Cathy Cress

Expert in Aging Life and Geriatric Care Management

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Video of GCM Role in 5 Stages of Death

March 5, 2021

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 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

Do You Do Cultural Assessment With an End Of Life Client?

February 13, 2021

 

 

 Each Culture Has Different Customs and Beliefs in End of LifeiStock_000063346301_Medium-1.jpg

There may be cultural differences in end-of-life decision making as a result of underlying cultural values with disclosure of a terminal illness and very critically -use of life-sustaining medical treatment. With the widespread availability of advanced medical technology in the United States, people are encouraged to do everything possible to seek a cure for a life-threatening medical condition or sustain life. However, there are many other cultures for whom quality of life is more important than the length of life.

Other Cultures Do Not Follow US Medical Model ChiCheng_hmpgHdr.jpg

There are some societies, such as Japan, where a terminal illness may not be disclosed to a patient and it is culturally inappropriate to discuss impending or imminent death. For instance, among some Chinese, it is considered bad luck to discuss death because such talk may cause death to occur. Sometimes the ethnic elder is not expected to make healthcare decisions and the responsibility may be based on a traditional family hierarchy. For instance, in many Filipino families, there may be a designated decision-maker who is not the patient (e.g., the oldest son or a daughter or son who is a health professional) and who articulates the wishes of the elder or family.

Some Cultures Follow Religious  Customs and Beliefs in Death & Dying

Other end-of-life decisions are based on religious tenets. In many Catholic immigrant communities, there may be strong resistance to an advance directive because the document would signify a “loss of hope” or be interpreted as suicide, which is against church doctrine. These beliefs may also influence the use of hospice services.

 

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

 

 

 

 

 

 

 

 

 

Filed Under: Advanced Directives, advanced directives& COVID-19, Aging, Aging Life Care, aging life care manager, ALCA Role Death and Dying, Benefits of ALCA to Hospice, Cultural Assessment, Cultural Assessment Death, Cultural Beliefs in Death, Death & Dying, Death and Dying, Death and Dying Care Management, death and dying care manager, End of Life, End of Life Care manager, End of Life Cultural Assessment, End of life documents, Families, FREE WEBINAR, GCM role Death and Dying, Geriatric Care Management Business, Geriatric Care Manager, Geriatric Care Manager Cultural Assessment, geriatric social worker, Good Death, Hospice, Hospice Care, nurse advocate, nurse care manager, Palliative Care, Palliative care manager, SNF death COVID-19, US Medicalization of Death Tagged With: 5 stages of death, Acceptance Phase of Death, adding end of life services, Aging Life Care Association, care manager cultural assessment, chronic phase of death, COVID-19 Deaths, cultural assessment, Cultural Beliefs in Death, Cultural Customs in Death, cultural diversity, death and dying in COVID-19, geriatric care manager, Hospice at end of life, Palliative Care at end of life, US medicaization of Death

Care Manager’s Role in Chronic Phase of Death

February 24, 2016

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The chronic phase is the time between the diagnosis and the result from the treatments. During 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 unpleasant 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. 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:

 

  • Assist family determine 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
  • Co-ordinate help from community organizations through the continuum of care
  • Assist client and family connect with support groups in death and dying
  • Assist learning management of disease skills such from health care staff, videos, manuals or brochures.
  • Monitor anticipatory grief  needs
  • Learn about disease in order to help the patient make good decisions about his/her care and to help family members monitor their expectations 
  • Monitor caregiver burden: encourage family caregiver’s take time for selves, take breaks, get rest get to medical appointments, for grief needs
  • Assess client’s non medical needs: transportation, physician’s appointments, household tasks, personal care  if hospice  involved- medical if not involved
  • Assess family caregiver for overload, burnout, educational supports, home care supplement or family replacement care

 

  

·       Deliver a Good Life to The End – Add Death and Dying to Your Care Management Agency 

 

If you want to ads an End of Life service and other services, plus all the forms necessary, go to my web site Cathy Cress.com and check out GCM Operations Manual 

 

 

 

 

 

 
 

Filed Under: Aging Tagged With: adding end of life services, anticipatory grief, chronic phase of death, death and dying, geriatric care manager

Chronic Phase of Death – The Geriatric Care Manager’s Tasks

April 12, 2014

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 The chronic phase is the time between the diagnosis and the result from the treatments. During 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 unpleasant 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. 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:

 

  • Assist family determine 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
  • Co-ordinate help from community organizations through the continuum of care
  • Assist client and family connect with support groups in death and dying
  • Assist learning management of disease skills such from health care staff, videos, manuals or brochures.
  • Monitor anticipatory grief needs
  • Learn about disease in order to help the patient make good decisions about his/her care and to help family members monitor their expectations 
  • Monitor caregiver burden: encourage family caregiver’s take time for selves, take breaks, get rest get to medical appointments, for grief needs
  • Assess client’s non medical needs: transportation, physician’s appointments, household tasks, personal care  if hospice  involved- medical if not involved
  • Assess family caregiver for overload, burnout, educational supports, home care supplement or family replacement care

 

 

 

 

 

Filed Under: Aging Tagged With: anticipatory grief, chronic phase of death, death and dying, geriatric care manager

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