an institution.

He tells us that “our ultimate, goal, after, is not a good death but a good life to the very end

 

Quality of Life Can Be There to the End of Life

GCM Nina Herndon brings you that same quality of life message- about dying –where an elder can still live the end of life with joy. Her new chapter “Supporting Clients’ Quality of Life: Drawing on Community, Informal Networks, and Care Manager Creativity” in the Handbook of Geriatric Care Management 4th edition is a geriatric care management Nina has devoted her career to giving elders a care plan for a happy life and a happy life to the very end.

 Bringing Joy in the here and now of Dying

 Bringing joy in the here and now of dying can be done through using quality of life tools- Spiritual, emotional, intellectual, creative, and physical quality of life. Increasing the spiritual quality of life can mean for a person is dying and wishes to return to a spiritual group she knew before, connecting them to the faith they are familiar with. Even homebound clients can have visits from members of a religious community or a prelate. They can have hymns sung, prayers said or whatever religious ritual their spiritual group follows, like communion, at home. Care providers can be trained to engage them by reading religious texts or playing hymns.

The Power Reminiscence at End of Life

Spirituality can be the environment. I once had a client who was in a nursing home dying of cancer and wanted to go home to die with hospice and 24-hour care. Hisgrandma_holding_rosary_shutterstock_40017103-255x255.jpg spirituality was the environment and he had been a lead volunteer to build a trail in Santa Clara California from Los Gatos up the steep winding highway 17 over the Santa Cruz mountains to the Lexington Reservoir. He had no family so the care manager asked the volunteers he had worked with if they would visit him at his home. They happily agreed and 300 volunteers took shifts, 24 hours a day to sit with him reminisce, tell stories and sing while he died over several weeks. This is what joy that bringing a spiritual quality of life can offer in dying.

Tools for Reminicance at End of Life

Friends emailing short personal videos with good wishes and memories, that a family member can show on a phone or computer- can bring emotional joy at end of life. Sending notes, not of condolences but great memories can be a salve to dying. Volunteering to give respite to family members, if visiting is allowed during COVID or post the pandemic, can give an opportunity to share old memories or look at old photos and give family respite. You may have thought those old photo albums should be dumped but they can bring the joy of reminiscence if shared at end of life or with seniors at any time.

 

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

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

Filed Under: Aging, Aging Family, Aging Life Care, aging life care manager, care manager, case manager, Death & Dying, Death and Dying, Death and Dying Care Management, death and dying care manager, End of Life, End of Life Care manager, Families, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Good Death, Hospice, Hospice Care, Hospital care manager, nurse advocate, nurse care manager, Photo Albums& Reminicance, Quality of Life, Quality of Life and Reminicance, Quality of Life for elders, Quality of Life in Death, Quality of Life in Dying Tagged With: aging family, aging life care manager, aging parent crisis, assessing for quality of life, Atul Gawande, Being Mortal, care manager, case manager, death and dying, geriatric care manager, Handbook of Geriatric Care Management, nurse care manager, Quality of Life at end of life, quality of life in dying, Reminicence Therapy, Reminiscence at End of Life

Being Mortal Now on PBS Special

February 11, 2016

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Atul Gawande’s Being Mortal has been made into a PBS Front Line film. It features the writer and physician who took the message the hospice movement began and exploded it into the media. His very viral thesis is that death does not have to be a medicalized model and indeed most physician’s are not at all trained to deal with either chronic care nor increasing the quality of life of death- just in treating and measuring it with tests.

Care Manager’s are trained in increasing the quality of life of the chronically ill and believe in bringing joy back into the everyday moments of elders. They understand that the dying can and should have a rich quality of life and are positioned so well to help chronically ill clients transition through the 5 stages of dying.

Join me on my next webinar 

How to Add ” Death and Dying to Your Care Management Services and Deliver End of Life Care”  

 

 

Filed Under: Aging Tagged With: Atul Gawande, Being Mortal, care manager, death and dying, geriatric care manager

What Does Atul Gawande Have in Common With Geriatric Care Management?

September 17, 2015

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Atul Gawande ‘s acclaimed book, “Being Mortal” opened our eyes to see the medical way of death. He showed millions

of readers how quality of life and human interaction while dying trump the quantify of years gained through

questionable painful procedures and dying in a institution.

 GCM Nina Herndon brings you that same quality of life message- not about dying -but  living an elder’s life with joy. Her new chapter “Supporting Clients’ Quality of Life: Drawing on Community, Informal Networks, and Care Manager Creativity” in the 4th edition of Handbook of Geriatric Care Management is a geriatric care management breakthrough.. Nina has devoted her career to giving elders a  care plan for more happiness .

She teaches care managers that bringing quality of life to an elder is more that physical comfort .It’s bringing joy in the here and now through using quality of life tools- spiritual, emotional, intellectual, creative, physical, environmental, and  vocational, well-being.

The Handbook’s 4th edition with Nina’s chapter  will be available November 1.

 

 

Filed Under: Aging Tagged With: Atul Gawande, Being Mortal, emotional quality of life, increasing quality of life

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