Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Have You Done Disaster Planning for Aging Clients?

November 8, 2019

Do You Have a Disaster Plan?

The devastating fires up and down California this month should tell you that you need a family meeting to prepare any aging family members in any place you live, ( especially long-distance ). We are facing global warming and normal catastrophic weather events- tornados, hurricanes, polar vortex and floods like the last year’s floods in the midwest. You need a disaster plan because older people are more vulnerable than any age group.

What would be the agenda of that disaster family meeting?

1) Create a disaster plan for the older person. This map out what each sibling and family member needs to do

2) Create a disaster team. This would be all adult siblings all over the country, family nearby, caregivers and neighbors.

Share your disaster plan with everyone.

Include someone on the team who can carry heavy objects like wheelchairs

Name a substitute caregiver if the regular one can’t get there

3) Make an evacuation plan . Where is the nearest shelter, what supplies

Do you have on hand? Get list from your local Red Cross 

How many people do you need to make the move to safety? Look closely at picture on right. These SNF residents are in water up to their waists.

4) Put all of the above in writing. E-mail copies to everyone on the family disaster team including all adult siblings or create a closed facebook group hand share there.

5) Get everyone’s agreement especially midlife siblings and the older person.

For more information, the University of Florida,  Home of Disaster filled hurricanes has a great set of directions.

6) Call a geriatric care manager     to manage the plan if you live long distance

Professionals check out the  Preparing for Emergencies-chapter in  Handbook of Geriatric Care Management  fourth edition , by Liz Barlowe on Disaster planning

A GCM member Jim Boyd lost everything- his practice, home, last year in the Paradise Fire.

Professionals Check out my book Care Managers Working With the Aging Family, with it’s chapter on Family Meetings and the Aging Family by Dr. Rita Ghatak of Stanford

Filed Under: Aging, Aging Life Care, aging life care manager, Blog, care manager, Care Plan, caregiver, case manager, elder care manager, Elderly Disaster Plan, Emergency Plan, Families, geriatric care manager, geriatric social worker, Long Distance Care, nurse advocate, nurse care manager, Siblings Tagged With: aging family, aging life care manager, aging parent care, aging parent crisis, care manager, case manager, checklist for aging parent problems, geriatric care manager, Hurricane Harvey, long distance care provider, nurse advocate, nurse care manager, siblings

Areas to Cover in Whole Family Assessment- Sandwich Generation Issues

June 11, 2013

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Sandwich Generation Issues- Many family caregivers have multiple generations requiring their attention and care. In 1981, Dorothy Miller coined the term sandwich generation to refer to inequality in the exchange of resources and support between generations.

Specifically, Miller was referring to a segment of the middle-aged generation that provides support to both young and older family members yet does not receive reciprocal support in exchange. Miller emphasized the unique stressors of multigenerational caregiving and the lack of community resources available to assist the middle generation. Because multigenerational caregivers are most often women dealing with the complex role configurations of wife, mother, daughter, caregiver, and employee, some researchers use the phrase women in the middle interchangeably with the sandwich generation.

In 2013 this is more and more an issue with men – adult sons as well. I am now helping a family where the 93 old Dad is home dying at his son’s home with Hospice and an excellent geriatric care management agency Livhome supplying 24 hour care. The adult son has four grown sons and three grandchildren. In all we have 4 generations sandwiched together helped thankfully by an excellent Hospice and terrific geriatric care management agency. These agencies together and in unison help unlayer the sandwich and allow the whole family  to come together to bring joy to all their lives while they surround this great grandfather through his death . That’s the grace of the whole family approach to me .

Filed Under: Aging Tagged With: aging family, aging parent, aging parent care, assessing the caregiver, caregiver, caregiver burden, caregiver overwhelm, caregiver stress, checklist for aging parent problems, death, geraitric assessment, geraitric care manager, geriatric care management, Hospice, joy in older people, Livhome, Men in sandwhich generation, My Geriatric Care Management Operations Manual, parent care, parent care crisis, Psychosocial assessment, sandwhich generation issues, Whole Family Approach, whole family approach in aging, whole family assessment

NPR Science Friday- Fixes Seniors and Technology

May 24, 2013

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NPR’s Science Friday had an a fabulous info segment today on seniors and technology. It covers the good, the bad and the ugly about what is available to older people who were not born playing with I phones. They (that’s me) live in a bilingual world where they did not grow up speaking/playing with the language of technology- plus they have disabilities. All of us who have grandchildren (and I remind everyone all the time – I have 10)- knows this. My 2 year old twin grandson’s run circles around me and my 27 year old runs my web site, does my SEO and literally is my tech brain. Tune in to the science of seniors on the steroids of technology – and how the Dollar Store can help you with your I Pad – no kidding.Also,great information from the OATS program – Older Adults in Technology-in New York.

 

Filed Under: Aging Tagged With: aging parent care, assessing for quality of life, checklist for aging parent problems, Funtional Assessment, geraitric care manager, grandchildren, nano-technology, National Association of Geriatric Care Managers, NPR, Older Adults Technology Services, Science Friday, Skype, smartphones for seniors, support of grandmothers, teaching technology to seniors, technology for caregivers, technology for telephones for elderly, techology and seniors, telecare, telecare systems, telehealth

What are Geriatric Care Management Tools?

May 21, 2013

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What are the tools a geriatric care manager uses? Like a carpenter ,GCM’s have saws and hammers, nails and architectural plans to follow. In the next few blogs I will discuss how the geriatric manager care manager can provide the tools, resources, and support for family caregivers.

In order to do so, it is important for the GCM look at the needs of the older adult in the context of the family unit. This is called the “Whole Family Approach”. How do these needs impact the family? How can family members regain a sense of balance? What are the tools that the care manager can offer family caregivers to assist them in the process? How can care managers best engage family caregivers effectively? Social workers, nurses and professionals in the field of aging all have tools. to help a family. Especially during National Geriatric Care Manager’s month, these tools are important for families and professional to understand and use.

Filed Under: Aging Tagged With: Adding Geriatric Care Managemet to a Senior non profit, aging family, aging parent care, care plan interventions, caregiver, caregiver burnout, case manager, checklist for aging parent problems, family caregivers, geraitric assessment, geriatric care management, Geriatric care management operations manual, geriatric care managers, geritaric care manager, Handbook of Geraitric Care Management, parent care, parent care crisis, Tools of Geraitric Care Managment

NY Times – Sticker Shock of Long Term Care

May 17, 2013

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Long-term care costs are well known to the US  government and professionals in aging .However when baby boomers get the full picture they have rabid sticker shock. The New York Times reveals how stunned many young/ old are at the quickly rising cost of their future care and how unprepared most boomers and their families are to shoulder the expense.

 

Filed Under: Aging Tagged With: Affordable Care Act, aging family, Aging In Place, aging parent, aging parent care, aging parent crisis, checklist for aging parent problems, cost of assisted living, cost of long term care, cost of nursing home, crisis with aging parents, Geriatric Assessment, geriatric care manager, long term care, long term care insurance, National Association of Geriatric Care Managers, New York Times, poll on long term care, protecting elder assets, psying fot long term care

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