Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Caregiver Assessment- When The Caregiver Loses Sense of Self

September 22, 2019

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When you assess an older client with a family caregiver, you really have two clients. The needs of the family caregiver are different than the needs of the care receiver and the geriatric care manager or aging professional must differentiate those needs to make sure the care receiver’s functional and psychosocial needs are met. The care receiver and the family caregiver are one homeostatic system encompassing the whole aging family. To keep that family healthy and whole, in the middle of swirling care crisis, the care manager must first recognize that there are multiple clients including the person who gives or supervises care. In a health care insult, family members who give care are often referred to by the inanimate wooden term “ resources”. They have also been referred to as “ informants “.

 

Stripping Caregivers Personhood

This stripping of personhood denudes them of their status as individuals and melts them into the caregivers, thus breeds professional ignorance, like the crowd who watched the emperor with no clothes. We are blind to caregiver’s humanity and thus their own needs.

Seld-Esteem Vanishes With Caregiving

Many family caregivers lose their self-esteem because they fail at so many other parts of their lives when their whole life seems to be taken up by caregiving. They do not get vacations as the care-receiver does not take a break from illness and aging. Often there are few others to give them respite. Caregivers, often they just do not know where to find help or even ask for it. If family caregivers have children and husbands, they are often squeezed between their needs, the needs of the care receiver – thus have no room for their own needs. They are breathless and slogging forward.

Find out more in the YouTube from My Geriatric Care 1 Channel.

Filed Under: Aging, caregiver, caregiver assessment, Caregiver Burn Out, caregiver burnout, caregiver mental health, CAREGIVER RESOUCES, case manager, elder care manager, geriatric care manager, geriatric social worker, nurse advocate, nurse care manager Tagged With: aging parent, aging parent care, assessing the caregiver, caregiver assessment, caregiver burden, caregiver burnout, caregiver overload, caregiver overwhelm, caregiver stress, geraitric care manager, Geriatric Assessment, Geriatric care management operations manual, geriatric care manager, informal caregiver, long distance care provider, National Assocaition of Geraitric Care Managers

Frustrated-Long Distance Care Provider? Move Mom? No You Need A Geriatric Care Manager?

April 10, 2016

Did your Mom’s caregiver not show up when you visited her over Easter? Were you frustrated.

A family-related push to move is the lack of consistent, stable services. When the elderly parent needs increased home care and dependable paid caregivers cannot be found, the family is usually left feeling overburdened and over the edge.

 

There is another circumstance that results in the family’s decision to relocate the older person: caregiver burnout. Over Easter or coming Passover you might consider a move, if you are a long distance care provider.  

Making care arrangements, flying long distances on a regular basis to supervise care, covering shifts if they live nearby, and receiving call after call at night are all experiences that may lead directly to caregiver burnout. Like a proverbial sandwich, the family members are situated between meeting their personal and family needs and attending to the care needs of their elderly parents.

 

In both of these cases the perfect solution is an Aging Life Geriatric Care Manager  ,  who can find stable home care and make sure it stays stable. These experts in aging can also really relieve caregiver burn out by supervising the entire care situation, making sure shifts are covered, guiding the care so the long-distance or local care provider are not getting crisis calls and be the representative for the family if an emergency occurs, so they don’t have to rush out in their nightgown with acid reflux or fly on pricy last minute flights to be in the hospital with an ER admission.

Care Manager’s read Julie Menack’s Chapter on Tools The Care Manager Can Use with the long Distance Family-  Care Manager’s Working With the Aging Family

 

Filed Under: Aging Tagged With: Care Managers Working with the Aging Family, caregiver overwhelm, geriatric care manager, long distance care provider

Why Do Long Distance Families Call Aging Life GCM’s Over the Holidays?

November 20, 2015

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Filed Under: Aging Tagged With: aging life geriatric care manager, aging life or GCM inquiry, aging long distance care, caregiver overwhelm, long distance care providers

Here Comes the Sun After The Darkest Day for Caregivers

December 21, 2014

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It’s the darkest day of the year but sunlight comes tomorrow. Family caregivers need the light back in their life. They often break down during the holiday. If they are a part of dysfunctional family and are either hands on, long distance or local Mom or Dad caregivers —managing an aging parent during the festive season can be agony.

Maybe their parent is not grateful for their he sacrifice ,really depressed by a holiday, filled with an ill aging parent they never liked or not just burnt-out but electrocuted .

 

 A geriatric care manager is an expert in crisis management but also coach who educates and supports. What most conflicted caregivers need to get unstuck and see a path forward, especially bluest season, the holidays?

             A GCM cannot be Santa but here are some more steps a geriatric care manager can transform these families and caregivers after they call on the holiday.
Caregiver support and education: The GCM can be instrumental in helping adult children understand that ambivalence, stress, and fear are normal and common aspects of the care-giving role. Furthermore, the GCM can reassure the caregiver that our own professional experience and expertise allow us to offer a measure of predictability where, for the caregiver, none appears. By identifying concrete options and developing a positive plan for action, the GCM enables the family to move forward.

 

 

 

 

Filed Under: Aging Tagged With: caregiver burden, caregiver burnout, caregiver overwhelm, geriatric care management

How Do You Coach a Caregiver to Seek Help From Friends?

August 18, 2014

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Adding Friends to the Circle of Care

Friends of the careprovider need to be brought into the  family caregiver’s circle of care. The main caregiver often desperately needs respite from unremitting stress of caregiving. Encouraging the caregiver to use their friendship network to go out with friends to lunch and dinner, go to a movie, go away for a girl’s weekend, may take the GCM arranging respite with either paid or family caregivers. 

 

Encouraging caregivers to use a social network like facebook can help reconnect with old friends and classmates to have a way of feeling emotionally connected  This again can be a good GCM task. Caregiver support groups offer brand new friendships with others with the same issue of a needed breathing space. These new comrades in caring can bloom outside of the support group as well and buttress both caregivers.  

 

Encouraging the family caregiver to let friends know how to reach them and frankly  understand their caregiving situation, can help the caregiver build a circle of support. As caregiver’s often do not reach out for support, this takes real skills in  coaching by the GCM.

Family Caregiving Alliance supports a circle of care concept and can be another resource to encourage caregiver to reach out and ask for help.

Filed Under: Aging Tagged With: care manager, caregiver overwhelm, facebook, Family Caregiving Alliance, geriatric care manager

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