Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Dysfunctional Aging Families Can Wreak Havoc at End of Life

December 6, 2022

What do Feuding families do at the end of life?

 

When a family member is facing death and dying dysfunctional families have flawed conversations. Often they do not communicate at all or engage in destructive banter. They see one another as enemies. They demonize one another.

Feuding families are what I call dysfunctional families. They blame each other instead of locking arms in a crisis.

They sabotage resolution.

They actively compound already difficult decisions with intractable, interpersonal conflict. They create problems independent of the underlying issues.

Facing Fractured Communication

What are some of the struggles that these aging dysfunctional families with fractured communication can face?

Aging parents who lack the capacity to make decisions have no advance directives, DPOA and a

health-care proxy, and adult siblings, who must make end of life decisions, can’t agree

Withdrawal of life support with no designated health care agent and adult children and/or spouse disagree

Pain management adult children and/or and spouse disagree.

Answer to Fractured Family at End of Life – Mediation.

Mediation is a tool that can be a good resource for dysfunctional families at the end of life. It can help with these difficult families face the death of a parent without fracturing the entire family. It can allow an older person to die without pain inflicted by their own family.

 

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

 

Serve Your Client Until Death Do You Part

Upcoming Free Webinar

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

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

SIGN-UP Description

Deliver a Good End of Life- 9 Steps to Add Death and Dying to Your Care Management Agency
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 service for care managers
 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 family. 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 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 

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 caregivers 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 and Covid-19, Aging, aging life care manager, Benefits of ALCA to Hospice, Death and Dying, Death and Dying Care Management, Dysfunctional aging family, Dysfunctional Family Mediation, End of Life, End of Life Care manager, End of life documents, estranged elder parents and adult kids, estranged siblings, Families, FREE WEBINAR, GCM COACHING SKILLS, Geriatric Care Management Business, Geriatric Care Manager, geriatric social worker, Good Death, Hospice Care, mediation, Mediation End of Life, nurse advocate, nurse care manager Tagged With: adult sibling, aging family, aging parent care, aging parent crisis, care planning, caregiver burnout, conservator, death, dysfunctional aging family, dysfunctional family, dysfuntional family, elder care crisis, end of life, end of life family meeting, estranged siblings, families fretting at end of life, fretting at end of life, geraitric assessment, geriatric care management, geriatric care manager, geriatric care managers, mediation, mediator, My Geriatric Care Management Operations Manual, no advanced directive, no DPOA, no health care proxy, withdraw of life support

Enhancing Quality of Life Through Senior Centers

May 29, 2018

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Senior Centers have a whole new face in 2018

Senior Centers , now provide revamped, hip classes and exciting structured events for elders,   On top of that they still offer old fashion opportunities to increase the quality of life for older adults. These innovative programs can  include new/age for older people adaptive yoga,  to increase  physical  health and at the same time social interactions that may lead to  emotional and physical connections for elders

 

In Santa Cruz California, a city famous for it’s surfing, Lifespan 35-year-old care management agency, has added a game-changing program, their Well Being product. To enhance the quality of life they offer the services of personal assessments to increase the emotional, physical, spiritual or intellectual quality of life of an elder. Older people are often lost in retirement, having left the world of work and trying to fill the void with new friends and new ways to spend their time and finding joy in each day. If they have problems doing this on their own, it can result in depression, self-isolation and physical problems.

Lifespan’s Well Being Program care manager designs a care plan for each Well Being Client that takes their interests, physical and mental abilities and wishes for new things to do or old favorites to resurrect and designs a activities plan that uses among other resources in the community use seniors centers. Seniors centers in Santa Cruz, California, offer innovative programs that seniors are excited to join like Tai Chi, Qui  Gong, boomer yoga,

 

If you are a geriatric care manager or an aging professional , think of adding senior centers and quality of life to your plan of care.Find this need through a quality of life assessment You will create a win-win care plan- for both the elder and the adult children’s emotional quality of life— Really – for the whole aging family.

Filed Under: Aging, Aging Family, Aging Life Care, aging life care manager, care manager, Care Plan, case manager, Geriatric Care Management Business, Geriatric Care Manager, geriatric care manager, geriatric social worker, nurse advocate, nurse care manager, Quality of Life, Quality of Life for elders Tagged With: aging family, aging parent care, aging parent crisis, Area Agency on Aging, assessing for quality of life, care monitoring, care plan as saftey net, care planning, case manager, elders emotional quality of life, Geriatric Assessment, geriatric care managers, Quality of Life, quality of life assessment, reminicence and elder, senior centers, senior centers and intergenerational programs

GCM Care Plan Is Key to New Home Care Clients

March 5, 2015

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By adding geriatric care management to your private duty home care agency, your new clients will understand the solutions and path to hope you bring beyond home care. This offers buy in to your agency, customer satisfaction and trust in your service.

The care planning process a geriatric care manager does can be vital to families particularly in the early stages of caregiving. Most families do not understand the needs and problems of the older adult. or the costs associated with these options.   They are under terrible stress because they feel out of control. The care manager will explain the problems solutions and cost at a one to one  care planning meeting. This make new families and clients feel in control and have hope, which is vital to keeping the case long term. GCM becomes their  trusted guide.

 

A geriatric care manager sorts all the problems in the case and come up with important solutions in a care plan  they use that to explain what is needed for the client. She is very much like a detective- a professional Sherlock Holmes, solving the case for the very confused, desperate family.

 

 Providing a care plan and opportunity for discussion and buy-in among family members can therefore be an important step in educating, starting initiating, modifying, or continuing PDHC services.

 

 

 

Filed Under: Aging Tagged With: adding geriatric care management to PDHC, care planning, geriatric care manager, increasing profit in home care, private duty home care

What is as Listed # 1 Problem in a Care Plan?

August 31, 2013

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Filed Under: Aging Tagged With: care plan, care planning, geriatric care manager, Sherlock Holmes

How to Write a Measurable Care Plan Intervention

August 26, 2013

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Creating the care plan

¨ Start with problem you were called in to solve

¨ Can follow by a problem that you see as just as important or more important

¨ List all the problems gather in your assessments

List problems of client – most important to least important

4) Next to each problem, list the intervention you will suggest

5) Each intervention must have a clear plan of :

a) Who will carry it out?

b) How it will be carried out

c) Number of times it will be carried out.

Example

Impaired Home management-Mrs. Tornado cannot do her laundry

Intervention: Care provider to do laundry once a week on Tuesday

Example-

Problem- Self-care deficit-Mrs. Hurricane cannot shop weekly because she cannot drive

Intervention – Care provider to shop weekly by driving Mrs. Hurricane, with grocery list , Mrs. Hurricane gives care provider, to Safeway.

Filed Under: Aging Tagged With: care plan, care planning, geriatric care manager, National Association of Professional Geriatric Care Managers

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